Try a plan that gives you more freedom
If you don’t need prescription drug coverage, but want coverage for dental and vision, the Community Health Plan of Washington (CHPW) Medicare Advantage Freedom Plan (HMO) may be for you.
It’s a great choice for those who have creditable prescription drug coverage through Veterans Affairs (VA).
Where Is This Plan Offered?
Clark, Cowlitz, King, Kitsap, Pierce, Snohomish, Spokane, and Thurston counties.
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Call 1-800-944-1247 (TTY: 711) Enroll Now
7 days a week, 8 a.m. to 8 p.m.
Extra Benefits at a Glance
Coverage Includes: Dental, Vision, Fitness Program, and more.
Please note: this plan does not offer prescription drug coverage.
| CHPW Medicare Advantage | Original Medicare | |
|---|---|---|
Premium |
$0* | Part B Premium |
Vision |
1 routine eye exam plus up to $150 every two years for glasses or contacts. | Not Covered |
Pharmacy |
Not Covered | Not Covered |
Dental |
$500 a year for comprehensive services and unlimited preventive. Choose from a large network of dentists.** | Not Covered |
Podiatry |
$0 copay. Up to 4 visits per year for non-Medicare covered foot care from a Medicare-approved foot care provider. | Not Covered |
Health and Wellbeing |
Combined total of 12 visits a year for acupuncture, naturopathy, and chiropractic. | Not Covered |
Fitness Program |
Fitness kit, gym membership. | Not Covered |
*You must continue to pay your Medicare Part B premium.
**You must use a dentist who is part of Delta Dental of Washington’s dental network. To find the most current listing of Delta Dental PPO Plus Premier network dentists, visit DeltaDentalWA.com.
Download documents
Summary of Benefits
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Summary of Benefits – Freedom Plan begins on page 36 |
Evidence of Coverage
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Evidence of Coverage (EOC) |
Covered Services & Cost
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Special Benefits |
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Prescription CoverageThis plan does not offer prescription drug coverage. |
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Providers and Care FacilitiesUse our Find a Doctor tool or browse our provider directories to find primary care providers, vision providers, specialists, care facilities, and pharmacies in our network. |
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Evidence of CoverageThe Evidence of Coverage (EOC) provides plan details and payment information for services, including copays, coinsurance, limitation, prior authorizations, and deductibles. |
Has Anything Changed for 2024?
Download the 2024 Annual Notice of Change (ANOC) to review any changes to the plan.
Questions?
Call us at 1-800-944-1247 (TTY: 711). Our licensed Medicare experts will help you over the phone. We’re here for you 7 days a week, from 8 a.m. to 8 p.m.
