Our Best Value Plan
The Medicare Advantage Plan 1 is our best value plan, offering prescription drug and dental coverage, plus the protection of an out-of-pocket maximum. All for a $0 monthly premium*.
*You must continue to pay your Medicare Part B premium.
Where Is This Plan Offered?
Clallam, Clark, Cowlitz, Jefferson, King, Kitsap, Pierce, Snohomish, Spokane, Thurston, Walla Walla, Whatcom, and Yakima 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, Prescription Drugs, Fitness Program, and more.
| CHPW Medicare Advantage | Original Medicare | |
|---|---|---|
Premium |
$0* | Part B Premium |
Pharmacy |
5 Tiers (1/2/3/4/5)
Preferred: $0/$10/$37/50%/29% $230 deductible on Tier 5 specialty drugs only |
Not Covered |
Dental |
$0 for up to two preventive visits per year.** | 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 |
Family on Demand |
60 hours per year of free personalized support and companionship. | Not Covered |
Health & 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 – Plan 1 begins on page 6 |
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 CoverageOur list of covered drugs (also called a formulary) provides information about costs, restrictions, and other important details related to a plan’s prescription medication coverage. |
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Providers and Care FacilitiesUse our Find a Doctor tool to find primary care 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.
2024 Annual Notice of Change (ANOC)
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.
