When You Get More, You Can Do More
Get extra services at no extra cost through our D-SNP plan.
Medicare Advantage Dual Complete (HMO D-SNP) offers more support to those who qualify for both Medicare and Apple Health (Medicaid).
Where Is This Plan Offered?
CHPW offers the Dual Complete (HMO D-SNP) plan in all Washington state’s 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: Vision, Dental, Prescription Drugs, Over-the-Counter and Grocery Benefits, Hearing Aid, Transportation, Fitness Program, and more.
| CHPW Medicare Advantage | Original Medicare | |
|---|---|---|
Premium |
$0* | $0 |
Pharmacy |
Generic drugs: $0 Brand drugs: $0 |
Not Covered |
Vision |
1 routine eye exam plus up to $500 every year for glasses or contacts. Choose from a wide network of vision providers. | Not Covered |
Dental |
$5,000 a year for preventive and comprehensive services. Choose from a large network of dentists.** | Not Covered |
Hearing Aids |
$2,250 every year; $0 copay for exam & fitting. Limit one per ear 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 |
Health and Wellbeing |
Combined total of 25 visits a year for acupuncture, naturopathy, chiropractic, and massage. |
Not Covered |
Transportation |
20 one-way trips (40-mile limit) to health-related appointments each calendar year. | Not Covered |
Over-the-Counter (OTC) & Grocery |
$100 every month to spend on covered grocery and OTC items. | Not Covered |
Fitness Program |
Fitness kit, gym membership | Not Covered |
*Your monthly plan premium may be paid for as long as you qualify for 100% Low Income Subsidy (“Extra Help”). Your Medicare Part B premium must continue to be paid, although that too may be paid for through these subsidies. Contact us to learn more: 1-800-942-0247 (TTY Relay: 711), 8 a.m. to 8 p.m., seven days a week.
**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.
Support with a personal touch
Did you know all CHPW Medicare Advantage members are eligible for personalized Care Management services? A dedicated care team works with you and your Primary Care Provider and clinic to help make sure your needs are met. Learn more.
Download documents
Summary of Benefits
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Summary of Benefits |
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 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 2025?
Download the Annual Notice of Change (ANOC) to review any changes to the plan.
Annual Notice of Change (ANOC) – English
Aviso Anual de Cambios (ANOC) – Spanish
Don’t Qualify for Dual Complete?
You might qualify for a similar plan, Dual Select (HMO D-SNP) or CHPW MA Plan 2 (HMO).
Questions?
Call us at 1-800-944-1247 (TTY: 711). Our licensed Medicare Specialists will help you over the phone. We’re here for you 7 days a week, from 8 a.m. to 8 p.m.
