Community Health Plan of Washington Medicare Advantage Plans Community Health Plan of Washington Medicare Advantage Plans

Dual Select (HMO D-SNP)

Additional Support for Your Health Goals

Get extra services at no extra cost through our D-SNP plan.

Medicare Advantage Dual Select (HMO D-SNP) offers support to those who qualify for both Medicare and partially qualify for Apple Health (Medicaid).

Where Is This Plan Offered?

Adams, Benton, Chelan, Clallam, Clark, Cowlitz, Douglas, Franklin, Grant, Grays Harbor, Jefferson, King, Kitsap, Kittitas, Lewis, Mason, Okanogan, Pacific, Pend Oreille, Pierce, Skagit, Snohomish, Spokane, Stevens, Thurston, Wahkiakum, 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: Vision, Dental, Prescription Drugs, Hearing Aid, Transportation, and more.

CHPW Medicare Advantage Original Medicare

Premium

$0-$26.20* $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

$750 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

32 one-way trips (40-mile limit) to health-related appointments each calendar year. Not Covered

Fitness Program
Fitness kit, gym membership. Not Covered

*Exact amount depends on level of Extra Help. 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

Covered Services & Cost

Special Benefits

Prescription Coverage

Our 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.

Providers and Care Facilities

Use 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.

Evidence of Coverage

The 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?

You might qualify for a similar plan, 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.

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Phone: 1-800-944-1247
Email: [email protected]

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