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

MA Plan 2 (HMO)

More Coverage, Lower Premium

The Medicare Advantage Plan 2 offers medical, dental, and prescription drug benefits for a low premium and reduced copays.

You also get extra benefits that support your whole health—from massage therapy to 20 free rides to medical visits.

If you’re worried about premium and copay costs, Plan 2 could be a great choice for you.

Where Is This Plan Offered?

Adams, Benton, Chelan, Clallam, Clark, Cowlitz, Douglas, Franklin, Grant, Jefferson, King, Kitsap, Pierce, Skagit, Snohomish, Spokane, Stevens, Thurston, Walla Walla, Whatcom, and Yakima counties.

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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-$23.10* (Exact amount depends on level of Extra Help) Part B Premium

Pharmacy

5 Tiers (1/2/3/4/5)

Preferred: $0/$10/$37/50%/33%
Standard: $10/$20/$47/50%/33%

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 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

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.

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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.

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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