Please print, complete, and mail an application form. Send your application form to the following address:
Community Health Plan of Washington
ATTN: CHPW Medicare Advantage
1111 Third Avenue, Suite 400
Seattle, WA 98101
Use the following forms to enroll in one of our Medicare Advantage Plans:
2021 Enrollment Forms
➞ Application Form
➞ Formulario de Inscripción Individual
2020 Enrollment Forms
A Nap a Day Could Keep The Doctor Away
Many Americans do not get enough sleep and this can contribute to a number of health issues. Taking a nap during the day can help your body restore itself and promotes brain and heart health. A 20-minute nap has a variety of health benefits – from improved mood, to better focus and memory function. In some cultures, napping is even prescribed as a health treatment by doctors!
If you have trouble sleeping, take steps to improve your quality of sleep.
Community Health Plan of Washington is an HMO plan with a Medicare contract. Enrollment in Community Health Plan of Washington Medicare Advantage Plan depends on contract renewal. To enroll in a Community Health Plan of Washington Medicare Advantage plan, you must be eligible to receive Medicare Part A and Part B and live in our service area (Adams, Benton, Chelan, Clark, Cowlitz, Douglas, Franklin, Grant, King, Kitsap, Lewis, Pierce, Okanogan, Skagit, Snohomish, Spokane, Thurston, Walla Walla,Whatcom, and Yakima counties in Washington state). This is not a complete description of benefits, please contact us for more information.
Benefit Disclaimer: Limitations, copayments, and restrictions may apply.
Premiums Disclaimer: You must continue to pay your Medicare Part B premium.
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