MA No RX Plan (HMO) | - CHPW Medicare Advantage

MA No RX Plan (HMO)

Our standard plan offers enhanced Medicare coverage for no extra cost per month.

Please note: this plan does not offer prescription drug coverage. If you don’t need prescription drug coverage but want coverage for dental and vision, this plan may be for you. This plan is a great choice for individuals who have creditable prescription drug coverage through the VA.

Click the button below to learn how to enroll in this plan.

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2021 Plan Benefits at a Glance

Coverage in This Plan Includes:

Medical, Dental, Vision, Fitness Program, and more.

CHPW Medicare Advantage Original Medicare
Premium $0* Part B Premium
Vision $0 copay, limit one exam per year. Up to $150 every two years for prescription vision hardware. Not Covered
Dental $0 copay, no limit for preventive services. Up to $500 supplemental benefit limit per year. Not Covered
Podiatry $0 copay (up to 4 supplemental routine visits per year) Not Covered
Alternative Medicine $0 copay (up to 12 visits per year) for acupuncture, naturopathy, and non-Medicare covered chiropractic Not Covered
Fitness Program Fitness center membership or at-home kit with a Fitbit Not Covered

*You must continue to pay your Medicare Part B premium.

The Summary of Benefits booklet gives you an idea of what services we cover and how much you pay. It does not list every service that we cover or list every limitation or exclusion.

➔ Download the Summary of Benefits

Offered in the Following Counties:

Clark, Cowlitz, King, Kitsap, Pierce, Snohomish, Spokane, and Thurston.

Covered Services & Cost

The Evidence of Coverage lays out coverage and payment details for different services, including copays, coinsurance, limitation, prior authorizations, and deductibles.

➔ Download the Evidence of Coverage

Prescription Coverage

Prescription drug coverage is not included in this plan.

Has Anything Changed for 2021?

That’s a great question. Any changes to the plan are detailed in the Annual Notice of Change (ANOC).

➔ Download the 2021 Annual Notice of Change

Special Benefits

Fitness Program

Stay fit at home or at the gym with the Silver & Fit Program. Meet new people, participate in challenges, and earn rewards while you get exercise to keep you active and healthy.

➔ Explore our Fitness benefit

Post-Discharge Meals

After an inpatient hospital or skilled nursing facility stay, members can receive 2 meals per day delivered to their door for 14 days.

➔ Learn more about Meals Benefits

DID YOU KNOW...?

Stay Active, Stay Healthy

As a member of CHPW Medicare Advantage, a free gym membership is included in your plan coverage. The Silver & Fit program provides basic membership at a participating fitness center near you. Stay active and social by taking a fitness class. Regular exercise keeps you feeling better and supports your overall health.

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Phone: 1-800-944-1247
Email: Sales@chpw.org

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