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Community Health Plan of WA Dual Complete (HMO D-SNP) — 2026 Special Needs Plan

SNPHMO D-SNPSNP: Dual-Eligible

Community Health Plan of WA Medicare Advantage

Plan ID: H5826_014

2.5-0.5

Declined from 3 stars last year

55/100

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What affects this score:

Plan continues unchanged (renewed)0
Rating at or below 2.5 — CMS contract jeopardy-25
Rating dropped to 2.5 — CMS low-performer warning-20

Monthly Premium

$10.5

+$10.5 drug premium

Medical Deductible

N/A

Drug Deductible

$615

Max Out-of-Pocket

$9,250

Supplemental Benefits

🦷 Dental
👁️ Vision
👂 Hearing
🏋️ Fitness
💊 OTC Benefit
🚘 Transportation
📱 Telehealth
🍲 Meals

Benefit Details

Preventive Dental
Comprehensive Dental
Vision - Eye Exams
Vision - Eyewear
Hearing Exams & Aids
Fitness/Wellness
Meals

Drug Coverage Summary

Drug Deductible

$615

Drug Premium

$10.5/mo

This plan includes Part D prescription drug coverage. Drug costs depend on which tier your medications fall under. Use our comparison tool to estimate your specific drug costs.

Medical Benefits

Inpatient Hospital

inpatient

Emergency Room

emergency

· 20%

Urgent Care

urgent_care

· 20%

Primary Care

primary_care

· 20%

Specialist

specialist

· 20%

Outpatient Hospital

outpatient

Dental - Preventive

dental

· 20%

Dental - Comprehensive

dental

Vision - Eye Exams

vision

· 20%

Hearing - Exams & Aids

hearing

· 20%

Counties Served (39)

Washington

Adams CountyAsotin CountyBenton CountyChelan CountyClallam CountyClark CountyColumbia CountyCowlitz CountyDouglas CountyFerry CountyFranklin CountyGarfield CountyGrant CountyGrays Harbor CountyIsland CountyJefferson CountyKing CountyKitsap CountyKittitas CountyKlickitat CountyLewis CountyLincoln CountyMason CountyOkanogan CountyPacific CountyPend Oreille CountyPierce CountySan Juan CountySkagit CountySkamania CountySnohomish CountySpokane CountyStevens CountyThurston CountyWahkiakum CountyWalla Walla CountyWhatcom CountyWhitman CountyYakima County

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