Enrollee Benefits

Read about:

Benefit Information

To learn more about benefits and copays for Basic Health, Washington Health Program, Healthy Options, Basic Health Plus, CHIP, and Medical Care Services, see the benefit grids:

For information about benefits and copays for Medicare Advantage programs, see the benefit grids for:

For more detailed information about benefits, please call the Customer Service team at 1-800-440-1561.

State Programs Enrollee Materials

For State programs (Healthy Options, CHIP, Basic Health Plus, Basic Health, Washington Health Program, Medical Care Services) CHPW makes available enrollee benefit materials and posts information on the web site describing plan services and features. The printed materials and web content contain helpful information about how to use the plan, its benefits, enrollee rights and responsibilities, and more.

In the new member packet, Healthy Options, CHIP, and Basic Health Plus enrollees get:

  • A printed Healthy Options Supplement (see the most current supplement on the website), which contains important benefit and service information, including excerpts from the Washington State Your Medical Benefit Book.
  • How to Find Important Information: A listing of information enrollees can find on the CHPW website or can request in print from CHPW Customer Service.
  • An order card for those who want to read more about any topic in How to Find Important Information.
  • The Community Health Plan of Washington Notice of Privacy Practices and Member Rights and Responsibilities.
  • A brochure about the Assurance cell phone offer.
  • A flyer about the Children First™ rewards program for pregnant women and children.
  • Additional up-to-date information such as grievances and appeals processes and utilization management practices and policies.

In the new member packet, Basic Health enrollees get:

  • A printed Guide to Basic Health with important information such as benefits and how to use them, enrollee rights and responsibilities, and how to complain about services or appeal a decision.
  • How to Find Important Information: A listing of information enrollees can find on the CHPW website or can request in print from CHPW Customer Service.
  • An order card for those who want to read more about any topic in How to Find Important Information.
  • The Community Health Plan of Washington Notice of Privacy Practices and Member Rights and Responsibilities.
  • A brochure about the Assurance cell phone offer.
  • A flyer about the Children First™ rewards program for pregnant women and children.
  • Additional up-to-date information such as grievances and appeals processes and utilization management practices and policies.

In the new member packet, Medical Care Services enrollees get:

  • A printed Guide to Medical Care Services with important information such as benefits and how to use them, enrollee rights and responsibilities, and how to complain about services or appeal a decision.
  • A guide to HEN (Housing and Essential Needs) resources.
  • How to Find Important Information: A listing of information enrollees can find on the CHPW website or can request in print from CHPW Customer Service.
  • An order card for those who want to read more about any topic in How to Find Important Information.
  • The Community Health Plan of Washington Notice of Privacy Practices and Member Rights and Responsibilities.
  • A brochure about the Assurance cell phone offer.

In the new member packet, Washington Health Program enrollees get:

  • A Guide to Washington Health Program with important information such as benefits and how to use them, enrollee rights and responsibilities, and how to complain about services or appeal a decision.
  • How to Find Important Information: A listing of information enrollees can find on the CHPW website or can request in print from CHPW Customer Service.
  • An order card for those who want to read more about any topic in How to Find Important Information.
  • The Community Health Plan of Washington Notice of Privacy Practices and Member Rights and Responsibilities.
  • A brochure about the Assurance cell phone offer.
  • A flyer about the Children First™ rewards program for pregnant women and children.

State Programs Enrollment Materials and Publications

Please refer to the Health Care Authority website for Basic Health enrollment materials, publications, order forms and directions.

For information about Washington Health Program eligibility and enrollment, see the enrollment pages. For information about program benefits and resources, see the Washington Health Program pages on this website.

For information about Healthy Options/CHIP enrollment and eligibility, see the Washington State Healthy Options website.

For information about Medical Care Services enrollment and eligibility, see the Washington State Medical Care Services website.

Children First™

CHPW rewards members who get check-ups and preventive care on time. Children First™ is our reward program for children and pregnant women who get scheduled care.

Pregnant CHPW members who get prenatal care can get a FREE car seat.

Children from birth to age 13 who get well child check-ups on time can get FREE rewards such as:

Children's books
Booster seats
Diapers
School supplies
Thermometer
Dental Kits		 School backpacks
Baby Welcome Kit
Bike helmets
Safety locks
School clothes
Car seat

For more information about Children First™, patients or providers can contact CHPW at 1-800-461-5832.

Use these Children First™ forms to enroll your patients in the Children First™ rewards program: