This page is your guide to getting started and making the most of your Community Health Plan of Washington (CHPW) Apple Health (Medicaid) coverage. From finding a doctor to understanding your benefits, we're here to help you stay healthy, informed, and confident in your care.
Explore information about your benefits and coverage, your rights as a CHPW member, and more.
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Your one-stop guide to everything about your CHPW Apple Health plan. Get complete details about your benefits, where to get care, and all the ways we support your health.
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As a CHPW member you get no-cost benefits, such as gift card rewards for completing important preventive care visits, that aren’t included in Apple Health.
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We want to help you feel your best by understanding your health needs. Take a few minutes to complete your annual Health Assessment. It helps us connect you with the right care and support services and programs.
Take assessmentYour health journey just got more rewarding. Find out how you can earn gift cards for you and your family when you complete important preventive screenings and other healthy activities.
Learn moreAvailable to CHPW members who meet eligibility requirements. Members can receive up to $200 in total rewards per year.
Search for a doctor, specialist, clinic, or hospital in our provider network.
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Talk with a doctor 24/7 by phone or video, without leaving your home. Plus, see additional online services available to you for mental and behavioral health care.
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Taking care of your teeth is an important part of your overall health. Explore dental services for adults and children covered under your health plan.
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Regular eye exams are covered. Apple Health covers glasses for kids 20 and under with your ProviderOne card. CHPW offers free glasses to adult members 21 and older!
Learn moreGet help with using technology like smartphones, computers, and internet to support your health care.
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Your CHPW member ID card lists your Primary Care Clinic where you will get most of your care. Schedule your first visit so your doctor or provider can check your overall health.
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Your plan pays for approved drugs. You can get your medications at your Community Health Center pharmacy or through one of the pharmacies in our network.
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Learn about the many services, benefits, and tools available to you and how to access them.
Learn moreQuestions about your coverage, benefits, eligibility, or enrollment? Need help scheduling an appointment? Call us at 1-800-440-1561 (TTY: 711). We're here for you Monday through Friday, 8 a.m. - 5 p.m.
Your health goals are unique — and we’re here to help you reach them. Our team offers personalized programs and resources to guide you every step of the way.
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With CHPW, you are never alone. Our Community Health Workers can help connect you to resources for housing, food, care, transportation, and more.
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CHPW members can get help before, during, and after their pregnancy through our Healthy You, Healthy Baby program.
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We want to keep you updated with important messages—whether it’s by a quick text, an email, or a letter in your mailbox. Chose how you prefer to hear from us.
Learn moreWhat happens if I lose my CHPW member ID card?
If you need a new CHPW ID card sent to you, please call Customer Service. You can also download and print your CHPW Member ID card through our online Member Center.
Do I have to pay anything for my CHPW coverage?
If you have CHPW Apple Health, or are on a Medicare Advantage Dual plan or a Behavioral Health Services Only (BHSO) plan, you don’t have to pay anything for covered services from an in-network provider. You may have to pay for care received from an out-of-network provider, depending on the situation.
Can I see a doctor who’s not in CHPW’s provider network?
You must choose an in-network provider to get your medical care. The only exceptions are emergencies, urgently needed care when the network is not available, out-of-area dialysis services, and cases where you have obtained pre-approval (prior authorization) from your CHPW doctor.
How do I know if my medication is covered?
Each year, we publish a list of drugs we cover (also known as a formulary). Review the list to see if your medication is on there and if there are any restrictions on it.
We answer some of your common health plan questions.
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It’s good to know your options for care, because life is busy and illness is something that’s hard to predict.
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The more you stay on top of your health now, the healthier you’ll be in the long run.
Read more ➜Explore more health tips on our CHPWConnections blog site.
Community Health Plan of Washington (CHPW) was founded in 1992 by Washington’s community health centers. CHPW is committed to Washington's health. To enroll in a Community Health Plan of Washington Apple Health (Medicaid), Medicare Advantage, or Individual & Family Cascade Select plans, you must be eligible and live in the service areas. This is not a complete description of benefit. Please contact us for more information.
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