Plan year 2027 · Medicare AdvantageCMS files of Sept. 22 and Oct. 1, 2026
Community Health Plan of WA Dual Select, 2027
H5826Contract017Plan
HMO D-SNP · special needs plan, dual-eligible · 29 counties in Washington
Run by Community Health Plan of Washington (contract H5826), sold as Community Health Plan of WA Medicare Advantage, owned by Community Health Plan of Washington
Community Health Plan of WA Dual Select (H5826-017) costs $6.30 a month in 2027, down $4.20 from 2026, with an in-network out-of-pocket limit of $9,850 ($9,250 in 2026).
What changes from 2026 to 2027?
| What you pay or get | 2026 | 2027 | Change |
|---|---|---|---|
| Monthly premium | $10.50 | $6.30 | ▼down $4.20 |
| In-network out-of-pocket limit | $9,250 | $9,850 | ▲up $600 |
| Drug deductible | $615 | $700 | ▲up $85 |
| Part B premium reduction, monthly | $0.20 | none | ▼dropped |
| Eyewear, yearly limit | $500 a year | $250 a year | ▼down $250 |
| Hearing aids, yearly limit for both ears | $1,500 a year | $1,000 a year | ▼down $500 |
| Drug tier 4, non-preferred drug | 50% of the cost | 25% of the cost | ▼down 25 points |
| 15 lines do not change | |||
| Primary care visit | 20% of the cost | 20% of the cost | no change |
| Specialist visit | 20% of the cost | 20% of the cost | no change |
| Emergency room | 20% of the cost | 20% of the cost | no change |
| Medical deductible, in network | none | none | no change |
| Hospital stay, in network | not filed | not filed | no change |
| Skilled nursing facility, in network | not filed | not filed | no change |
| Ground ambulance, in network | 20% of the cost | 20% of the cost | no change |
| Comprehensive dental, yearly limit | not offered | not offered | no change |
| Over-the-counter items, yearly | not offered | not offered | no change |
| Counties served | 29 | 29 | no change |
| Drug tier 1, preferred generic | 25% of the cost | 25% of the cost | no change |
| Drug tier 2, generic | 25% of the cost | 25% of the cost | no change |
| Drug tier 3, preferred brand | 25% of the cost | 25% of the cost | no change |
| Drug tier 5, specialty tier | 25% of the cost | 25% of the cost | no change |
| Drug tier 6, select care drugs | $0 | $0 | no change |
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS plan benefit package files, 2027 and 2026; CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026). Plan details can change during the year; confirm on Medicare Plan Finder.
What will prescriptions cost?
| Tier | What the tier holds | 2026 | 2027 |
|---|---|---|---|
| Tier 1 | Preferred Generic | 25% of the cost | 25% of the cost |
| Tier 2 | Generic | 25% of the cost | 25% of the cost |
| Tier 3 | Preferred Brand | 25% of the cost | 25% of the cost |
| Tier 4 | Non-Preferred Drug | 50% of the cost | 25% of the cost |
| Tier 5 | Specialty Tier | 25% of the cost | 25% of the cost |
| Tier 6 | Select Care Drugs | $0 | $0 |
Source: CMS plan benefit package files, 2027 and 2026. Insulin is capped at $35 a month by law. A drug's tier is set by the plan's formulary.
How does it compare with plans sold where it is?
In the counties it serves, 23 dual-eligible special needs plans are sold for 2027, this one included. Against the others, 3 plans have a lower out-of-pocket limit, 19 the same. On the premium, 14 plans have a lower premium, 7 the same, 1 a higher one.
Out-of-pocket limits of the 23 dual-eligible special needs plans
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).
Where is it sold, and what does it cost there?
The premium and the out-of-pocket limit are the same in all 29 counties: $6.30 a month and $9,850.
Washington
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).
Who runs this plan?
- Plan ID
- H5826-017
- Legal name of the contract
- Community Health Plan of Washington
- Sold as
- Community Health Plan of WA Medicare Advantage
- Parent company
- Community Health Plan of Washington
- Plan type
- HMO D-SNP
- 2026 star rating of the contract
- 3 of 5 overall; health plan 2.5 of 5, drug plan 4 of 5
- Members, September 2026
- 3,286
- Plan website, as filed with CMS
- medicare.chpw.org
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS 2026 Star Ratings (October 2025); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11). CMS publishes the 2027 Star Ratings in October 2026.
What else should you check?
- Other 2027 plans in Yakima, WAWhere most of its members live; premiums and limits side by side
- Every Community Health Plan of WA Medicare Advantage plan for 2027Its contracts, counties and plans that end
- The other 1 plan of contract H5826Same company, same contract
- Is your prescription covered?Coverage share and tier for 2,259 drugs
Data, not advice. These are the plan's filed amounts, not a quote for you; confirm on Medicare Plan Finder or call the plan before you enroll.