Community Health Plan of Washington

Community Health Plan of Washington

Company information

More than 20 years ago, we made a commitment to improve the health of our communities by making quality health care accessible to all Washington state residents.

We continue that pledge today by providing affordable comprehensive coverage to more than 315,000 individuals and families throughout the state.

  • We are a local not-for-profit health plan in Washington state.
  • We are committed to keeping Washington families healthy.
  • We connect our communities to the health resources they need.
  • We provide access to high-quality care for our members.
  • We connect and empower our members through technology.
  • The Community Health Centers we partner with strive to support members with a comprehensive mix of medical resources in one convenient location.
  • Our partnerships with Community Health Centers and our extended provider network help us improve the health care delivery system.
  • Community Health Network of Washington is our parent group.

Our Mission

Community Health Plan of Washington's mission is to deliver accessible managed care services which meet the needs and improve the health of our communities, and make managed care participation beneficial for community-responsive providers.

Our Core Values

  1. Excellence in service to our members, providers, and each other is our highest priority.
  2. Every person, every idea counts.
  3. We expect individual accountability for behavior. We share team accountability for performance.
  4. Resource management and productivity are everyone’s responsibility.
Company profile type: 
Company Direct
Company size: 
201 to 500 Employees
Industry: 
Healthcare | Nursing
Company stage: 
Established
Products & Services: 
Apple Health

Medicaid is Apple Health.

In an effort to streamline and improve the Medicaid program in Washington State, a new program called Apple Health will allow more people to get better health care. Learn more about the covered benefits and other important plan information in the:

Will you qualify for Washington Apple Health?

If your income is below the following, you may be eligible for the new Medicaid program. FPL means "Federal Poverty Level." These numbers are estimates and may change.

For more information about this program, including how to enroll, please visit the Health Care Authority website.

Medicaid members still enrolled under the Healthy Options or Children's Health Insurance Program will need to renew their coverage and enroll in Apple Health. We are providing a number of options to ensure a smooth transition between programs.

Community HealthFirst - Medicare Advantage

Our Community HealthFirst™ Medicare Advantage Plans are designed to provide access to quality health care providers, benefits, information, and services that will help you stay in the best health possible.

Our affordable Medicare Advantage HMO plans give members valuable extended coverage and services:

  • Zero or low monthly premiums
  • Low office visit and specialist visit copays
  • 24-Hour Nurse Help Line

For more information, visit the Community HealthFirst Medicare Advantage website.

Or call Customer Service from 8 a.m. to 8 p.m., 7 days a week:

  • Prospective Members -- 1-800-944-1247 (TTY Relay: Dial 711)
  • Current Members -- 1-800-942-0247 (TTY Relay: Dial 711)
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CommunityHealth Essentials

Make the smart decision about your health coverage and care.

If you're in good health, you need to maintain it. Maintaining good health is just as important as addressing a known condition. Your story is your own, but the goal we all strive for is this: Being as healthy as possible. Enjoying life. Feeling independent.

Understanding and trusting your health care options is critical.

Community HealthEssentials Plus is a health insurance coverage plan offered through the Washington State Health Benefits Exchange.

There are three different Community HealthEssentials coverage levels available in 26 counties: Gold, Silver, and Bronze.

Community HealthEssentials Plus is offered by Community Health Plan of Washington and administered by First Choice Health.

Community Health Plan of Washington has partnered with First Choice Health to provide the administrative services for our Community HealthEssentials Plus private health insurance plans. This includes Customer Service, Claims Processing, Utilization and Case Management, and access to the First Choice Health PPO Network.

First Choice Health has the largest independent PPO network in the state. Members enjoy access to more than 25,000 providers, including 100+ Community Health Center clinics, 500 affiliated clinics, and more than 100 hospitals. 

Visit the First Choice Health website to search for a provider in the First Choice Health network, access important plan information, download forms, and more.

Please note: Community HealthEssentials Plus is the only Community Health Plan of Washington plan that uses the First Choice Health PPO Network.

For more information:

For more information about Community HealthEssentials Plus plans, including benefits and costs, go to www.wahealthplanfinder.org. For additional questions, please contact First Choice Health Customer Service at 1-800-930-0132 (TTY Relay: Dial 711).

This program will be available through the Washington Health Benefit Exchange during Open Enrollment or with qualifying life events.

FAQ: 
Health Insurance 101

Health insurance doesn't have to be confusing. Get answers to some of the most common and most asked questions about health coverage right here.

Will I be able to keep seeing my doctor after I become a member?

We contract with more than 2,500 primary health care providers and more than 14,300 medical specialists. To find out if your current provider is affiliated with Community Health Plan of Washington, search our online directory. You can also call Customer Service at 1-800-440-1561 (TTY Relay: Dial 711), 8 a.m. to 5 p.m., Monday through Friday.

How do I know if I should see a doctor?

Our free Nurse Advice Line is available 24 hours a day, 7 days a week. If you need help deciding on the care you need, you can call 1-866-418-1002 (TTY: 1-866-418-1006) for assistance.

How do I make an appointment?

To make an appointment, call your clinic or doctor's office. If you need help locating the phone number, please use our provider directory online.

When you call to make an appointment:

Please tell them if you are a new member.
Or ask for an interpreter if you need one.

Will I get an ID card from Community Health Plan of Washington?

When you enroll in Community Health Plan of Washington, you will be sent an ID card. Each person in your family who signs up with Community Health Plan of Washington will get their own ID card.

You will need to show the Community Health Plan of Washington ID card and your state-issued Services card each time you get medical care. That includes medical visits, specialist visits, mental health visits, hospital visits, and pharmacy prescriptions.

If you need a new ID card sent to you, please call Customer Service at 1-800-440-1561 (TTY Relay: Dial 711), 8 a.m. to 5 p.m., Monday through Friday. Or sign up for myCHPW to view or print your ID card.

What if I want a second opinion about my health care?

You have the right to get a second opinion. Tell your primary doctor that's what you want. They will refer you to a different provider within the Community Health Plan of Washington network with similar credentials, or you can choose one from our provider list.

Pages

Company contact: 
Seattle 
Office
(800) 440-1561
Susan 
Ginsberg
Talent Acquisition Specialist
206-613-8971

Company locations

Rewards and benefits: 
401K Matching
Accessible Public Transportation
Bonus Plan
Fitness / Wellness
Health Insurance
Holidays / Vacations
Mentoring Program
Parking
Sick Days
Training
Tuition Reimbursement
Veteran Hiring Program
Volunteer Activities