Ask Your Local Member Services Department
Note: This article is over 60 days old, and may contain information that is out of date, or has been superseded by newer information.
Capital Health Plan strives to provide our Members with outstanding customer service. We understand how complex the medical and insurance system can be, and we are here to help answer any questions that you may have. This new section of the HealthLine will focus on answering general coverage questions that we receive on a regular basis.
Karen Frost, RN, BSA, MBA
Director of Member Services
Question: I will be traveling outside of Capital Health Plan’s coverage area for a vacation. What do I do if I become ill or have an injury? Will Capital Health Plan cover this care?
Answer: Your Capital Health Plan benefits include coverage for emergency care or urgently needed care while you are temporarily out of our service area. You do not need to get approval or a referral first from your Primary Care Physician (PCP). If you are given a prescription, you may use one of over 62,000 pharmacies nationwide to fill it using your CHP ID card. Visit www.caremark.com and register to locate a participating pharmacy in the area you are in or call Member Services to assist you in locating one. Notify your PCP and Capital Health Plan of the care you received as soon as possible. Follow up care needs to be coordinated through Capital Health Plan’s network of practitioners.
Member Services: Five days a week 8 a.m. – 5 p.m.
850.383.3311 or 800.390.1434
Medicare Member Services: Five days a week 8 a.m.– 8 p.m.
850.523.7441 or 877.247.6512
TTY/ TTD: 850.383.3534 or 800.955.8771
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