Direct Pay Plans

With CHP Advantage Plus (HMO) and CHP Preferred Advantage (HMO), there are no deductibles to pay. Instead, your cost-sharing consists of a monthly plan premium and copayments or coinsurance for the services that you receive.

You can join either CHP Advantage Plus or CHP Preferred Advantage if you are entitled to Medicare Part A (hospital insurance), enrolled in Medicare Part B (medical insurance), and continue to pay Part B premiums.

You need to be a permanent resident of our service area, which includes the Florida counties of Gadsden, Jefferson, Leon, and Wakulla.

You cannot join a CHP Medicare Advantage Plan if you have end-stage renal disease (ESRD) unless you are a member of our organization and have been since dialysis began.

Both CHP Advantage Plus and CHP Preferred Advantage have a lot of advantages. These include:

• Your choice of a primary care physician--within the CHP Medicare Advantage provider network
• Member Services team dedicated to CHP Medicare Advantage plans
• Virtually no paperwork

With CHP Advantage Plus you can enjoy

• $15 copayment for routine check-ups and primary care physician office visits
• $25 copayment for specialty doctor visits for Medicare-covered benefits
• $20 copayment for urgent care visits at CHP's Urgent Care Center
• Emergency care anywhere in the world; $50 copayment if you aren't admitted to a hospital
• Inpatient hospital coverage:
  $250 copayment for each inpatient hospital stay
  $0 each day for days 1-5
  $100 each day for days 6-10
  $0 each day for days 11-90 (No limit on the number of days covered by the plan each benefit period)
  $750 maximum copayment for each inpatient hospital stay
• Eyewear - up to $150 every two years (limitations and restrictions may apply)
• Health club membership/fitness class reimbursement - up to $150 every year (limitations and restrictions may apply)
• Health education programs
• Disease management programs
• Part D Prescription drug coverage
• Health professional 24/7 hotline
• Brain fitness program

With CHP Preferred Advantage, you can enjoy all of the benefits described above plus continuous coverage for Tier 1 generic prescription drugs during the coverage gap.

For additional copayments please click here.