CHP Medicare Plans
CHP Medicare Plans
Aging Into Medicare
Turning 65 soon? You’ll be eligible for Medicare health benefits and coverage. Learn how you can get started on Medicare prior to turning 65, when you become 65, and how to begin using your new Medicare plan.
Understanding Your Medicare Options
We make it easy to understand Medicare with helpful resources for those new to Medicare and those looking to switch Medicare plans.
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Explore Our Medicare Plans
CHP’s Silver Advantage (HMO) offers comprehensive Medicare Advantage coverage for those eligible for Medicare Part A and enrolled in Part B. It includes a wide network of doctors, hospitals, and pharmacies to meet your healthcare needs.
CHP’s Advantage Plus (HMO) provides Medicare Advantage coverage for those eligible for Medicare Part A and enrolled in Part B. The plan offers a broad range of services and global emergency coverage.
CHP’s Preferred Advantage (HMO) is a Medicare Advantage plan with a broad network of providers, designed for those eligible for Medicare Part A and enrolled in Part B. It covers a variety of healthcare needs, including emergency services worldwide.
Capital Health Plan Retiree Advantage (HMO) offers healthcare coverage for Medicare-eligible retirees and their dependents, providing access to a broad range of services and providers.
Capital Health Plan Retiree Advantage (HMO) is offered by the State of Florida to their Medicare-eligible retirees and Medicare-eligible dependents of retirees. This provides our members the opportunity to participate in their State of Florida-sponsored health plan after retirement and becoming Medicare eligible.
Service Area
As a not-for-profit HMO, CHP exists to improve the health of the communities we serve by providing patient-centered healthcare to more than 135,000 members.
Capital Health Plan provides comprehensive and affordable health care to our members in the greater Tallahassee area. We proudly serve:
- Calhoun
- Franklin
- Gadsden
- Jefferson
- Leon
- Liberty
- Madison
- Taylor
- Wakulla
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Frequently Asked Questions by Medicare Members
If you currently receive retirement benefits from Social Security or the Railroad Retirement Board, you are automatically enrolled in Medicare Part A and B the first day of the month you turn 65. This means you will receive your Medicare card three months before your 65th birthday and do not have to sign up for Medicare coverage manually.
If you are not currently receiving Social Security or Railroad Retirement Board benefits, you must apply for Medicare coverage on your own. This scenario usually applies to people 65 or older who are still working. For those not automatically enrolled in Medicare, it’s crucial to note that you must sign up for Parts A and B the first day of the month you turn 65. If you sign up any later, you may have to pay a higher monthly premium for the rest of your life and will likely have to wait to sign up and go without coverage until the enrollment period begins. If you waited to enroll and didn’t have drug coverage during that time, you’ll likely pay a late enrollment penalty in addition to your plan premium.
You can make changes to your Medicare coverage during a few key times.
- The Medicare Annual Enrollment Period (AEP), October 15 to December 7
- The Medicare Advantage Open Enrollment Period (MA OEP), January 1 to March 31
- The Medicare Special Enrollment Period (SEP) for qualifying life events; dates vary based on qualifying event
During these times, you can switch to a new Medicare Advantage or Part D plan, or drop your Medicare Advantage plan and return to Original Medicare.
If you miss the your Initial Enrollment Period (IEP) when you turn 65, you can apply during the Annual Enrollment Period (AEP), Medicare Advantage Open Enrollment Period (MA OEP) or a Special Enrollment Period (SEP). You will likely need to pay a late enrollment penalty in addition to your plan premium when you finally enroll in a Medicare plan.
If you begin receiving Social Security retirement benefits between age 62 and up to 4 months before turning 65, you will be automatically enrolled in Medicare Part A and Part B when you turn 65. You will be eligible to enroll in a CHP Medicare Advantage Plans during the Initial Enrollment Period 3 months before you turn 65.
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Capital Health Plan Silver Advantage (HMO), Advantage Plus (HMO), Preferred Advantage (HMO), and Retiree Advantage (HMO) are HMO plans with a Medicare contract. Enrollment in Capital Health Plan Silver Advantage, Advantage Plus, Preferred Advantage, and Retiree Advantage depends on contract renewal. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums, and/or copayments/coinsurance may change on January 1 of each year. The formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.
If you have questions, please call Member Services at (850) 523-7441 or 1 (877) 247-6512 8:00 a.m. – 8:00 p.m., seven days a week, October 1 – March 31; 8:00 a.m. – 8:00 p.m., Monday – Friday, April 1 – September 30. State of Florida members call 1 (877) 392-1532, 7:00 a.m. – 7:00 p.m. TTY/TTD (850) 383-3534 or 1 (877) 870-8943.
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