Frequently Asked Questions By Medicare Plan Members
Table of Contents
How do I enroll in Original Medicare (Part A & Part B)?
You have two options to sign up for Original Medicare. You can choose from the
following:
- Apply online with Social Security, or
- Visit or call your local Social Security office
How do I enroll in a Capital Health Plan (HMO) Advantage plan?
We have several plan options to choose from. Please visit our Medicare Plans page to explore Capital Health Plan (HMO) Advantage plans.
How do I complete an enrollment application for a Capital Health Plan (HMO) Advantage plan?
Depending upon your plan choice, you can learn more about submitting an enrollment application by visiting our website.
I’m interested in attending a seminar to learn more about the Capital Health Plan (HMO) Advantage plans. Do you offer them online?
Capital Health Plan is currently transitioning all of our events and seminars to an online format. Please view our website calendar for more information.
I would like to talk to a sales representative about my Medicare options, enrollment opportunities, and enrollment information. Who do I contact?
You may contact Capital Health Plan Member Services with any questions you may have.
What is CHP’s eyeglass reimbursement program for Medicare members?
CHP’s Medicare Advantage members can be reimbursed up to $150 for eyeglasses (lenses and frames) or contact lenses every two years. Consult your plan’s Evidence of Coverage for more information:
- Download the 2025 CHP Advantage Plus Evidence of Coverage
- Download the 2025 CHP Preferred Advantage Evidence of Coverage
- Download the 2025 CHP Retiree Advantage Evidence of Coverage
- Download the 2025 CHP Silver Advantage Evidence of Coverage
- Download the 2025 CHP Retiree Advantage for State of Florida Members Evidence of Coverage
Medicare Advantage members may use the General Reimbursement Request Form when requesting reimbursement for eyeglasses.
How is the prescription drug reimbursement process? How much will I be reimbursed?
You must submit an itemized paid receipt and a completed Non-Medicare Prescription Drug Reimbursement Form or a Medicare Prescription Drug Reimbursement Form within 90 days of purchase. Please note that if your reimbursement is approved, the reimbursement will be made minus any applicable copayments for only the prescription drug(s) listed on the Formulary (list of covered prescription drugs). You may also contact CHP Member Services for more information.
What is CHP’s Health, Wellness, and Wellness Reimbursement Program?
Capital Health Plan members can receive up to $150 per calendar year for membership at a qualified health and fitness center during that year. Please allow 30 days from receipt of your Wellness Reimbursement Form for reimbursements to be made.
Download the Wellness Reimbursement Form
How do I submit a request for reimbursement for medical care I paid for while out of the service area?
To submit a request for reimbursement for Covered Services, you must submit proof of payment and a completed General Reimbursement Form. Please note that if your reimbursement is approved, the reimbursement will be made minus any applicable copayments.
What services are offered at the Physician Group of CHP?
The Physician Group of Capital Health Plan provides comprehensive health care exclusively for Capital Health Plan members. Their goal is to promote disease prevention and healthy living, so in addition to diagnosing and treating illnesses, they also provide preventive care, health risk assessments, immunizations, screening tests, comprehensive management of chronic conditions, and education on maintaining a healthy lifestyle. You can learn about what services are offered in the Physician Group of Capital Health Plan at any time.
Must I use a network physician or facility?
Yes, all care services must be performed by a network physician or facility, unless a prior authorization has been completed in advance, if you are traveling and out of the service area, or in the case of an emergency.
Where can I find my Benefit Documents and Summary of Benefits & Coverage electronically?
For Medicare Advantage members, your benefit documents and Summary of Benefits & Coverage are listed by your plan type:
- Capital Health Plan Advantage Plus (HMO)
- Capital Health Plan Preferred Advantage (HMO)
- Capital Health Plan Silver Advantage (HMO)
- Capital Health Plan Retiree Advantage (HMO)
- Capital Health Plan State of Florida Retiree Advantage (HMO)
How can I get Language Assistance? Do you offer translation services?
Members or prospective members in need of language assistance should contact CHP Member Services. A member service representative can connect with an interpreter to communicate by telephone. Translation services are offered in many different languages.
Members requiring language assistance at one of our Health Centers should notify the receptionist upon scheduling their appointment and assistance will be provided.
Can I receive my benefit documents or other correspondence in an alternate format?
Capital Health Plan can provide benefit documents and/or other correspondence in alternate formats such as Braille and large print upon request. Please contact CHP Member Services at (850) 383-3311.
How can I order a replacement member ID card?
Members can order a new CHP ID Card on CHPConnect or by calling CHP Member Services at (850) 383-3311.
What is CHP’s eyeglass reimbursement program for Medicare members?
CHP’s Medicare Advantage members can be reimbursed up to $150 for eyeglasses (lenses and frames) or contact lenses every two years. Consult your plan’s Evidence of Coverage for more information.
I am a Medicare Advantage member and want to take advantage of my eyeglass reimbursement. Where can I find the reimbursement form?
Medicare Advantage members may use the General Reimbursement Request Form when requesting reimbursement for eyeglasses.
Where can I go for labwork?
Members can utilize LabCorp’s nationwide lab network. Find a participating lab.
What are my rights as a CHP member?
View your member rights and responsibilities.