Utilization Management
Capital Health Plan makes health care decisions to ensure quality treatment and efficient use of resources. View more information about utilization management.
CHP Advantage Plus (HMO)
Privacy Notice
Privacy Notice - We believe our members have the right to privacy and that their nonpublic personal, financial, and health information should be kept confidential.
Determinations, Grievances & Appeals
For instructions on how to use the form to appoint a representative, visit Appointment of Representative Form Instructions.
Advanced Directives and Living Wills
An advanced directive ensures that both medical professionals and your loved ones understand the end-of-life decisions you want in the event you’re unable to explain them due to a medical emergency. An advanced directive is simply a statement, made while you are competent, about the medical treatment you want if you can’t make those decisions later. Decisions made early and communicated plainly may have tremendous value for you and your family.
Appointment of Representative Instructions & Form
Forms
Extra Help & LIS Chart
You may be able to get Extra Help to pay for your prescription drug premiums and costs. The amount of Extra Help that you can get depends on your income and resources. If you qualify, you will get help paying for your Medicare drug plan's monthly premium and prescription copayments or coinsurance. Your premium generally will be lower if you receive Extra Help from Medicare.
Enrollment
Enroll online or download your 2024 CHP Silver Advantage, Advantage Plus, and Preferred Advantage Enrollment Application. You can also download the Enrollment Checklist as a guide.
Prescription Drug Coverage
Sometimes you are taking a drug that is not on our formulary, and if that is the circumstance please review the Medicare Transition Policy for additional information. During the time when you are receiving a temporary supply of a drug, you should talk with your provider to decide what to do when your temporary supply runs out.