CHP Advantage Plus (HMO)

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.

Enroll online or download your 2023 CHP Silver Advantage, Advantage Plus, and Preferred Advantage Enrollment Application. You can also download the Enrollment Checklist as a guide.

Sometimes you are taking a drug that is not on our formulary, and if that is the circumstance please review the 2023 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.

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• Pharmacy Directory
• Facility Directory

Your 2023 Advantage Plus Evidence of Coverage (EOC) provides details about your Medicare health and prescription drug coverage, explains how to get the care you need, and includes plan conditions and limitations.

A formulary is a list of covered drugs believed to be a necessary part of a quality treatment program. The 2023 Advantage Plus and Preferred Advantage Formulary was selected by CHP in consultation with a team of health care providers.

The 2023 CHP Silver Advantage, Advantage Plus, and Preferred Advantage Summary of Benefits provides a summary of your plan’s benefits, premium, copayments, and coinsurance information.

The Annual Notice of Changes provides details of changes in plan benefits and coverage from one year to the next.

Capital Health Plan makes health care decisions to ensure quality treatment and efficient use of resources. View more information about utilization management.

Privacy Notice - We believe our members have the right to privacy and that their nonpublic personal, financial, and health information should be kept confidential.