CHP Advantage Plus (HMO)

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

The 2020 CHP Advantage Plus and Preferred Advantage Summary of Benefits provides a summary of your plan’s benefits, premium, copayments, and coinsurance information.

A formulary is a list of covered drugs believed to be a necessary part of a quality treatment program. The 2020 CHP Advantage Plus and Preferred Advantage Formulary was selected by CHP in consultation with a team of health care providers. You can also use our online formulary search tool.

Your 2020 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.

• Provider Directory
• Pharmacy Directory
• Facility Directory

Sometimes you are taking a drug that is not on our formulary, and if that is the circumstance please review the 2020 Prime 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.

Download and complete the 2020 CHP Advantage Plus and Preferred Advantage Enrollment Application. You can also download the Enrollment Checklist as a guide.

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.

Documents on this page are available in Portable Document Format (PDF). Adobe Reader (free) may be used to open these files.

Appointment of Representative Form Instructions