CHP Preferred Advantage (HMO)

For instructions on how to use the form to appoint a representative, visit Appointment of Representative Form Instructions.

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 Form Instructions

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.

• Provider Directory
• Pharmacy Directory
• Facility Directory

Your 2023 Preferred Advantage 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.