Summary of Benefits
The 2022 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 2022 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.
The 2021 CHP Silver Advantage, Advantage Plus, and Preferred Advantage Summary of Benefits provides a summary of your plan’s benefits, premium, copayments, and coinsurance information.
Privacy Notice - We believe our members have the right to privacy and that their nonpublic personal, financial, and health information should be kept confidential.
Sometimes you are taking a drug that is not on our formulary, and if that is the circumstance please review the 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.
A formulary is a list of covered drugs believed to be a necessary part of a quality treatment program. The 2021 Advantage Plus and Preferred Advantage Formulary was selected by CHP in consultation with a team of health care providers.
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.
Your 2021 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.
By clicking on this link you will be leaving the Capital Health Plan Medicare Advantage (HMO) information.