CHP Retiree Advantage (HMO)

The 2020 Retiree Advantage Annual Notice of Changes (ANOC) provides details of changed in plan benefits and coverage from one year to the next.

The 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 Retiree 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 CHP Retiree Advantage (HMO) Evidence of Coverage 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 2019 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.

To enroll in CHP Retiree Advantage, you will need to download and complete the 2020 CHP Retiree Advantage Enrollment Application. Please return the completed enrollment application to your employer or former employer’s benefits department, unless you are with the State of Florida. State of Florida retirees should send their enrollment application directly to Capital Health Plan.

Enroll anytime within 90 days before the effective date.

You may be able to receive assistance in the form of Medicare's Extra Help Program 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.

Appointment of Representative Form Instructions