Capital Health Plan members can now go paperless! Click here to learn more.
CHP members can now go paperless! Learn more.
Agents, Employers
Basic Option I.pdf
Basic Option II.pdf
Capital Selection 15.30.50 20% 10-01-20.pdf
Capital Selection 15.30.50 10-01-20.pdf
Capital Selection 15.50.100 20% 10-01-20.pdf
Capital Selection 15.50.100 10-01-20.pdf
Essential Selection 15.30.50.pdf
2020 - Essential Selection No Rx.pdf
Premier PLUS Selection 15.30.50 10-01-20.pdf
Premier Selection 15.30.50 10-01-20.pdf
Primary Selection 6 Tier Rx 10-01-20.pdf
Principal Choice 15.50.100 10-01-20 25%.pdf
Quality Choice 15.50.100 10-01-20.pdf
Quality Choice 15.50.100 10-01-20 25%.pdf
Standard Option 1.pdf
Tiered PCP Selection 15.30.50.pdf
2020 - Tiered PCP Selection - No Rx.pdf
3101 Platinum 153050.pdf
3102 Platinum 204060.pdf
3104 Gold 2065100.pdf
3107 Gold 6Tier Rx.pdf
Basic Option I 10.50.100.pdf
Basic Option II 10.50.100.pdf
By clicking on this link you will be leaving the Capital Health Plan Medicare Advantage (HMO) information.