Frequently Asked Questions By Employer Group Plan Employee Members
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What services are offered at the Physician Group of CHP?
The Physician Group of Capital Health Plan provides comprehensive health care exclusively for Capital Health Plan members. Their goal is to promote disease prevention and healthy living, so in addition to diagnosing and treating illnesses, they also provide preventive care, health risk assessments, immunizations, screening tests, comprehensive management of chronic conditions, and education on maintaining a healthy lifestyle. You can learn about what services are offered in the Physician Group of Capital Health Plan at any time.
What happens to my coverage if I retire?
Contact your benefits administrator. Depending on your age and employer, you may be eligible for a retiree plan or a Medicare Advantage plan. You may also call CHP Medicare Services for more information.
What happens to my coverage if I leave my job?
Contact your Employer Group Health Benefits administrator, as you may be able to continue your coverage under COBRA.
What happens to the coverage of my spouse if I divorce?
Contact your benefits administrator, as your spouse may be able to continue coverage under COBRA.
How do I get reimbursed for prescription drugs?
Non-Medicare Members: The Non-Medicare Prescription Drug Reimbursement Form should be used when requesting reimbursement for prescription drugs. Reimbursement requests can take up to 30 days for processing and may take longer if additional information is needed. You may also contact CHP Member Services for more information.
Medicare Members: The Medicare Prescription Drug Reimbursement Form should be used when requesting reimbursement for prescription drugs that our Medicare Advantage (HMO) member feels should be reimbursed. Reimbursement requests can take up to 30 days for processing and may take longer if additional information is needed.
Where can I find my Benefit Documents and Summary of Benefits & Coverage electronically?
Your benefit documents are available on the CHPConnect portal. You can request your Summary of Benefits & Coverage information from your benefits administrator, or access your Summary of Benefits & Coverage Form online for Large and Small Groups, or on CHPConnect.