For federal employees in our coverage area, we offer high-quality plans that provide comprehensive coverage and meet the requirements for Federal Employees Health Benefits (FEHB) plans. Both our Medicare and commercial plans consistently earn top ratings, and they have a full range of benefits, including a large, stable pool of in-network providers and access to urgent and away-from-home care.
2020 FEHB Benefits
Each year the National Committee for Quality Assurance (NCQA) rates health plans across the country and Capital Health Plan (CHP) has earned top ratings since NCQA began comparing health plans in 2005. According to NCQA's Private Health Insurance Plan Ratings 2019-2020, CHP's Private Commercial Plan is rated 4.5 out of 5. According to its Medicare Health Insurance Plan Ratings 2019-2020, CHP's Medicare Plan is rated 4.5 out of 5. No other health plan in Florida, and only five health plans in the nation, achieved higher ratings than CHP for their Commercial and Medicare plans. The NCQA reviewed over 1,000 health plans this year.
Download important information about health benefits from Capital Health Plan:
- 2020 FEHB Benefits Brochure
- 2020 FEHB Summary of Benefits
- Metropolitan Health Center -- Opening Fall 2019
- Important Member Information
- Uniform Glossary
FEHB OPM Open Season website:
Choosing Your Physician:
- For the most accurate list of physicians accepting new patients:
Prescription Drug Information:
Members and prospective members can access the drug formulary by the following links:
- Drug formulary (which shows the drug tier) can be found at: https://www.myprime.com/en/forms.html.
- To view the cost of drugs: https://www.myprime.com/en/medicines.html#find-medicine
This is a summary of the features of Capital Health Plan. Before making a final decision, please read the plan's federal brochure RI 73-197. All benefits are subject to the definitions, limitations, and exclusions set forth in the Federal brochure.