CHP Retiree Advantage (HMO)

Capital Health Plan Retiree Advantage (HMO) is offered by some employers to their Medicare-eligible retirees and Medicare-eligible dependents of retirees allowing members to continue to participate in their employer-sponsored health plan after retirement and becoming Medicare eligible. To be eligible, your employer must offer Retiree Advantage and you must be entitled to Medicare Part A, enrolled in Medicare Part B, and live in the Capital Health Plan service area. Retiree Advantage will provide all of your Medicare benefits and services, including prescription drug coverage (Medicare Parts A, B, and D). Review the Summary of Benefits and Schedule of Copayments, attend a seminar, or call our office to talk to one of our experienced representatives to learn more.

Due to COVID-19, Capital Health Plan has pre-recorded the Retiree Advantage (HMO) seminar for your convenience.

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.

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.

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. You can either switch to a different drug covered by the plan or ask the plan to make an exception for you and cover your current drug. For a temporary supply, please call CHP Member Services.

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.

Documents on this page are available in Portable Document Format (PDF). Adobe Reader (free) may be used to open these files.

    For instructions on how to use the form to appoint a representative, visit Appointment of Representative Form Instructions.