New Member Resources
Welcome to Capital Health Plan (CHP). As one of the top-rated health plans in Florida, we’re committed to providing the highest quality of health care and service to our new members.
New Member Information
We understand that getting started with your health plan can be a little confusing. Below we’ve put together a few resources to help you get started as a CHP Member:
Sign up for CHPConnect
As a new CHP member, you will need to create an account for CHPConnect, our convenient online member portal where you can manage many aspects of your health care. Members have the ability to:
- Review/download benefit documents
- Choose a Primary Care Physician (PCP)
- Review lab results
- Request ID cards
- Review referrals and authorizations
Select a Primary Care Physician
Our new member checklist guides you through the process of how to choose your CHP primary care physician (PCP), as one of your first steps as a CHP member is selecting a PCP. Thanks to our large doctor network, you may even discover that the doctor you know and trust happens to be one of our in-network providers. Your PCP is your healthcare partner and central coordinator for everything pertaining to your good health. Primary care physicians specialize as family medicine doctors, internal medicine physicians, or pediatricians.
For questions on selecting a PCP, contact Capital Health Plan Member Services.
Discover Our State-of-The-Art Health Centers
In addition to providing coverage for healthcare within our service area of Tallahassee and the surrounding regions, CHP operates three member-exclusive CHP Health Centers. Members can find a PCP at any of our three health center locations. CHP’s Health Centers offer routine care services such as X-rays, eye exams, screening tests, and much more.
Health Terms Glossary
As a new member to CHP, we want to ensure that you understand exactly what each service, treatment, program, diagnosis, and commonly used medical term means.
Find Laboratory Services
CHP offers laboratory services through LabCorp’s national network.
Access Your Benefit Documents
To access your CHP benefit documents 24/7, simply scan the QR code found on the back of your CHP member ID card or visit CHPConnect.
For additional assistance, you can reach out to your benefit administrator or call CHP Member Services to have your documents sent to you by mail.
Learn How to Submit Claims
Your doctor or provider will submit claims for covered services on your behalf, but you must present your CHP member ID card. You can view your claim information via CHPConnect for 24/7 access or you may call CHP Member Services.
Learn How to Submit a Complaint or Appeal, or External Review Rights
For details on appeals, grievances, appeals, complaints, and external review rights, click here. You may also refer to your Member Handbook for more details on the complaint, grievance and appeal process.
Utilization Management/Evaluation of New Technology
CHP conducts regular evaluations of emerging medical technologies, including drugs, procedures, and devices, to determine coverage eligibility. Members and healthcare providers can request the assessment of new technologies at any time. To better understand how CHP makes health care decisions and the criteria for approval, click here.
Your Rights & Privacy
You can contact Capital Health Plan Member Services to request a physical copy of the Notice of Privacy Practices, or view them digitally here.
Frequently Asked Questions By New Members
You should receive your Member ID card within 10 business days of CHP’s receipt of a complete and accurate enrollment application.
Yes. You may print a temporary Member ID card on the CHPConnect portal or contact CHP Member Services to request your Member ID number. Additionally, you can provide your name and date of birth to your Provider and they can contact CHP to verify eligibility and copayment information on your behalf.
A PCP is a physician you select to serve as your primary physician to maintain your needs. They handle a variety of health-related problems, keep a medical history and medical records, and can help coordinate care with a specialist or other health care professional.
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.
We're Here to Help
Contact the appropriate Member Services team for assistance.