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Capital Health Plan HMO
Advantage Plus

$34.00

Monthly plan premium

  • $3,400 Maximum annual out-of-pocket protection
  • $0 Deductible for medical and prescription services

Included in this plan:

  • 19-CHP-012-CHP Icons V1_1 C

    Prescription Drug Coverage

  • 19-CHP-012-CHP Icons V1_1 C

    Fitness Reimbursement

  • 19-CHP-012-CHP Icons V1_1 C

    Member-Only Health Center Access

  • 19-CHP-012-CHP Icons V1_1 C

    Telehealth Program

Learn more

Copays

Doctor’s Office Visits

  • $10 Primary Care Visit Copay

Specialist Visits

  • $40 Specialist Visit Copay

Inpatient Hospital Care

  • $250 per day (Days 1-5)
  • $1,250 maximum

Telehealth Visits

  • $15 Telehealth Visit Copay

Important Plan Documents

  • Evidence of Coverage
  • Formulary (List of Prescription Drugs)

Capital Health Plan HMO
Preferred Advantage

$96.00

Monthly plan premium

  • $3,400 Maximum annual out-of-pocket protection
  • $0 Deductible for medical and prescription services

Included in this plan:

  • 19-CHP-012-CHP Icons V1_1 C

    Prescription Drug Coverage

  • 19-CHP-012-CHP Icons V1_1 C

    Fitness Reimbursement

  • 19-CHP-012-CHP Icons V1_1 C

    Member-Only Health Center Access

  • 19-CHP-012-CHP Icons V1_1 C

    Telehealth Program

Learn more

Copays

Doctor’s Office Visits

  • $10 Primary Care Visit Copay

Specialist Visits

  • $25 Specialist Visit Copay

Inpatient Hospital Care

  • $300 per admission
  • $100 per day (Days 6-10)
  • $800 maximum

Telehealth Visits

  • $15 Telehealth Visit Copay

Important Plan Documents

  • Evidence of Coverage
  • Formulary (List of Prescription Drugs)
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Network

From primary care physicians to skilled specialists, we offer an expansive network of providers.

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2020 CHP Medicare Plans

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We comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, or sex. You may access the Nondiscrimination and Accessibility Notice here.

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