CHP Preferred Advantage (HMO)

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You may be able to get Extra Help to pay for your prescription drug premiums and costs. The amount of Extra Help that you can get depends on your income and resources. If you qualify, you will get help paying for your Medicare drug plan's monthly premium and prescription copayments or coinsurance. Your premium generally will be lower if you receive Extra Help from Medicare.

An advanced directive ensures that both medical professionals and your loved ones understand the end-of-life decisions you want in the event you’re unable to explain them due to a medical emergency. An advanced directive is simply a statement, made while you are competent, about the medical treatment you want if you can’t make those decisions later. Decisions made early and communicated plainly may have tremendous value for you and your family.

Privacy Notice - We believe our members have the right to privacy and that their nonpublic personal, financial, and health information should be kept confidential.

Capital Health Plan makes health care decisions to ensure quality treatment and efficient use of resources. View more information about utilization management.

Enroll online or download your 2025 CHP Silver Advantage, Advantage Plus, and Preferred Advantage Enrollment Application. You can also download the Enrollment Checklist as a guide.

The 2025 CHP Silver Advantage, Advantage Plus, and Preferred Advantage Summary of Benefits provides a summary of your plan’s benefits, premium, copayments, and coinsurance information.

Sometimes you are taking a drug that is not on our formulary, and if that is the circumstance please review the 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.

The Annual Notice of Changes provides details of changes in plan benefits and coverage from one year to the next.

Your 2025 Preferred Advantage Evidence of Coverage (EOC) provides details about your Medicare health and prescription drug coverage, explains how to get the care you need, and includes plan conditions and limitations.