Medicare

Don’t worry, you’re covered with Capital Health Plan! Out of network coverage consists of the services Capital Health Plan (CHP) covers when you are outside our service area or network of care for a medical emergency, urgently needed care, renal dialysis, and/or care that we have approved in advance.

Sometimes you are taking a drug that is not on our formulary. Please click the link to review the Medicare Part D Transition Policy. 

During the time when you are getting a temporary supply of a drug, you should talk with your doctor or 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.