It’s our pleasure to welcome you to Capital Health Plan Medicare Advantage (HMO). As a member, you can review important benefit documents prior to your plan starting – right from the comfort of your own home. Please click on your plan below to view important benefit documents, including the Summary of Benefits, Formulary, Evidence of Coverage, and much more:
- Capital Health Plan Silver Advantage (HMO)
- Capital Health Plan Advantage Plus (HMO)
- Capital Health Plan Preferred Advantage (HMO)
- Capital Health Plan Retiree Advantage (HMO)
- Capital Health Plan State of Florida Retiree Advantage (HMO)
Before health plan ID cards arrive
Choose a network PCP
Use the Doctor/Provider Directory or call us for help finding a network Primary Care Physician (PCP). You may also be interested in selecting a PCP at one of CHP’s three health centers or enrolling in the new Nancy Van Vessem, M.D., Center for Healthy Aging.
Explore the network
Use the Doctor/Provider Directory to see which physicians, specialists, hospitals, and clinics are in the network.
Set an appointment
Plan ahead by scheduling an appointment with your PCP before your coverage starts – but remember that the appointment date must be after your coverage takes effect. Many preventive screenings and immunizations are covered at no cost to you when you see network doctors/providers.
Complete an advance directive
An advance directive ensures that both medical professionals and your loved ones understand your end-of-life wishes should you be unable to explain them yourself due to a medical emergency. An advance 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 amid the unexpected. CHP’s advance directive of choice is Five Wishes. To obtain a hard copy of Five Wishes, call CHP’s Health Information Line at 850-383-3400 or download your copy.
When your health plan ID card arrives
Stay in the network
The doctors and facilities in our network have agreed to provide services at a discount – so staying in-network makes sense, especially when a visit to an out-of-network doctor/provider could cost you a lot more for care. Find network doctors, mental health professionals, pharmacies, hospitals, labs, and more on our website.
Explore your pharmacy benefits
Learn more about your medication coverage by viewing the Formulary. The Formulary can also show if your medications include any requirements that must be met first, like prior authorization or step therapy. To see how much your medications will cost you, search for them with our online tool.
You can also view participating in-network pharmacies on our nationwide pharmacy network.