Capital Health Plan offers both employer group and Medicare Advantage coverage.
The Health Information Line is a 24-hour/day phone line staffed by health care professionals who are able to assist you with your health related questions. While not a substitute for a visit with your physician, the Health Information Line staff can provide you with tips, tools and resources to help you manage your health.
Capital Health Plan offers our members the opportunity to access their Capital Health Plan medical history, change their primary care physicians, and much more through our CHPConnect.
CHP will maintain a reputation as a local, state, and national leader in quality of care and service through
- Excellent accreditation ratings
- Industry-leading member satisfaction
- Very low voluntary disenrollment
- Industry-leading benchmark performance on clinical outcome measures
Capital Health Plan utilizes a Pharmacy Benefit company called Prime Therapeutics to administer our pharmacy benefits. Members can register at the Prime web-site (https://www.myprimetools.com) to find out more information about their specific medications (including refill history and cost), general information on medications (side effects, storage concerns, and drug interactions), and the benefit of using generics over brand name medications.
Capital Health Plan knows that the way we conduct our business offers us the opportunity to earn our customer's respect and trust. Our customers are our reason for being. To that end, we believe our customers have the right to privacy and that their non-public personal, financial and health information should be kept confidential.
CHP makes decisions about coverage for health care services with two main goals as its focus: to cover quality treatment with the efficient use of resources. CHP's participating physicians coordinate preventive care and specialty services for their patients. CHP evaluates new technologies and develops clinical treatment tools to guide the care of members. This is called "utilization management."
End of life decisions about medical care can be much easier when advance directives are used. An advanced directive simply means a statement, made while you are competent, about the medical treatment you want when you consciously cannot make decisions. Decisions made early and communicated plainly may have tremendous value for the person and the family.
Capital Health Plan (CHP) is committed to provide and/or arrange for the provision of quality health care in a cost-effective manner. Consistent with our commitment, the following statement of Member's Rights and Responsibilities has been adopted.