2012 CHP Advantage Plus (HMO)

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877-247-6512
850-523-7441
850-383-3534 (TTY)
1-877-870-8943 (TTY)

Call us seven days a week
8 a.m. - 8 p.m.

2140 Centerville Pl
1491 Governor's Square Blvd
1545 Raymond Diehl Rd
Tallahassee

Mailing address:
Post Office Box 15349
Tallahassee FL 32317-5349

Capital Health Plan is a health plan with a Medicare contract. The contract is renewed annually and the availability of coverage beyond the current year is not guaranteed.

Benefits, formulary, pharmacy, network premium and/or copayments/coinsurance may change on January 1, 2013. Please contact Capital Health Plan for details.

Please call Capital Health Plan Member Services Department to obtain documents in alternate formats or languages.

To ensure that beneficiaries receive appropriate care, Capital Health Plan will follow policies and procedures as directed by CMS (Centers for Medicare and Medicaid Services) in the event of an emergency situation designated by the Department of Health and Human Services.

H5938_WEB 002 CMS Approved 10032011. 

LIS Premium Summary Chart

Capital Health Plan Advantage Plus (HMO) and Capital Health Plan Preferred Advantage (HMO)

Monthly Plan Premium for People who get Extra Help from Medicare to Help Pay for their Prescription Drug Costs

Last updated: 10/01/2011

If you get extra help from Medicare to help pay for your Medicare prescription drug plan costs, your monthly plan premium will be lower than what it would be if you did not get extra help from Medicare.  The amount of extra help you get will determine your total monthly plan premium as a member of our Plan. 

This table shows you what your monthly plan premium will be if you get extra help. 

Your level of extra help Monthly Premium for Capital Health Plan Advantage Plus* Monthly Premium Capital Health Plan Preferred Advantage*
100% $10.40 $72.20
75% $15.30 $78.10
50% $20.20 $84.10
25% $25.10 $90.00

*This does not include any Medicare Part B premium you may have to pay.

Capital Health Plan Advantage Plus and Capital Health Plan Preferred Advantage's premium includes coverage for both medical and prescription drug coverage. 

If you aren't getting extra help, you can see if you qualify by calling:

  • 1-800-Medicare or TTY users call 1-877-486-2048 (24 hours a day/7 days a week),
  • Your State Medicaid office, or
  • The Social Security Administration at 1-800-772-1213. TTY users should call 1-800-325-0778 between 7 a.m. and 7 p.m., Monday through Friday. 

If you have questions, please call Member Services at 850-523-7441 or 1-877-247-6512, (TTY: 850-383-3534 or 1-877-870-8943), 8 a.m. to 8 p.m. Eastern and Central, seven days a week. 

Last updated: 10/01/2011