New Members

New Member Checklist

Download and print the New Member Checklist (04 1.57 MB) .

Step 1.

Choose a primary care physician (PCP) for yourself and/or your covered dependents. Your PCP is your health care partner and central coordinator for everything pertaining to your good health. Your PCP is either on call, or has another physician on call, 24 hours a day, 7 days a week.

For added convenience, you may be interested in selecting a PCP from the Physician Group of Capital Health Plan located at the Centerville Place and Governors Square Health Centers.

Click here to learn how easy it is to Select a PCP.

Step 2.

If you are selecting a new PCP for yourself and/or your covered dependents, you will need to transfer all medical records to your new physician’s office. To have all medical records transferred securely, complete the Authorization to Disclose Protected Health Information Form from the Capital Health Plan Forms Center. Once you complete the form, return it to the office that currently has your medical records.

Step 3.

Capital Health Plan offers our members the opportunity to access their Capital Health Plan medical history, review certain lab results, track health information at home, and much more through CHPConnect.

To register for your CHPConnect account, click here.

Step 4.

Learn about your care as a Capital Health Plan member by visiting our About Your Care section.

You may also be interested in reading our Understanding Capital Health Plan brochure, Urgent Care phamphlet, and Away From Home Care brochure to learn how to receive care as a Capital Health Plan member.

Step 5.

Capital Health Plan utilizes a National pharmacy network to administer our pharmacy benefits. Each covered prescription drug, when purchased from a participating pharmacy, is subject to a copayment amount. The copayment amount is determined by the type of prescription drug dispensed: generic, preferred brand, non-preferred brand, self-injectable or specialty drug.

To find your prescription drugs, review our Formulary.

NOTE: Not all employer group plans include prescription drug coverage. Consult the Summary of Benefits & Coverage for more information.

Step 6.

Find the Capital Health Plan centers. See the location map underneath New Member Resources.

Step 7.

Find where to get lab services using the LabCorp Maps (pdf 143.44 kB) and LabCorp FAQs (pdf 370.76 kB) .

Step 8.

Consult your Capital Health Plan Member Handbook and Summary of Benefits & Coverage (SBC) to learn about your benefits with Capital Health Plan. You can also review your benefits online through CHPConnect.

Step 9.

Review the Member's Rights & Responsibilities and Privacy Notice.

Step 10.

Complete and mail the Coordination of Benefits Questionnaire within the first 30 days of coverage.