Healthline member newsletter

Making It Easy to Get the Care You Need

Note: This article is over 60 days old, and may contain information that is out of date, or has been superseded by newer information.

At Capital Health Plan, we strive to make it easy for you to get the care, tests and treatments you need. We continually look for new ways to improve the quality and accessibility of our services. Here are some of the ways that we have worked to make it easy for you to get care:

 

  • Capital Health Plan’s large network now includes over 125 Primary Care Physicians and over 300 Specialists.
  • Most local participating specialists do not require prior authorization for an appointment.
  • Preventive screenings such as mammograms and colon screenings do not require an authorization prior to the services.
  • Two CHP Eye Care Centers provide vision services when you need it.
  • CHP has a network of over 62,000 participating pharmacies nationwide to make it easy and convenient to fill your prescriptions.
  • When you need immediate care, CHP’s Urgent Care is available by appointment, Monday through Friday from 11am to 10pm, and weekends from 9am to 8pm.
  • CHPConnect allows you access to your medical information and test results 24/7.
  • While traveling outside the service area, CHP provides coverage for emergency services through Blue Cross Blue Shield providers nationwide.
  • Our local Member Services Staff is Available to Assist you and answer your questions.

 

Pharmacy Benefit Changes for 2008

Note: This article is over 60 days old, and may contain information that is out of date, or has been superseded by newer information.

With the New Year came some changes in the pharmacy benefits offered to our members . . . have you noticed?

Covered medications and copayments.

Effective January 1, 2008, Capital Health Plan adopted new formularies for our commercial and Medicare plans (a formulary lists the drugs we cover and at what copayments). To learn more about these changes, visit our website.

National pharmacy network

In 2008, Capital Health Plan began using the Caremark National Pharmacy Network. This means that, in addition to participating local pharmacies, you now can use your CHP pharmacy benefit at some 62,000 pharmacies nationwide. For network pharmacies located outside of our service area, log onto caremark.com. Register by using your CHP identification number, and then choose Find Local Pharmacy. (For any difficulties with Caremark’s website, contact the customer service department at 1-800-966-5772.) When using these out-of-area pharmacies, present your CHP identification card to take advantage of your typical copayments.

New online information

The Caremark website also offers excellent and extensive resources:

  • your prescription drug history, drug and pharmacy coverage information, and possible ways to save money on your prescriptions
  • educational material on all prescription medications
  • a tool to screen for drug interactions
  • medical information on many health conditions