Benefits and Eligibility

Benefits and Eligibility

Whatever your questions about CHP coverage or copayments, you'll probably find the answers here. from medication copays to hospital benefits, the summary chart gives you fast, clear facts. We also provide helpful definitions and Frequently Asked Questions. Want to go deeper into detail? The entire Member Handbook can be requested online. (Remember, of course, that Member Services is always a phone call away for person-to-person response.)

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Change PCP

Change PCP

Finding and selecting a primary doctor for you or your children has never been easier, when you register for CHPConnect. A simple form lets you search for a physician, entering your personal preferences. You'll quickly find out which PCPs in our large network are taking new patients. Once you've made your choice, click on accept.

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ID Card Request

ID Card Request

This screen lets you send CHP Member Services a request for an ID card - for yourself or anyone covered under your plan. Each person's name and member identification number is listed, with a checkbox. As another convenience, you can print a temporary ID card to use until the card arrives in the mail. And if you have questions about ID cards, the Frequently Asked Questions give you quick answers or where to turn for help.

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Member Information

Member Information

Whether you've changed your address or gotten married, the Member Information page lets you quickly update your records directly, accurately, at any time of day or night. Keeping your data current is vital to receive CHP services, and now you can do it yourself. Remember, though, that you must still notify your employer of any status changes.

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Programs and Services

Programs and Services

Capital Health Plan's focus is health, not just illness. That's why we offer members so many excellent preventive and support services. this page is your gateway to CHP's popular classes - even register online. It lets you choose special newsletters for chronic conditions like diabetes and heart disease. It's the place to print out the Preferred Medication List, Men's and Women's Preventive Screenings, and Children's Check-Ups. It's the source for details about our many unique services from two Eye Care centers to Urgent care to Mammography center. It's the What, Where, When of CHP programs... everything in one place for you.

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Providers Search

Providers Search

When you're looking for a doctor, you have personal preferences and you want as many choices as possible. This search page connects to our extensive, up-to-date database of participating physicians, primary care doctors and other specialists. Notice that you may fill in several factors to narrow your search, such as gender and location, or leave blanks for a wider search. Once you've filled in the form, hit Search, and CHP produces a list of physicians. Start clicking and get to know each doctor better!

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Referrals & Authorizations

Referrals & Authorizations

When your doctor refers you to a specialist, or authorizes a hospital stay, this part of CHPConnect assures you that everything is in order. The listing shows whether the request is approved, the referral number, and the time period. Click on the referral number for even more details, such as the number of authorized visits and a description of services.

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