Frequently Asked Questions, and Answers, About CHP
Physicians
Q. May I choose my own primary care physician (PCP)?
A. Yes. Each member chooses a primary care physician from our directory of internists, family physicians, and pediatricians. Your PCP is responsible for the management of all your health care, from regular check-ups in the physician's office to more specialized treatment or hospitalization, should that become necessary. Each member of your family selects his/her own primary care physician, for example, you may choose either a pediatrician or a family physician for each child. Click HERE to do a PCP search.
Q. May I see a gynecologist for my annual pelvic exam?
A. Yes. CHP provides members direct access (no referral needed) to a gynecologist within our network once a year for a pelvic exam, PAP smear, and breast exam. You may use Physician Search on this site to find obstetrician-gynecologists in our network. Some members are accustomed to having their annual exam with their primary care physician and prefer to continue doing so.
Q. Does every member of my family have to use the same primary care physician?
A. No. Each family member may choose a different primary care physician.
Q. May I change primary care physicians?
A. Yes. If, for any reason, you wish to change your primary care physician, you may do so easily by calling a Member Services representative at 383-3311. Your change will be effective the first day of the following month.
Q. Does Capital Health Plan offer any primary care physicians who are in private practice?
A. YES! Capital Health Plan offers you a choice of many physicians in private practice offices throughout the community. In fact, your current physician may be a provider for the plan.
Q. How can I find out which Capital Health Plan affiliated primary care physicians are currently accepting new patients?
A.On occasion, a particular affiliated primary care physician (PCP) may not be accepting new patients. If you are already a patient of a CHP-affiliated PCP when you enroll in CHP, that doctor can continue to see you under Capital Health Plan. Otherwise, to find out which primary care physicians are currently accepting new patients, go to Physician Search and look for the green bar under a doctor's photograph. You may also call our Member Services representatives at 383-3311 to obtain the most current information.
Q. What happens if I need to see a specialist?
A.When appropriate, your primary care physician will refer you to a participating specialist if he or she cannot personally provide the care you need.
Q. What happens if I am already seeing a specialist at the time I enroll in Capital Health Plan?
A.In order to continue seeing a specialist, your primary care physician must make a referral for you. Care that you receive from Capital Health Plan-participating specialists without a referral, or from non-plan specialists, will not be covered. You may see CHP's extensive list of participating specialists at Physician Search.