Evidence of Coverage
Your 2023 Advantage Plus Evidence of Coverage (EOC) provides details about your Medicare health and prescription drug coverage, explains how to get the care you need, and includes plan conditions and limitations.
CHP Advantage Plus (HMO)
Formulary
A formulary is a list of covered drugs believed to be a necessary part of a quality treatment program. The 2024 Advantage Plus and Preferred Advantage Formulary was selected by CHP in consultation with a team of health care providers.
Summary of Benefits
The 2023 CHP Silver Advantage, Advantage Plus, and Preferred Advantage Summary of Benefits provides a summary of your plan’s benefits, premium, copayments, and coinsurance information.
Annual Notice of Changes
The Annual Notice of Changes provides details of changes in plan benefits and coverage from one year to the next.
Utilization Management
Capital Health Plan makes health care decisions to ensure quality treatment and efficient use of resources. View more information about utilization management.
Privacy Notice
Privacy Notice - We believe our members have the right to privacy and that their nonpublic personal, financial, and health information should be kept confidential.
Determinations, Grievances & Appeals
For instructions on how to use the form to appoint a representative, visit Appointment of Representative Form Instructions.
Advanced Directives and Living Wills
An advanced directive ensures that both medical professionals and your loved ones understand the end-of-life decisions you want in the event you’re unable to explain them due to a medical emergency. An advanced directive is simply a statement, made while you are competent, about the medical treatment you want if you can’t make those decisions later. Decisions made early and communicated plainly may have tremendous value for you and your family.