Utilization Management
Capital Health Plan makes health care decisions to ensure quality treatment and efficient use of resources. View more information about utilization management.
CHP Retiree Advantage (HMO) State of Florida
Extra Help & LIS Chart
You may be able to get Extra Help to pay for your prescription drug premiums and costs. The amount of Extra Help that you can get depends on your income and resources. If you qualify, you will get help paying for your Medicare drug plan's monthly premium and prescription copayments or coinsurance. Your premium generally will be lower if you receive Extra Help from Medicare.
Learn more about Medicare's Extra Help program.
Annual Notice of Changes
2020 Retiree Advantage Annual Notice of Changes (ANOC) provides details of changed in plan benefits and coverage from one year to the next.
Summary of Benefits
The 2020 State of Florida Benefits Summary provides a summary of your plan’s benefits, premium, copayments, and coinsurance information.
Formulary
A formulary is a list of covered drugs believed to be a necessary part of a quality treatment program. The 2020 CHP Retiree Advantage Formulary was selected by CHP in consultation with a team of health care providers. You can also use our online formulary search tool.
Evidence of Coverage
Your 2020 CHP State of Florida Retiree Advantage Evidence of Coverage provides details about your Medicare health and prescription drug coverage, explains how to get the care you need, and includes plan conditions and limitations.
Directories
Prescription Drug Coverage
Sometimes you are taking a drug that is not on our formulary, and if that is the circumstance please review the 2019 Prime Medicare Transition Policy for additional information. During the time when you are receiving a temporary supply of a drug, you should talk with your provider to decide what to do when your temporary supply runs out.
Enrollment
To enroll in CHP State of Florida Retiree Advantage, you will need to download and complete the 2020 CHP Retiree Advantage Enrollment Application. Please return the completed enrollment application directly to CHP. You may enroll anytime within 90 days before the effective date of coverage. Additionally, you can also download the Enrollment Checklist as a guide.
Extra Help & LIS Chart
You may be able to get Extra Help to pay for your prescription drug premiums and costs. The amount of Extra Help that you can get depends on your income and resources. If you qualify, you will get help paying for your Medicare drug plan's monthly premium and prescription copayments or coinsurance. Your premium generally will be lower if you receive Extra Help from Medicare.
Learn more about Medicare's Extra Help program.