CHP Retiree Advantage (HMO)

A formulary is a list of covered drugs believed to be a necessary part of a quality treatment program. The 2021 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.

Your 2021 CHP Retiree Advantage (HMO) 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.

• Provider Directory
• Pharmacy Directory
• Facility Directory

Sometimes you are taking a drug that is not on our formulary, and if that is the circumstance please review the 2021 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.

To enroll in CHP Retiree Advantage, you will need to download and complete the 2021 CHP Retiree Advantage Enrollment Application. Please return the completed enrollment application to your employer or former employer’s benefits department, unless you are with the State of Florida. State of Florida retirees should send their enrollment application directly to Capital Health Plan.

Enroll anytime within 90 days before the effective date.

Appointment of Representative Form Instructions

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.

For instructions on how to use the form to appoint a representative, visit Appointment of Representative Form Instructions.

Privacy Notice - We believe our members have the right to privacy and that their nonpublic personal, financial, and health information should be kept confidential.