No deductible, low copays, and virtually no paperwork = All smiles!

Direct Pay Plans

Return to Medicare

877-247-6512
850-523-7441
850-383-3534 (TTY)
Call us seven days a week
8 a.m. - 8 p.m.

2140 Centerville Place
1491 Governor's Square Boulevard
1545 Raymond Diehl Road
Tallahassee

Mailing address:
Post Office Box 15349
Tallahassee FL 32317-5349

Referral Line: 850-383-3530

Capital Health Plan is a health plan with a Medicare contract. The contract is renewed annually and the availability of coverage beyond the current year is not guaranteed.

Benefits, formulary, pharmacy, network premium and/or copayments/ coinsurance may change on January 1, 2009. Please contact Capital Health Plan for details.

To ensure that beneficiaries receive appropriate care, Capital Health Plan will follow policies and procedures as directed by CMS (Centers for Medicare and Medicaid Services) in the event of an emergency situation designated by the Department of Health and Human Services.

This page was last updated on: July 27, 2008.

Pending CMS Approval

Direct Pay Plans

With CHP Advantage Plus and CHP Preferred Advantage, there are no deductibles to pay. Instead, your cost-sharing consists of a monthly plan premium and copayments or coinsurance for the services that you receive.

You can join either CHP Advantage Plus or CHP Preferred Advantage if you are entitled to Medicare Part A (hospital insurance), enrolled in Medicare Part B (medical insurance), and continue to pay Part B premiums.

You need to be a permanent resident of our service area, which includes the Florida counties of Gadsden, Jefferson, Leon, and Wakulla. (In most cases, you cannot join a CHP Medicare Advantage plan if you have end-stage renal disease (ESRD)).

Both CHP Advantage Plus and CHP Preferred Advantage have a lot of advantages. These include:

  • Your choice of a primary care physician--within the CHP Medicare Advantage provider network
  • Member Services team dedicated to CHP Medicare Advantage plans
  • Virtually no paperwork

With CHP Advantage Plus you can enjoy

  • $15 copayment for routine check-ups and primary care physician office visits
  • $25 copayment for specialty doctor visits for Medicare-covered benefits
  • $20 copayment for urgent care visits at CHP's Urgent Care Center
  • Emergency care anywhere in the world; $50 copayment if you aren't admitted to a hospital
  • Inpatient hospital coverage:
    $250 copayment for each inpatient hospital stay
    $0 each day for days 1-5
    $100 each day for days 6-10
    $0 each day for days 11-90
    $750 maximum copayment for each inpatient hospital stay
  • Eyewear (limitations and restrictions apply)
  • Health club membership/fitness class reimbursement (limitations and restrictions apply)
  • Health education programs
  • Disease management programs
  • Prescription drug coverage
  • Health professional 24/7 hotline

With CHP Preferred Advantage, you can enjoy all of the benefits described above plus continuous coverage for generic prescription drugs during the coverage gap.