About Your Care

Capital Health Plan utilizes Caremark to administer our pharmacy benefits. You can register at the Caremark web-site (www.caremark.com) to find out more information about your specific medications (including refill history and cost), general information on medications (side effects, storage concerns, and drug interactions), and the benefit of using generics over brand name medications. If you have trouble logging in to Caremark's website, or you do not have access to a computer, you can contact their customer service department at 1-800-966-5772.

If you are a Medicare member, please check our Medicare section for information on your benefits.

End of life decisions about medical care can be much easier when advance directives are used. An advanced directive simply means a statement, made while you are competent, about the medical treatment you want when you consciously cannot make decisions. Decisions made early and communicated plainly may have tremendous value for the person and the family.

The CHP Case Management Program is a service offered to all CHP members. Our nurse case managers can offer assistance to members and their families who are facing a serious illness or injury and need help navigating the sometimes complex systems of medical care.

A comprehensive program of disease management, health coaching, decision support, symptom management, and health and wellness education is provided for CHP members who have asthma, diabetes, coronary artery disease, congestive heart failure and chronic lung disease.

Capital Health Plan (CHP) is committed to provide and/or arrange for the provision of quality health care in a cost-effective manner. Consistent with our commitment, CHP has adopted a statement of Member's Rights and Responsibilities.

Health care, like any human endeavor, is not immune to mistakes. In fact, as medicine advances—as treatments become more various and sophisticated—care necessarily entails additional possibility for error. Patient safety is a continual concern at Capital Health Plan. One important method we use for safeguarding members is education. How can you help ensure that your care is safe and effective?

Capital Health Plan knows that the way we conduct our business offers us the opportunity to earn our customer's respect and trust. Our customers are our reason for being. To that end, we believe our customers have the right to privacy and that their non-public personal, financial and health information should be kept confidential.

CHP will maintain a reputation as a local, state, and national leader in quality of care and service through

• Excellent accreditation ratings
• Industry-leading member satisfaction
• Very low voluntary disenrollment
• Industry-leading benchmark performance on clinical outcome measures

CHP makes health care decisions to achieve quality treatment and efficient use of resources. CHP and its participating physicians coordinate preventive care, evaluate new technologies, and develop clinical treatment tools to guide the care of members. This is called "utilization management."

Capital Health Plan offers our members the opportunity to access their CHP medical history, change their primary care physicians, and much more through CHPConnect.