Frequently Asked Questions
Member Services Questions
Here are answers to some common questions regarding CHP member services.
I am new to CHP. What do I need to know?
Welcome to Capital Health Plan! View our New Member section for some information and resources we’ve put together to help you get started with our plan.
I am a new member. When will I receive my ID card?
You should receive your Member ID card within 10 business days of CHP’s receipt of a complete and accurate enrollment application.
I am a new member. Can I receive care before I get my ID card?
What is a primary care physician (PCP)?
A PCP is a physician you select to serve as your primary physician to maintain your needs. They handle a variety of health-related problems, keep a medical history and medical records, and can help coordinate care with a specialist or other health care professional.
How do I select a primary care physician (PCP)?
What services are offered at the Physician Group of CHP (PGCHP)?
The Physician Group of Capital Health Plan provides comprehensive health care exclusively for Capital Health Plan members. Their goal is to promote disease prevention and healthy living, so in addition to diagnosing and treating illnesses, they also provide preventive care, health risk assessments, immunizations, screening tests, comprehensive management of chronic conditions, and education on maintaining a healthy lifestyle. You can learn about what services are offered in the Physician Group of Capital Health Plan at any time.
Must I use a network physician or facility?
Yes, all services must be performed by a network physician or facility, unless a prior authorization has been completed in advance or in an emergency.
What if I need to see a specialist?
Members have direct access to a network of specialists for office visits and consultations. Your primary care physician should be able to assist you for other services that may require a referral or prior authorization.
Where can I go for lab work?
Members can utilize LabCorp’s nationwide lab network. Find a participating lab.
Does CHP cover flu vaccinations, and where can I get one?
Yes. Flu vaccines can be obtained by calling your primary care physician’s office, visiting your local health department within our Service Area, or at retail pharmacies in our network if you have a prescription benefit.
Retail pharmacy vaccination programs apply to adults 18 years of age and older. Patients under the age of 18 should see their primary care physician for the flu vaccine.
How do I see a physician after hours or when my primary care physician (PCP) is not available?
For after-hours care or if your physician is not available, please contact CHP Urgent Care. Additionally, you may utilize the telehealth services available via Amwell*. For emergencies, please call 911 or go to the nearest Emergency Room.
*Amwell services are not currently available to State of Florida members.
When can I use CHP Urgent Care?
Urgent medical conditions that might be treated include:
• Upper respiratory infections (e.g. colds, ear infections, and sore throats)
• Minor trauma (e.g. ankle sprains or cuts)
• Abnormal symptoms (e.g. fevers, nausea, vomiting)
• Urinary tract infections
View CHP Urgent Care’s hours of operation and telephone number.
How do I submit a complaint?