CHP Network
CHP Benefits & Features (2026)
CHP & the Marketplace (2026)
ACA & CHP En
CHP Pharmacy & Costs (2026)
100

CHP continues to offer members access to these three exclusive health centers for integrated care.

What are the member-only health centers in Tallahassee?


100

For 2026, CHP offers a low copay for this specific virtual service.


What are telehealth visits?

100

What type of health plan does CHP offer on the ACA Marketplace for 2026?


What is an HMO?

100

What is the general period when a person can enroll in a 2026 CHP Marketplace plan?


What is the Annual Open Enrollment period, from November 1, 2025, to January 15, 2026?


100

Which pharmacy benefit manager does Capital Health Plan use to administer its pharmacy benefits?


What is Prime Therapeutics?

200

This feature allows CHP members to receive worldwide coverage for emergency services and renal dialysis.

 What is the BlueCard BlueShield Global CoreĀ® Program?


200

This online service allows CHP members to access benefits, pay bills, and request a new ID card.



    • What is CHPConnect?


200

What is the website where people in CHP's service area can shop for CHP's 2026 Marketplace plans?


What is HealthCare.gov? 

200

If a client loses their employer-sponsored coverage, what specific enrollment period can they use to enroll in a 2026 CHP Marketplace plan?


 What is a Special Enrollment Period (SEP)?


200

For 2026, what is the monthly cost-sharing amount for a one-month supply of any covered insulin product?


What is $35?

300

For a member to get the highest level of coverage under their CHP plan, what must they verify before scheduling an appointment?

What is to confirm the provider is in-network?

300

This specific CHP resource helps members with managing chronic conditions like diabetes and heart failure.


What is the Center for Healthy Aging?

300

When assisting a lower-income client looking to enroll in a 2026 CHP plan, what specific financial assistance should be discussed to reduce their monthly premium?


What are Premium Tax Credits (PTCs)?

300

During Open Enrollment, what is the deadline to enroll in a CHP plan to ensure coverage starts on January 1, 2026?


 What is December 15, 2025?

300

What document should a client be advised to check to see if their specific prescription drugs are covered and on which tier?

What is the Drug List or Formulary?

400

What does the CHP network include besides its exclusive health centers?


What are affiliated primary and specialty care physicians and hospitals?


400

 For 2026, what online tool can CHP members use to manage their health and connect with providers?


Answer: What is the member portal, accessible via CHPConnect?


400

What document summarizes the benefits, coverage, and costs for a specific 2026 CHP plan on the Marketplace?

What is a Summary of Benefits and Coverage (SBC)?

400

If a client enrolls in a CHP plan on December 20, 2025, during Open Enrollment, when will their 2026 coverage begin?


What is February 1, 2026?


400

What type of penalty can a consumer face on their 2026 taxes if they significantly underestimate their income and receive more in premium subsidies than they were entitled to?


What is a repayment of 100% of the excess subsidy received, since previous repayment limits are eliminated?


500

 A CHP member traveling out of the country needs emergency care. What specific action should they take to ensure coverage is handled properly?


What is to utilize the BlueCard BlueShield Global CoreĀ® Program for emergency services? 


500

What is a key feature of CHP's member-only health centers that helps coordinate care across different visits?


What is a connected, singular medical record? 


500

For a client enrolling in a CHP 2026 Marketplace plan, why is it especially important to be aware of the 2025 expiration of enhanced subsidies?


Answer: What is that it could increase their monthly premium starting in January 2026 if Congress does not renew the subsidies? 


500

According to a CMS final rule, what specific action must happen in 2026 to ensure the proper flow of funds regarding improper enrollments?

Answer: What is that certain temporary policies regarding eligibility verification will sunset at the end of the 2026 plan year? 





500

What online service should a client use to check which pharmacies are in-network and view their pharmacy claim history?

What is MyPrime.com?