HMO
Comprehensive, Easy to Use
HMO plans cover a complete array of in-network care with low out-of-pocket costs for all covered services.
Fits Member Needs and Budget
- Ideal for employees who receive all or most of their care in the CDPHP network.
- Predictable copayments for in-network services.
- No charge for certain preventive care, including routine annual physicals, immunizations, mammograms, Pap smears, and prostate cancer screenings.
- A primary care physician (PCP) coordinates the member’s care, referring to network specialists as needed.
- Routine preventive care and medical treatments provided and coordinated by the PCP.
- Women may choose an OB/GYN to visit without a referral.
- Worldwide coverage for emergency care.
Groups may also add riders to cover other benefits such as dental, optical, or national network access.
Save 20 Percent at 6,200 CVS Stores Nationwide
- CDPHP will send members a free CVS ExtraCare® Health card to receive this special discount on CVS brand health-related products.
- Learn more about the CDPHP CVS ExtraCare Health card.
Changing lives for the better. Another reason CDPHP has been recognized for top-ranked service and quality year after year.
This summary offers highlights but does not detail all benefits, limitations, or exclusions. It is not a contract and may be subject to change. For more detailed information, a Membership Certificate is available upon request.
Note: All non-emergency health services must be provided by a Capital District Physicians’ Health Plan, Inc. (CDPHP) participating provider (including hospital admissions) unless otherwise pre-authorized by CDPHP.
