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 extended student coverage.
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.
