HMO
The HMO Plan That Works With You
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
- Affordable copayments for doctor visits.
- 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 and refers 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.
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 physician/provider (including hospital admissions) unless otherwise pre-authorized by CDPHP.