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How it Works

At CDPHP, we believe our most important job is to keep you healthy by providing access to quality health care. That’s why our HMO plan provides coverage for routine physicals, immunizations, well-baby/well-child care, worldwide emergency care, and more.

CDPHP HMO coverage is easy to use.

Just remember these easy tips:

  • Generally, you should see or call your primary care physician (PCP) when you need medical care.
  • If you need to see a specialist, ask your PCP for a referral to a specialist. You don’t need a referral number, however, please notify the specialist of the PCP who referred you.
  • Always carry your CDPHP ID card and use it for ALL medical care.
  • Always use CDPHP participating practitioners and providers unless it is an emergency or you have prior written authorization from CDPHP.
  • You pay only your copayment for each visit to a participating practitioner and provider.

Note: Except for emergencies and special services authorized by CDPHP’s medical director, any care you receive outside the CDPHP network will not be covered by CDPHP.