Alyssa Lane
Capital District Physicians' Health Plan, Inc. (CDPHP) is a physician-founded, not-for-profit health plan that offers affordable health insurance plans to members in New York. CDPHP provides a range of comprehensive benefit packages, including routine care, check-ups, prenatal and post-natal care, and childhood immunizations. They also offer Medicare Advantage plans, which are insurance plans that contract with Medicare to provide coverage for services that Original Medicare covers, as well as additional benefits like dental and vision care. CDPHP has received recognition for its disease management and quality assurance, and it offers various discount programs to its members.
| Characteristics | Values |
|---|---|
| Type | Health Insurance |
| Founding Date | 1984 |
| Founding Mission | Offering quality health coverage at an affordable cost |
| Founding Entity | Physicians |
| Entity Type | Not-for-profit |
| Service Areas | 24-29 counties throughout New York |
| Plan Types | HMO, PPO, Medicare Advantage |
| Network | In-network care is covered; out-of-network care is not covered except in emergencies |
| Discount Programs | Yes |
| Wellness Programs | Yes, e.g., yoga, nutrition, and stress management |
| Customer Support | Email response within 24 hours; phone support |
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What You'll Learn
CDPHP is a not-for-profit health insurance plan
CDPHP, or Capital District Physicians' Health Plan, Inc., is a physician-founded, member-focused, and community-based not-for-profit health plan organisation. It was founded in 1984 and currently serves members in 24 counties throughout New York State, although one source states that it operates in 29 counties. CDPHP offers a full spectrum of products, including Medicare Advantage plans, with a range of comprehensive benefit packages to accommodate diverse member needs.
CDPHP's mission is to offer quality health coverage at an affordable cost. Its health insurance plans are flexible, allowing members to balance cost and freedom. CDPHP's plans include additional coverage for dental, vision, and hearing care, as well as extras like SilverSneakers and other health-based incentive programs. The company also provides free wellness programs, such as yoga, nutrition, and stress management, to encourage a healthier lifestyle.
CDPHP's Medicare Advantage plans are available without a monthly premium and with low copayments for many services. These plans must cover all the services that Original Medicare covers, but they often offer coverage for things that Original Medicare doesn't, like dental and vision care. CDPHP's HMO plans cover care received from in-network providers, and members may be required to have a primary care provider (PCP). Emergency care is always covered, even if it's received from an out-of-network provider.
CDPHP has received recognition for its services, including being awarded Best Disease Management in upstate New York six years in a row by the Institution for Health and Productivity Management in 2011. The company was also recognised by the National Committee for Quality Assurance for Excellent Accreditation.
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CDPHP offers Medicare Advantage plans
CDPHP, or Capital District Physicians' Health Plan Inc., is a physician-founded, member-focused, community-based, not-for-profit health plan that offers high-quality, affordable health insurance plans. CDPHP offers Medicare Advantage (Part C) plans, which are insurance plans from private insurance companies that contract with Medicare to provide coverage. These plans must cover all the services that Original Medicare covers, and many plans also offer coverage for things like dental and vision care that Original Medicare doesn't.
CDPHP's Medicare Advantage plans are available to New York residents and include additional coverage for dental, vision, and hearing care, as well as extras like SilverSneakers and other health-based incentive programs. These plans are offered through a network of providers, and members typically need to use in-network providers for their services to be covered. However, emergency care is always covered, even if it's provided by an out-of-network healthcare professional.
The CDPHP Medicare Advantage plans are designed to provide comprehensive coverage and improve accessibility to healthcare services. The plans are tailored to meet the specific needs of individuals in the community, ensuring that members can access the care they need within their plan's network.
Medicare Advantage plans from CDPHP offer various coverage options, allowing members to choose a plan that best suits their healthcare needs and preferences. These plans are available without a monthly premium and with low copayments for many services, making them an affordable option for individuals seeking additional coverage beyond Original Medicare.
Overall, CDPHP's Medicare Advantage plans provide valuable benefits, including expanded coverage for dental, vision, and hearing care, as well as innovative programs that promote healthy lifestyles. By offering these plans, CDPHP demonstrates its commitment to enhancing the well-being of its members and empowering them to take an active role in their health.
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CDPHP provides additional coverage for dental, vision, and hearing care
CDPHP, or Capital District Physicians' Health Plan Inc., is a physician-founded, member-focused, community-based, not-for-profit health plan organisation. It was established in 1984 and offers high-quality, affordable health insurance plans to members in 29 counties throughout New York. CDPHP provides Medicare Advantage (Part C) plans, which are insurance plans that contract with Medicare to provide coverage. These plans must cover all services that Original Medicare covers, but often include additional coverage for things like dental, vision, and hearing care.
The CDPHP Vital Rx (PPO) plan, for example, includes Medicare-covered preventive dental, oral exams, x-rays, dental cleanings, and comprehensive dental. It also covers hearing-related services, including exams, fittings, and hearing aids, as well as vision-related services such as eye exams, eyeglasses, and contact lenses. This plan has a $300 annual Part D deductible, which must be paid at the pharmacy before CDPHP starts contributing towards prescription costs.
The CDPHP Vital Rx plan also includes cost-sharing, which refers to the out-of-pocket expenses incurred when accessing approved healthcare services. This includes costs for visiting primary care doctors and specialists, as well as coverage for wellness and preventive programs. It also covers emergency services, ambulance services, inpatient hospital stays, and skilled nursing facility care.
CDPHP's Medicare Advantage plans offer broad coverage and the freedom to choose your providers. They have a monthly premium of $0 and include all core benefits under Medicare Part A and Part B, plus prescription drug coverage. These plans are available to review and compare side-by-side, making it easier for members to find the coverage that suits their needs.
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CDPHP members have access to wellness programs
CDPHP, short for Capital District Physicians' Health Plan Inc., is a physician-founded, member-focused, community-based, not-for-profit health plan. It was established in 1984 and offers high-quality, affordable health insurance plans to members in 24 to 29 counties throughout New York.
CDPHP provides a range of comprehensive benefit packages to accommodate diverse member needs. These include routine care, check-ups, prenatal and post-natal care, mammography, preventive screenings, and childhood immunizations.
In addition to these standard services, CDPHP members have access to wellness programs. These programs are designed to encourage a healthier lifestyle and include practices such as yoga, nutrition, and stress management. These programs are entirely free for CDPHP members to attend.
CDPHP also offers Medicare Advantage plans in New York, which provide additional coverage for dental, vision, and hearing care. These plans are available without a monthly premium and with low copayments for many services.
Overall, CDPHP is a flexible health insurance company that allows its members to balance cost and freedom. They have been recognized for their excellence, receiving awards from the Institution for Health and Productivity Management and the National Committee for Quality Assurance.
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$0.99
CDPHP is a health insurance company based in New York
CDPHP, or Capital District Physicians' Health Plan Inc., is a health insurance company based in New York. Founded in 1984, CDPHP is a physician-founded, member-focused, and community-based not-for-profit health plan. The company offers high-quality, affordable health insurance plans to its members in 24 to 29 counties throughout New York.
CDPHP provides a full family of products and a unique perspective on healthcare coverage, focusing on its members' health. With a mission to offer quality health coverage at an affordable cost, the company allows employers and members to choose from a diverse range of products. CDPHP offers comprehensive benefit packages that include routine care, check-ups, prenatal and post-natal care, mammography, preventive screenings, and childhood immunizations.
Additionally, CDPHP members can take advantage of free wellness programs such as yoga, nutrition, and stress management, all designed to encourage a healthier lifestyle. The company also offers Medicare Advantage plans, providing coverage for services such as dental, vision, and hearing care, as well as health-based incentive programs like SilverSneakers.
CDPHP has received recognition for its work, including being awarded Best Disease Management in upstate New York six years in a row by the Institution for Health and Productivity Management in 2011. The company also received Excellent Accreditation from the National Committee for Quality Assurance.
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Frequently asked questions
CDPHP stands for Capital District Physicians' Health Plan, Inc. It is a physician-founded, member-focused, community-based, not-for-profit health plan that offers affordable health insurance plans to members in New York.
CDPHP offers Medicare Advantage (Part C) plans, which are insurance plans from private insurance companies that contract with Medicare to provide coverage. CDPHP plans include additional coverage for dental, vision, and hearing care, as well as health-based incentive programs.
If you have a CDPHP plan or are considering one, contact the insurance company to confirm that the hospital is part of the network and associated with your health plan.
CDPHP members are invited to attend free wellness programs, such as yoga, nutrition, and stress management, designed to encourage a healthier lifestyle.
