What kind of insurance is CDPHP?

Medicare Advantage
(CDPHP) is a health insurance company based in Albany, New York. CDPHP was founded in 1984 and is dedicated to providing affordable health plans to New York residents. CDPHP’s Medicare Advantage plans include both Health Maintenance Organizations (HMOs) and Preferred Provider Organizations (PPOs).

Can I use CDPHP in Florida?

CDPHP Medicaid members are covered for urgent and emergency care throughout the United States, District of Columbia, Puerto Rico, the U.S. Virgin Islands, Guam, the Northern Mariana Islands, and American Samoa. CDPHP Medicaid members must pay for emergency care in all other countries, including Canada and Mexico.

How do I get a new CDPHP card?

To replace a lost or stolen debit card, log into our secure member site or call the CDPHP Health Funding Department at 1 (518) 641-3770 or 1 (877) 793-3960. They will deactivate the old card and issue you a new one.

Is CDPHP a good insurance?

The National Committee for Quality Assurance rates CDPHP’s Medicare plans at a 4.5 out of 5 overall, with good marks in most areas of consumer satisfaction. The company also has a 5 out of 5 for their official Medicare star rating for 2021 for PPO plans, and 4.5 out of 5 for HMO plans.

Is CDPHP Medicaid?

Medicaid is a state-sponsored health plan for people who have little to no income. CDPHP offers Medicaid coverage to members in the counties identified in the map below.

What does Cdhp mean in health insurance?

consumer-directed health plan
If by good health or good luck you don’t need to visit the doctor often, choosing a consumer-directed health plan (CDHP) can save you money and provide flexibility in how you spend and save for your health care.

Does CDPHP require referrals?

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.

Can I use CDPHP out of state?

Whether you’re on vacation or traveling for work, it’s good to know that CDPHP has you covered. Our expansive national network* includes more than 825,000 doctors, specialists, and nurses across the country, giving you access to superior health care coverage virtually anywhere in the United States.

Is Cdphp Medicaid?

How do I contact Cdphp?

Member Service Phone Numbers by Plan Type

Member Services by Plan Type Phone
CDPHP Universal Benefits, Inc. POS, PPO, HDPPO, EPO, HDEPO (518) 641-3140 or toll free 1-877-269-2134
CDPHP Medicare Choices HMO CDPHP Medicare Choices PPO (518) 641-3950 or toll free 1-888-248-6522


Capital District Physicians’ Health Plan, Inc. (CDPHP®) – HMO, Healthy New York, Medicare Choices (HMO), Medicaid, Child Health Plus, and Essential Plan.

What is the difference in Medicare and Medicaid?

Medicare is a federal program generally for people who are 65 or older or have a qualifying disability or medical condition. Medicaid is a state government program that helps pay health care costs for people with limited income and resources, and different programs exist for specific populations.