Member Services

Member Services Representatives are available to assist you Monday - Sunday 8 a.m. to 8 p.m. PST, 7 days a week. 1-866-634-CCHP (2247), TTY/TDD 1-866-516-9366

New Member Orientation
Join us as a new member of CCHP for an informative orientation in regards to how to use your healthplan services and obtain your benefits.
More information in: English or Español
Members Rights & Responsibilities
This link explains your rights and responsibilities as a member.
CCHP HMO's Chronic Care Improvement Program (CCIP)
Use this link to view Citizens Choice Healthplan HMO's CCIP plan. CCHP has chosen Diabetes and Congestive Heart Failure (CHF) as the two diagnosis to be addressed by our CCIP. Members are offered the opportunity to participate in our CCIP to improve their quality of life.
More information in: English or Español
Appointment of Representative (AOR) - (CMS-1696)
You may appoint any individual (such as a relative, friend, advocate, an attorney, or any physician) to act as your representative and file an appeal and/or grievance on your behalf. To appoint someone, both you and appointed representative accepting the appointment (including attorneys) must sign, date, and complete a representative form.
To download the form (CMS-1696), click here.
Please mail this form to:
Citizens Choice Healthplan HMO
P.O. Box 127
Artesia, CA 90702-9917
Grievance & Appeal Form
Download this form to file a formal complaint or appeal regarding any aspect of the medical care or service provided to you. Your complaint or appeal may be in reference to your medical or pharmaceutical benefits. View Medicare Grievance & Appeal
Low-Income Subsidy
You may qualify for extra help, also called the low-income subsidy (LIS) from Medicare to pay prescription drug costs of your yearly income and resources are below the limits set.
2012: English, Español or
You have the right to get a summary of information about the appeals and grievances that members have filed against our Plan in the past. To get this information, contact our Member Services Department.

H3815_10119EN CMS Approved 10182010
Top Back