Member Resources
Welcome Letter & Booklet
Your health plan is packed with benefits designed to help you be as healthy as you can be. We don’t want you to miss out on any of your benefits. This Welcome Kit will help you get to know Community Health Plan of Imperial Valley and get started on your journey to good health!
Download the Welcome Letter (English)
Download the Welcome Letter (Spanish)
Download the Welcome Booklet (English)
Download the Welcome Booklet (Spanish)
Member Handbook
Download Member Rights and Responsibilities (English)
Download Member Handbook (English)
Download Member Handbook (Spanish)
Other languages
You can get this Member Handbook and other plan materials in other languages at no cost to you. Community Health Plan of Imperial Valley provides written translations from qualified translators. Call Community Health Plan of Imperial Valley free of charge at 1-833-236-4141 (TTY 711).
Read this Member Handbook to learn more about health care language assistance services, such as interpreter and translation services.
Other formats
You can get this information in other formats, such as braille, 20-point font large print, audio, and accessible electronic formats at no cost to you. Call Community Health Plan of Imperial Valley free of charge at 1-833-236-4141
(TTY 711). The call is free.
Community Supports
Download the Community Supports Brochure (English)
Download the Community Supports Brochure (Spanish)
Member ID Card
Your CHPIV Member ID Card has the name of your health plan, your member ID number, and your Primary Care Provider (PCP) with his/her number. Use your Member ID Card when you visit your doctor, pharmacy and other health care providers.
Provider Network
When you join CHPIV, you can choose your PCP . You can change your PCP at any time. Your PCP will refer you to specialists when needed, such as cardiologists and surgeons.
Doulas
Happy Mama
NPI – 1770248593
Address – Serving Imperial County, El Centro, CA 92243
Phone – (619) 800-6443
The Doula Network
NPI – 1184273864
Address – Serving Imperial County, El Centro, CA 92243
Phone – (877) 436-8527
Preventative Screening Guidelines
Preventive care is key to your health and wellness. Use this guide to help remind you to schedule well-care visits with your family doctor. For free health education materials and resources, please call our Health Education Information Line: Call 1-800-804-6074 (TTY: 711).
Download the PSG Booklet (English)
Download the PSG Booklet (Spanish)
Pharmacy Services
Your Medi-Cal prescriptions will be covered through Medi-Cal Rx instead of Community Health Plan of Imperial Valley. If you have questions about this or want to find a pharmacy near you, call the Medi-Cal Rx Call Center Line at 800-977-2273. Or, visit www.Medi-CalRx.dhcs.ca.gov.
Medi-Cal Health & Dental Benefits
To learn more about what is covered, please visit the Medi-Cal webpage on health and dental benefits.
Continuity of Care
Community Health Plan of Imperial Valley will help you receive managed care without a gap in coverage if you are able to receive the continuity of care benefit. Please call Member Services at 1-833-236-4141 (TTY: 711) or fill out this form and return it by fax or mail.
Download the Continuity of Care Form (English)
Download the Continuity of Care Form (Spanish)
Personal Health Information
Completing this authorization form allows Community Health Plan of Imperial Valley to use your health information for a specified purpose, and share your health information with the person or entity listed on the form. You do not have to sign this form or give consent to use or share your health information. You can cancel / revoke consent at any time by completing the revocation form.
To consent to sharing your personal health information,
Download the Authorization to Use and Disclose Health Information form
To remove consent,
Download the Revocation of Authorization form
Initial Health Appointment
As a new member, CHPIV recommends that you visit your new PCP within the first 120 days for an initial health appointment (IHA).
Download the IHA Flyer (English)
Download the IHA Flyer (Spanish)
How to Get a Ride for Medical Services
Download the Transportation Booklet (English)
Download the Transportation Booklet (Spanish)
Community Health Worker
Download the Community Health Worker (English)
Download the Community Health Worker (Spanish)
Medi-Cal for Kids and Teens
Download the Medi-Cal for Teens Flyer (English)
Download the Medi-Cal for Teens Flyer (Spanish)
Download the Medi-Cal for Kids Flyer (English)
Download the Medi-Cal for Kids Flyer (Spanish)
Download the Medi-Cal Rights Letter (English)
Download the Medi-Cal Rights Letter (Spanish)
Care Connections
Care Connections is a FREE program that can help you manage the symptoms and stress of a serious progressive illness. We work with you, your family and your current doctors to provide comfort and support as part of your treatment plan.
If you’re facing a serious progressive illness, Care Connections can help improve your daily life. Best of all, there are no extra costs!
Download the Care Connections Brochure (English)
Download the Care Connections Brochure (Spanish)
Redetermination Flyer & Letter
Because you are a Community Health Plan of Imperial Valley member, you must verify your eligibility to receive Medi-Cal each year. You need to do this to keep your health coverage.
Download the Redetermination Flyer (English)
Download the Redetermination Flyer (Spanish)
Download the Redetermination Letter (English)
Download the Redetermination Letter (Spanish)
Notice of Pregnancy Form
Download the Notice of Pregnancy Form (English)
Download the Notice of Pregnancy Form (Spanish)
Timely Access to Care Flyer
Download the Timely Access to Care Flyer (English)
Download the Timely Access to Care Flyer (Spanish)