Here for you today. Building for tomorrow.

CDPHP is merging with Excellus Health Plan, Inc., which currently manages health plans across 39 counties in central and western New York. When the merger is finalized, CDPHP will join Excellus Health Plan, Inc. as an additional not-for-profit health plan serving the Capital Region and surrounding areas.

The proposed merger is planned for early 2027.

We’re excited to team up with another company and expand our capabilities while preserving what makes CDPHP special: local roots, award-winning service, and high-quality coverage. CDPHP will still have:

• Local leadership
• Local, award-winning customer service
• In-house pharmacy program
• In-house care management program
• A CDPHP network of more than 1 MILLION providers coast to coast*
• Member-friendly tools for cost transparency, locating providers, and more

*Applies to commercial plans with a national network only.

While many CDPHP programs, benefits, and processes are staying the same, we are adjusting others to better serve you. Notable changes will be shared with you throughout the year, some of which include:

• Pharmacy benefits, including a new pharmacy benefit manager, a stronger pharmacy network, and improved pricing tools
• New member ID cards with one phone number for pharmacy and medical benefits
• A member Monthly Health Summary replacing traditional explanation of benefits (EOBs)
• A new CDPHP.com online experience
• Updates to our medical cost comparison tool
• And much more

Grab your new ID card and continue to enjoy high-quality CDPHP® coverage and benefits in 2027!

Watch your mail for a new member ID card to use starting January 1, 2027.

Your new card will look different and have a different subscriber ID number, so be sure to bring it any time you receive health care services or go to a pharmacy*. It’s the best way to ensure your 2027 claims are processed properly.

TIP! You’ll continue to use your current member ID card through December 31, 2026. After the year ends, keep your 2026 card in a safe place in case you need to submit or follow up on a 2026 claim.

*Applies if CDPHP administers your pharmacy benefit.

If you’re a Medicare Advantage member in a county CDPHP will no longer service in 2027, please disregard this information.

Updated 9/15/2026

Expanded provider network: Members can use the CDPHP network providers they know and trust, plus those contracted directly with Excellus Health Plan, Inc.

24/7 Nurse Line: 24/7 phone access to registered nurses for education and support for all members at no additional cost.

Welvie My Surgery: A digital decision-support program to help you prepare for surgery by guiding you through treatment options, risks, and questions to ask your doctor.

Maternity care program: A maternity and NICU support program that gives expectant and new parents education and guidance to promote healthy pregnancies.

Vori Health: Virtual musculoskeletal health care and physical therapy services to diagnose, treat, and manage pain in the back, neck, and joints at no additional cost.

Wellframe: Digital care management app that delivers personalized care plans, education, and messaging at no cost to help you stay engaged in your care.

Healthwise: Evidence-based health education materials on the CDPHP website and in your online member account for all members at no additional cost.

Updated 10/20/2026

Embrace Health Flex Card will be provided by Lifetime Benefits Solutions instead of NationsBenefits.

Live video doctor visits. MD Live will replace Doctor On Demand and will include teledermatology.

Hearing benefit. You may see changes to the TruHearing hearing aid benefits you currently have. Be sure to review your plan benefits for details.

Medical cost estimates. Estimate Medical Costs will replace CDPHP Price Check and will be integrated with the provider search tool, allowing you to search for doctors and compare prices at the same time.

Prediabetes and diabetes benefits. For 2027, you will have access to diabetes and pre-diabetes tools through the Wellframe app, as well as access to diabetes care managers through the Diabetes Management Program.

Updated 10/20/2026

Reimbursements including fitness, weight management, doula, parenting preparation, dental, vision hardware, LASIK, and Ciccotti Center MyFitRx and Kids on the Move.

Ovia Health cycle tracking, pregnancy, parenting, and menopause app.

Dental benefits from Delta Dental.

Virtual mental health from Valera Health and aptihealth.

CDPHP Health Hub digital wellness platform.

Updated 10/20/2026

Expanded provider network: Members can use the CDPHP network providers they know and trust, plus those contracted directly with Excellus Health Plan, Inc.

24/7 Nurse Line: 24/7 phone access to registered nurses for education and support for all members at no additional cost.

Wellframe: Digital care management app that delivers personalized care plans, education, and messaging at no cost to help you stay engaged in your care.

Healthwise: Evidence-based health education materials on the CDPHP website and in your online member account for all members at no additional cost.

Updated 10/20/2026

Estimate Medical Costs will replace CDPHP Price Check on January 1, 2027, and will be integrated with the provider search tool, allowing members to search for doctors and compare prices at the same time.

Live video doctor visits. MD Live will replace Doctor On Demand for members with this benefit and will include teledermatology.

Prediabetes and diabetes benefits. For 2027, you will have access to diabetes and pre-diabetes tools through the Wellframe app, as well as access to diabetes care managers through the Diabetes Management Program.

Virtual mental health care from Valera Health and aptihealth.

CDPHP Health Hub to help you continue to make small, everyday changes focused on improving your health.

Award-winning, local customer service.

Updated 10/20/2026

24/7 Nurse Line: 24/7 phone access to registered nurses for education and support for all members at no additional cost.

Welvie My Surgery: A digital decision-support program to help you prepare for surgery by guiding you through treatment options, risks, and questions to ask your doctor.

Vori Health: Virtual musculoskeletal health care and physical therapy services to diagnose, treat, and manage pain in the back, neck, and joints at no additional cost.

Wellframe: Digital care management app that delivers personalized care plans, education, and messaging at no cost to help you stay engaged in your care.

Healthwise: Evidence-based health education materials on the CDPHP website and in your online member account for all members at no additional cost.

Updated 10/20/2026

Each September, CDPHP Medicare Advantage plan members receive an Annual Notice of Change (ANOC). Please review this important document to learn about changes to your 2027 benefits, costs, and more.

Updated 10/20/2026

$0 Preventive care including wellness visits, cancer screenings, and more

$0 for most vaccines including flu, RSV, pneumonia, and shingles

$0 Tier 1 prescription drugs on most plans at preferred pharmacies

Dental benefit: Use your dental spending amount at any dentist in the U.S.

Virtual mental health from Valera Health and aptihealth.

Updated 10/20/2026

24/7 Nurse Line: 24/7 phone access to registered nurses for education and support for all members at no additional cost.

Welvie My Surgery: A digital decision-support program to help you prepare for surgery by guiding you through treatment options, risks, and questions to ask your doctor.

Vori Health: Virtual musculoskeletal health care and physical therapy services to diagnose, treat, and manage pain in the back, neck, and joints at no additional cost.

Wellframe: Digital care management app that delivers personalized care plans, education, and messaging at no cost to help you stay engaged in your care.

Healthwise: Evidence-based health education materials on the CDPHP website and in your online member account for all members at no additional cost.

Updated 10/20/2026

Hearing benefit: You may see changes to the TruHearing hearing aid benefits you currently have. Be sure to review your plan benefits for details.

Fitness benefit: Silver&Fit will replace SilverSneakers. You’ll still get a monthly gym membership and at-home workouts.

Medical cost estimates: Estimate Medical Costs will replace CDPHP Price Check and will be integrated with the provider search tool, allowing you to search for doctors and compare prices at the same time.

Live video doctor visits: MD Live will replace Doctor On Demand and will include teledermatology.

Prediabetes and diabetes benefits: Transform Prediabetes will end after 2026. For 2027, you will have access to diabetes and pre-diabetes tools through the Wellframe app, as well as access to diabetes care managers through the Diabetes Management Program.

Help at home: The Papa benefit will end after 2026. If you have questions about in-home support coverage or benefits, please contact customer care at the number on the back of your ID card.

CDPHP Health Hub: This program will end after 2026. Visit cdphp.com/classes to see a full list of exercise and educational classes you can take from the comfort of home.

Updated 10/20/2026

$0 Preventive care including wellness visits, cancer screenings, and more

$0 for most vaccines including flu, RSV, pneumonia, and shingles

Weight loss reimbursement: Get up to $100 for participating in a qualified program

Virtual mental health from Valera Health and aptihealth.

CDPHP Fitness Connect at the Ciccotti Center: No-cost membership gets you unlimited access to the fitness center, 25 yard lap pool, and more

Vision benefit: Get frames, lenses, and contacts at any U.S. vision provider

Updated 10/20/2026

Expanded provider network: Members can use the CDPHP network providers they know and trust, plus those contracted directly with Excellus Health Plan, Inc.

Welvie My Surgery*: A digital decision-support program to help you prepare for surgery by guiding you through treatment options, risks, and questions to ask your doctor.

Maternity care program: A maternity and NICU support program that gives expectant and new parents education and guidance to promote healthy pregnancies.

24/7 Nurse Line: 24/7 phone access to registered nurses for education and support for all members at no additional cost.

Wellframe: Digital care management app that delivers personalized care plans, education, and messaging at no cost to help you stay engaged in your care.

Healthwise: Evidence-based health education materials on the CDPHP website and in your online member account for all members at no additional cost.

*Essential Plan only.

Updated 10/20/2026

Live video doctor visits. MD Live will replace Doctor On Demand and will include teledermatology.

Prediabetes and diabetes benefits.* Transform Prediabetes will end after 2026. For 2027, you will have access to diabetes and pre-diabetes tools through the Wellframe app, as well as access to diabetes care managers through the Diabetes Management Program.

*Essential Plan only.

Updated 10/20/2026

Ovia Health cycle tracking, pregnancy, parenting, and menopause app.

Dental benefits from Healthplex.

Virtual mental health care from Valera Health and aptihealth.

Updated 10/20/2026