Help Center: MyCHPW

We’ve moved all the tools in the Member Service Center to myCHPW. Now you can see you ID card, claims, referrals, prior-authorizations, plan documents, and more – all in one place with one sign-in.

If you haven’t signed into myCHPW in the past, sign up and create a new username and password to enjoy your updated member portal. You will need your CHPW member ID number. Sign up ➔

If you have used myCHPW in the past, the same myCHPW password and username that’s worked before, may still be active. Sign in ➔

If you know your username and the email you gave when you registered for myCHPW, you can easily reset your password.

1. Go to mychpw.chpw.org, select Forgot Password?
2. Enter your username
3. Answer your three security questions to verify your identity
4. Check your email for a one-time password (OTP). Copy or write it down.
5. Select the link in the email to change your password.
6. Enter the one-time password and a new password.

If you have already registered, but do not remember your username, our Customer Service Team can help. 1-866-907-1906 (TTY: 711) Monday to Friday 8 a.m. to 5 p.m.

To help keep your health information secure, if you enter your password incorrectly three times, your account will be locked.

To unlock your account, call our Customer Service Team at1-866-907-1906 (TTY: 711) Monday to Friday 8 a.m. to 5 p.m.

The member ID you need to register is on the front of your CHPW member ID card.

If you don’t have your CHPW member ID card, our Customer Service Team can help. Call 1-866-907-1906 (TTY: 711) Monday to Friday 8 a.m. to 5 p.m.

There could be a few reasons why your ID isn’t working during sign up:

• Did you enter 12 characters including BT? CHPW Individual & Family Cascade Select Plans have 12-digit ID numbers, beginning in BT. To register, include “BT” plus all 10 numbers that follow.
• Did you recently change your CHPW health plan? If you had an Apple Health (Medicaid) plan and moved to a CHPW Individual & Family plan, your CHPW member ID number will change. You will get a new CHPW member ID card in the mail.
  
• Is your health plan or coverage active? To register, your coverage must be active, and you must still be eligible for your plan. Not sure? To check if your coverage is active, call our Customer Service Team at 1-866-907-1906 (TTY: 711) Monday to Friday 8 a.m. to 5 p.m. 

You can see who your primary care provider is in your myCHPW portal.

1. Sign in
2. Select My Care at the top of the screen.
3. Under My Care select Change PCP/Clinic.
4. Under Current Doctor you’ll see your doctor’s name and your clinic.

There are two ways:

Main menu (navigation)

1. Sign in
2. Select My Care at the top of the screen.
3. Under My Care select Change PCP/Clinic.
4. Search for doctors in your current clinic or by doctor name.
5. Follow the prompts to select your doctor.

Dashboard (home)

1. Sign in
2. Look for a box that says Your Clinic.
3. Select Change clinic.
4. Next you’ll see Choose Your Primary Care Provider.
5. Search by clinic or doctor to select a new doctor.

1. Sign in
2. Select My Care at the top of the screen.
3. Under My Care select Find a Doctor.
4. Enter your Zip, City, or County.
5. Select Search.

Tip: To search for and assign a primary care provider or clinic, under My Care in the main menu at the top of the screen, select Change PCP/Clinic.

You can save or print your CHPW member ID card in your myCHPW account.

1. Sign in
2. On the Dashboard (home) select CHPW Member ID.
3. To download, save, or print select Open.
4. Your ID card will open in a new web page or in Adobe Acrobat Reader.
5. Look for the icons (small pictures) at the top and select what you want to do:

Download to a personal device (access offline)

Save to a private drive or cloud (access online)

Print a physical copy (must be connected to a printer)

There are two ways to track what you have paid toward your deductible and max out-of-pocket:

Main menu (navigation)

1. Sign in
2. Select My Health Plan at the top of the screen.
3. Under My Health Plan, select Benefits & Coverage
4. From the Benefits & Coverage page, scroll down to find Deductible and Maximum Out-of-pocket

Dashboard (home)

1. Sign in
2. On the Dashboard (home) scroll down until you see How We Share Costs
3. To see which services are covered after deductible, see Where can I find what’s covered?

You can use the Cost Calculator to get an estimate for a range of treatments and procedures.

Tip: Ask your doctor for the Procedure Code to make your search a little bit easier.

1. Sign in
2. Select My Health Plan at the top of the screen.
3. Under My Health Plan, Select Cost Calculator.
4. On the Cost Calculator page, enter the name of the treatment or service, or a procedure code.

Talk with both your provider and directly with CHPW to best understand what your actual costs may be. Your deductible, out-of-pocket maximum, provider billing, and coverage requirements such as referrals, prior authorization, or medical necessity may affect what you pay.

To find out which health services are covered by your health plan, Search Documents & Letters for your Schedule of Benefits for costs and the Evidence of Coverage.

1. Sign in
2. Select Self Service at the top of the screen.
3. Select Search Documents & Letters.
4. From the Document Center under Document Type select Plan Documents.
5. Select Search.
6. Under Search results, look for the Schedule of Benefits for costs and the Evidence of Coverage for in-depth details.
7. Select View or Download.

If you’ve requested audio format, you will also have a separate audio file (.WAV) you can select Play to listen to the file.  

There are two ways:

Main menu (navigation)

1. Sign in
2. Select Claims & Pre-approvals at the top of the screen.
3. Under Claims & Pre-approvals select Claims History.
4. Under Claims select a time frame or All to see the most results.
5. Select Search.
6. To see details for a specific claim, under Search results select the Claim Number.

Dashboard (home)

1. Sign in
2. Scroll down to Recent Claims.
3. Preview claims from the Dashboard or select All Claims to view a full list.
4. To see details for a specific claim, under Search results select the Claim Number.

You can update your contact information or change your communication preferences in your myCHPW account.

1. Sign in
2. Select Self Service at the top of the screen
3. Under Self Service select Communication Preferences
4. Under Contact & Communication Preferences select Edit
5. Enter your information and choose your preferences then select Save

1. Sign in
2. Select Self Service at the top of the screen
3. Under Self Service select Report Other Health Insurance

More details on how it works and how to report it ➔

Two-factor authentication gives your account another level of security. If you set it up, each time you sign in, you will be required to enter a one-time passcode that is sent to your email, in addition to entering your username and password.

Two-factor authentication is not required. When you sign in, you may be asked to set it up. If you don’t, you can still access and use myCHPW.

To set up or turn off 2FA preferences:

1. Sign in
2. Select Welcome [your name] at the top of the screen
3. Under your name, select Two-Factor authentication.
4. Select Enable to turn on, or Disable to turn off, then click Save.