Member Benefits

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Member Benefits

Our plans include benefits provided by Original Medicare and other services that can help you live life your way.

Information, Tools and Resources

Through My Online Services, our members can have access to their personal benefits and cost information around the clock, seven days a week. You can:

  • Check your claims status and inquire about a specific claim
  • See how close you are to reaching your deductible or max out-of-pocket expenses
  • View current medications and get a prescription report for the past 2 years
  • Access wellness tools and information to support your overall good health
  • Print an identification (ID) card 
  • Change your Primary Care Physician (PCP) (for plans that require a PCP)

Medicare Plan Ratings

Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next. The Medicare Program rates how well Medicare health and drug plans perform in different categories (for example, detecting and preventing illness, ratings from patients, patient safety, drug pricing and customer service). The documents below provide summary ratings of our plan's overall performance.

2015 Plan Ratings:
Coventry Health Care H1608
Coventry Health Care H1609

Coventry Health Care H7149
Coventry Health Care H8393

2014 Plan Ratings:
Coventry Health Care H1608
Coventry Health Care H1609

Coventry Health Care H7149
Coventry Health Care H8393

Member Information

The documents below contain helpful information about your plan.

All materials below are available in English unless otherwise noted.

2014 Member Benefits

Find 2014 Information

2015 Member Benefits Documents

Coventry Advantra Platinum (PPO) – H1608 (001)
Iowa: Adair, Appanoose, Benton, Boone, Bremer, Buchanan, Butler, Carroll, Cass, Cedar, Clinton, Crawford, Dallas, Decatur, Delaware, Dickinson, Fayette, Fremont, Greene, Grundy, Guthrie, Hamilton, Harrison, Ida, Iowa, Jasper, Johnson, Jones, Keokuk, Linn, Lucas, Lyon, Madison, Mahaska, Marion, Marshall, Mills, Monona, Monroe, Montgomery, Muscatine, O'Brien, Osceola, Page, Plymouth, Polk, Pottawattamie, Poweshiek, Ringgold, Scott, Shelby, Sioux, Story, Tama, Union, Warren, Washington, Wayne, Webster, Winneshiek, Woodbury, Wright
Coventry Total Care (PPO) - H1608 (007)
Iowa: Marshall, Story
Coventry Total Care (PPO) - H1608 (008)
Iowa: Ida, Monona, Plymouth, Woodbury
Coventry Advantra Silver (HMO) – H1609 (001)
Iowa: Adair, Appanoose, Benton, Boone, Bremer, Buchanan, Butler, Carroll, Cass, Cedar, Crawford, Dallas, Decatur, Delaware, Fayette, Fremont, Greene, Grundy, Guthrie, Hamilton, Harrison, Ida, Iowa, Jasper, Johnson, Jones, Keokuk, Linn, Lucas, Madison, Mahaska, Marion, Marshall, Mills, Monona, Monroe, Montgomery, Muscatine, Page, Plymouth, Polk, Pottawattamie, Poweshiek, Ringgold, Scott, Shelby, Story, Tama, Union, Warren, Washington, Wayne, Webster, Winneshiek, Woodbury, Wright
Coventry Total Care (HMO) – H1609 (009)
Iowa: Dallas, Polk, Warren
Coventry Total Care (HMO) – H1609 (010)
Iowa: Pottawattamie
Coventry Advantra Silver (HMO) – H7149 (001)
Nebraska: Burt, Butler, Cass, Colfax, Cuming, Dodge, Douglas, Gage, Jefferson, Lancaster, Otoe, Sarpy, Saunders, Seward, Washington, Wayne
Coventry Total Care (HMO) – H7149 (004)
Nebraska: Douglas, Sarpy
Advantra Select Plus (HMO) - H7149 (005)
Nebraska: Burt, Butler, Cass, Colfax, Cuming, Dodge, Douglas, Gage, Jefferson, Lancaster, Otoe, Sarpy, Saunders, Seward, Washington, Wayne
Coventry Advantra Platinum (PPO) – H8393 (001)
Nebraska: Butler, Colfax, Cuming, Douglas, Gage, Jefferson, Knox, Lancaster, Washington, Wayne
Coventry Advantra Platinum (PPO) – H1608 (001)
South Dakota: Bon Homme, Brookings, Clay, Hutchinson, Lake, Lincoln, McCook, Minnehaha, Moody, Turner, Union, Yankton
Coventry Total Care (PPO) – H1608 (004)
South Dakota: Lincoln, McCook, Minnehaha
Additional Information

New 2014 QIO Contact Information

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Additional Information
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Page Last Updated: 09/30/2014
CMS Approved Date: Approved 02/08/2013
CMS Document ID: Y0022_PDPCCP_2013_4006_1202b

© Copyright 2008-2014 Coventry Health Care

Coventry Health Care is a Coordinated Care plan with a Medicare contract. First Health Part D is a Medicare-approved Part D sponsor. Enrollment in our plans depends on contract renewal.