Member Benefits

Our plans include not only the benefits provided by Original Medicare, but also a range of preventive screenings and other services that help you be healthy, save money and be independent.

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:

View eligibility and member benefit information
Check your claims status
Inquire about a specific claim
View current medications
Print an identification (ID) card
Calculate your health care costs and customize your electronic health records
Change your Primary Care Physician (PCP) (for plans that require a PCP)

Member Information

The documents below contain helpful information about your plan.

Summary of Benefits - 2009

Advantra Iowa (HMO/PPO): Combined Summary of Benefits document for Advantra Silver (HMO), Advantra Gold (HMO), Advantra Platinum PPO and Advantra Platinum Plus PPO

Advantra SW (HMO/PPO): Combined Summary of Benefits document for Advantra Silver SW (HMO), Advantra Gold SW (HMO) and Advantra Platinum PPO SW (PPO)

AdvantraExtra: Combined Summary of Benefits for AdvantraExtra - Special Needs Plans for those with Diabetes or High Cholesterol

AdvantraOne: Summary of Benefits for AdvantraOne - a Special Needs Plan for those with both Medicare and Medicaid

Advantra South Dakota (PPO): Summary of Benefits for Advantra Platinum PPO and Advantra Platinum Plus PPO, for South Dakota residents

Evidence of Coverage - 2009

Advantra Silver (HMO): Evidence of Coverage for Advantra Silver (HMO)

Advantra Gold (HMO): Evidence of Coverage for Advantra Gold (HMO)

Platinum PPO & Platinum Plus PPO: Combined Evidence of Coverage for Advantra Platinum PPO and Platinum Plus PPO

Advantra Silver SW (HMO) & Gold SW (HMO): Combined Evidence of Coverage for Advantra Silver SW (HMO) and Advantra Gold SW (HMO)

Advantra Platinum PPO SW (PPO): Evidence of Coverage for Advantra Platinum PPO SW (PPO)

AdvantraExtra: Combined Evidence of Coverage for AdvantraExtra Diabetic and AdvantraExtra Cholesterol

AdvantraOne: Evidence of Coverage for AdvantraOne

Advantra Platinum PPO & Platinum Plus PPO - South Dakota: Combined Evidence of Coverage for Advantra Platinum PPO and Platinum Plus PPO, for South Dakota residents

Low Income Subsidy Tables - 2009

Advantra Silver (HMO) & Gold (HMO): Combined Low Income Subsidy Table for Advantra Silver (HMO) and Advantra Gold (HMO)

Advantra Platinum PPO & Platinum Plus PPO: Combined Low Income Subsidy Table for Advantra Platinum PPO and Advantra Platinum Plus PPO

Advantra Silver SW (HMO) & Gold SW (HMO): Combined Low Income Subsidy Table for Advantra Silver SW (HMO) and Advantra Gold SW (HMO)

Advantra Platinum PPO SW (PPO): Low Income Subsidy Table for Advantra Platinum PPO SW (PPO)

AdvantraExtra Diabetic, AdvantraExtra Cholesterol & AdvantraOne: Combined Low Income Subsidy Table for AdvantraExtra Diabetic, AdvantraExtra Cholesterol and AdvantraOne

Advantra Platinum PPO & Platinum Plus PPO - South Dakota: Combined Low Income Subsidy Table for Advantra Platinum PPO and Platinum Plus PPO, for South Dakota residents

Summary of Benefits - 2010

Advantra Silver (HMO): Summary of Benefits document for Advantra Silver (HMO) in Iowa

Advantra Platinum PPO: Summary of Benefits document for Advantra Platinum PPO in Iowa

Advantra Silver SW (HMO): Summary of Benefits document for Advantra Silver SW (HMO) in Cass, Crawford, Freemont, Harrison, Mills, Monona, Montgomery, Page, Pottawattamie, Shelby Counties, IA only

Advantra Platinum PPO SW (PPO): Summary of Benefits document for Advantra Platinum PPO SW (PPO) in Cass, Crawford, Freemont, Harrison, Mills, Monona, Montgomery, Page, Pottawattamie, Shelby Counties, IA only

Advantra Platinum PPO SD (PPO) - South Dakota: Summary of Benefits document for for Advantra Platinum PPO SD (PPO) in South Dakota

Evidence of Coverage - 2010

Advantra Silver (HMO): Evidence of Coverage for Advantra Silver (HMO)

Advantra Platinum PPO: Evidence of Coverage for Advantra Platinum PPO

Advantra Silver SW (HMO): Evidence of Coverage for Advantra Silver SW (HMO)

Advantra Platinum PPO SW (PPO): Evidence of Coverage for Advantra Platinum PPO SW (PPO)

Advantra Platinum PPO SD (PPO) - South Dakota: Evidence of Coverage for Advantra Platinum PPO SD (PPO) in South Dakota

Low Income Subsidy Tables - 2010

Advantra Silver (HMO): Low Income Subsidy Table for Advantra Silver (HMO)

Advantra Platinum PPO: Low Income Subsidy Table for Advantra Platinum PPO

Advantra Silver SW (HMO): Low Income Subsidy Table for Advantra Silver SW (HMO)

Advantra Platinum PPO SW (PPO): Low Income Subsidy Table for Advantra Platinum PPO SW (PPO)

Advantra Platinum PPO SD (PPO) - South Dakota: Low Income Subsidy Table for Advantra Platinum PPO SD (PPO) in South Dakota

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Page Last Updated: 04/20/2009
CMS Approved Date: Pending CMS Approval
CMS Document ID: M0003C0002_09MAPDPDP_502_CVTYWEBs508a