Member Benefits

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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 - 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, Fremont, 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, Fremont, 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: 02/16/2010
CMS Approved Date: Pending CMS Approval
CMS Document ID: Y0022_10ALL_502_CVTYWEB

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