Member Benefits

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Member Benefits

Our plans include not only the benefits provided by Original Medicare, but also 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 Nebraska (HMO/PPO)
Combined Summary of Benefits document for Advantra Silver (HMO), Advantra Gold (HMO) and Advantra Platinum (PPO)


Evidence of Coverage - 2009

Advantra Silver (HMO) & Advantra Gold (HMO)
Combined Evidence of Coverage for Advantra Silver (HMO) and Advantra Gold (HMO)
Advantra Platinum (PPO)
Evidence of Coverage for Advantra Platinum (PPO)


Low Income Subsidy Tables - 2009

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





Summary of Benefits - 2010

Advantra Silver (HMO)  
Summary of Benefits document for Advantra Silver (HMO) in Nebraska
Advantra Platinum PPO
Summary of Benefits document for Advantra Platinum PPO in Nebraska


Evidence of Coverage - 2010

Advantra Silver (HMO)
Evidence of Coverage for Advantra Silver (HMO)
Advantra Platinum PPO
Evidence of Coverage for Advantra Platinum PPO


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

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