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- Advantra (HMO/PPO) - PA, OH
- Find Important Information
Easily find important information that you are looking for by selecting a topic below:
Locate contact information on the Contact Us page
- Toll-Free customer service numbers
- Hours of operation
- Teletypewriter (TTY) numbers
- Physical or post office box addresses
Locate plan benefit information by searching and viewing plan details on our Online Plan Finder or review the plan’s benefit documents on the Member Benefits page.
- Cost sharing (coinsurance or copayment) information
- Premiums
- Deductibles
- Summary of Benefits document
- Evidence of Coverage document
Locate prescription drug information
- Formulary document
- Quality and assurance policies and procedures and drug utilization management information
- Prior authorization requirements and quantity limits
- Plan medication transition and exceptions process
- Out-of-network coverage
- Find a pharmacy
Locate Grievances & Appeals information
- Information on how to obtain a summary of the grievance and coverage determination (exceptions process)
- Telephone number for receiving oral request for determination (exceptions) and redeterminations (expedited appeals)
- Mailing address and fax number designated for receiving written requests
- Instructions on how to appoint a representative and access to CMS Appointment of Representation form
- Instructions on where to find the grievance, coverage determination (including exceptions), and appeals processes information in the Evidence of Coverage
- Request for Medicare Prescription Drug Determination Request form
Locate information for extra help
- Low Income Subsidy Premium Summary Table
- How to contact the Social Security Office to inquire about LIS
- Best Available Evidence Policy
- Multi-language Interpreter Services
Locate additional information
find a plan
Coventry Health Care offers products across the county. Compare and find the best plan for you.
Find 2013 Plans >>
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Online Request Forms
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Member Request for Coverage Determination
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Member Request for Redetermination (Appeal)
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Medicare.gov Resources
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Medicare.gov
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Medicare Complaint Form
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Ombudsman
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Other Resources
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Member Forms & Resources
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Formulary (Drug List)
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Transition Policies and Exceptions Process
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Prescription Drug Forms
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Contact Us
