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.
General Information
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Appointment of Representative Form
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You can name a relative, friend, advocate, doctor, or someone else to be your appointed authorized representative. This will give that person the right and ability to act for you. Some other persons may already be authorized under state law to act for you. If you want someone to act for you, then you and the person you want to act for you must sign and date a statement that gives this person legal permission to act as your authorized representative. A form that you can use can be found here.
This statement or form must be sent to Advantra (HMO/PPO) at:
HealthAmerica Advantra (HMO/PPO)
PO Box 67103
Harrisburg, PA 17106-7103
You can call us at 1-800-290-0190 or TDD for the hearing impaired at 1-800-207-1262, 8:00 a.m. - 8:00 p.m., local time, seven days a week.
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Authorization Agreement for ACH Debit Form - Coming Soon
- Complete this form to have your health plan premium deducted from your bank account each month.
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Good Times - Spring 2009
- Advantra (HMO/PPO) is pleased to offer Good Times , a quarterly Wellness magazine. Good Times contains a variety of articles on healthy living topics such as prevention, nutrition, chronic care and important Advantra (HMO/PPO) updates.
2010 Summaries of Benefits - Pennsylvania
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HealthAmerica Advantra HMO
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HealthAssurance Advantra PPO
2010 Summary of Benefits - Ohio
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HealthAssurance Advantra PPO
2010 Evidence of Coverage (EOC) - Pennsylvania
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HealthAmerica Advantra HMO
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HealthAssurance Advantra PPO
2010 Evidence of Coverage (EOC) - Ohio
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HealthAssurance Advantra Ohio PPO
2010 Low-Income Subsidy Tables - Pennsylvania
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HealthAmerica Advantra HMO
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HealthAssurance Advantra PPO
2010 Low-Income Subsidy Table - Ohio
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HealthAssurance Advantra PPO
2009 Summaries of Benefits - Pennsylvania
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HealthAmerica Advantra HMO
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HealthAmerica Advantra HMO MA Only
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- Central and Western Pennsylvania MA Only (no prescription drug coverage)
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HealthAssurance Advantra PPO
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HealthAmerica Advantra Special Needs
2009 Summary of Benefits - Ohio
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HealthAssurance Advantra PPO
2009 Evidence of Coverage (EOC) - Pennsylvania
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HealthAmerica Advantra HMO
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HealthAssurance Advantra PPO
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Health America Advantra Special Needs Chronic Care - Diabetes
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HealthAmerica Special Needs Chronic Care - High Cholesterol
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AdvantraOne
2009 Evidence of Coverage (EOC) - Ohio
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HealthAssurance Advantra Ohio PPO
2009 Low-Income Subsidy Tables - Pennsylvania
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HealthAmerica Advantra HMO
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HealthAssurance Advantra PPO
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HealthAmerica Advantra Special Needs
2009 Low-Income Subsidy Table - Ohio
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HealthAssurance Advantra PPO
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- Best Available Evidence for Low-Income Subsidy
