Member Benefits

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Member Benefits

Our plans include benefits provided by Original Medicare and other services that can help you live life your way.   

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:

  • Check your claims status and inquire about specific claims
  • See how close you are to reaching your deductible or max out-of-pocket expenses 
  • View current medications and get a prescription report for the past 2 years
  • Access wellness tools and information to support your overall good health
  • Print an identification (ID) card 
  • Change your Primary Care Physician (PCP)  (for plans that require a PCP)  

Medicare Plan Ratings

Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next. The Medicare Program rates how well Medicare health and drug plans perform in different categories (for example, detecting and preventing illness, ratings from patients, patient safety, drug pricing and customer service). The documents below provide summary ratings of our plan's overall performance.


2016 Plan Ratings:
HealthAmerica - H3959
HealthAmerica - H5522
HealthAmerica - H1608

Member Information

The documents below contain helpful information about your plan.

All materials below are available in English unless otherwise noted.

2016 Pennsylvania Member Benefit Documents

Advantra Gold (PPO) – H5522 (001)
Allegheny
Advantra Gold (HMO) – H3959 (001)
Allegheny
Advantra Silver (HMO) – H3959 (010)
Allegheny
Advantra Silver (PPO) – H5522 (005)
Armstrong, Beaver, Bedford, Butler, Cambria, Cameron, Clearfield, Crawford, Elk, Erie, Fayette, Forest, Greene, Indiana, Jefferson, Lawrence, Mercer, Somerset, Venango, Warren, Washington, Westmoreland
AdvantraOne (PPO) – H5522 (017)
Adams, Allegheny, Armstrong, Beaver, Bedford, Berks, Blair, Bucks, Butler, Cambria, Cameron, Carbon, Centre, Chester, Clearfield, Clinton, Columbia, Crawford, Cumberland, Dauphin, Delaware, Elk, Erie, Fayette, Forest, Franklin, Fulton, Greene, Huntingdon, Indiana, Jefferson, Juniata, Lackawanna, Lancaster, Lawrence, Lycoming, Mercer, Mifflin, Monroe, Montgomery, Montour, Northampton, Northumberland, Perry, Philadelphia, Schuylkill, Snyder, Somerset, Sullivan, Susquehanna, Union, Venango, Warren, Washington, Wayne, Westmoreland, Wyoming, York
Advantra Silver (HMO) – H3959 (011)
Adams, Armstrong, Beaver, Bedford, Berks, Blair, Butler, Cambria, Cameron, Carbon, Centre, Clearfield, Clinton, Columbia, Crawford, Cumberland, Dauphin, Elk, Erie, Fayette, Forest, Franklin, Fulton, Greene, Huntingdon, Indiana, Jefferson, Juniata, Lackawanna, Lancaster, Lawrence, Lebanon, Lehigh, Luzerne, Lycoming, Mercer, Mifflin, Monroe, Montour, Northampton, Northumberland, Perry, Schuylkill, Snyder, Somerset, Sullivan, Susquehanna, Union, Venango, Warren, Washington, Wayne, Westmoreland, Wyoming, York
Advantra Gold (HMO) – H3959 (002)
Armstrong, Beaver, Bedford, Butler, Cambria, Cameron, Clearfield, Crawford, Elk, Erie, Fayette, Forest, Greene, Indiana, Jefferson, Lawrence, Mercer, Somerset, Venango, Warren, Washington, Westmoreland
Advantra Silver Plus (HMO) – H3959 (032)
Cameron, Crawford, Elk, Erie, Forest, Mercer, Warren, Venango
Advantra Gold (PPO) – H5522 (002)
Adams, Berks, Blair, Carbon, Centre, Clinton, Columbia, Cumberland, Dauphin, Franklin, Fulton, Huntingdon, Juniata, Lackawanna, Lancaster, Lebanon, Lehigh, Mifflin, Monroe, Montour, Northampton, Northumberland, Perry, Schuylkill, Snyder, Sullivan, Susquehanna, Union, Wayne, Wyoming, York
Advantra Silver (PPO) – H5522 (004)
Adams, Berks, Blair, Carbon, Centre, Clinton, Columbia, Cumberland, Dauphin, Franklin, Fulton, Huntingdon, Juniata, Lackawanna, Lancaster, Lebanon, Lehigh, Luzerne, Lycoming, Monroe, Montour, Northampton, Northumberland, Perry, Schuylkill, Snyder, Sullivan, Susquehanna, Union, Wayne, Wyoming, York
Advantra Silver Plus (HMO) – H3959 (039)
Adams, Berks, Blair, Carbon, Centre, Clinton, Columbia, Cumberland, Dauphin, Franklin, Fulton, Huntingdon, Juniata, Lackawanna, Lancaster, Lebanon, Lehigh, Luzerne, Lycoming, Mifflin, Monroe, Montour, Northampton, Northumberland, Perry, Schuylkill, Snyder, Sullivan, Susquehanna, Union, Wayne, York
Advantra Northern Pennsylvania Gold (HMO) – H3959 (037)
Blair, Carbon, Centre, Clinton, Columbia, Huntingdon, Juniata, Lackawanna, Luzerne, Lycoming, Mifflin, Monroe, Montour, Northumberland, Schuylkill, Snyder, Sullivan, Susquehanna, Union, Wayne, Wyoming
Advantra Silver Plus (PPO) – H5522 (013)
Berks, Carbon, Centre, Clinton, Columbia, Cumberland, Dauphin, Fulton, Huntingdon, Juniata, Lackawanna, Lancaster, Lebanon, Lehigh, Luzerne, Mifflin, Perry, Snyder, Susquehanna, Wayne, Wyoming, York
Advantra Gold (PPO) – H5522 (014)
Delaware, Philadelphia
Advantra Silver (HMO) – H3959 (031)
Delaware, Philadelphia
Advantra Silver (HMO) – H3959 (033)
Bucks, Chester, Montgomery
Advantra Gold (PPO) – H5522 (015)
Bucks, Chester, Montgomery
Advantra Silver (PPO) - H5522 (018)
Allegheny
Advantra Basic Medical (HMO) - H3959 (041)
Adams, Allegheny, Armstrong, Beaver, Bedford, Berks, Blair, Butler, Cambria, Cameron, Carbon, Centre, Clearfield, Clinton, Columbia, Crawford, Cumberland, Dauphin, Elk, Erie, Fayette, Forest, Franklin, Fulton, Greene, Huntingdon, Indiana, Jefferson, Juniata, Lackawanna, Lancaster, Lawrence, Lebanon, Lehigh, Luzerne, Lycoming, Mercer, Mifflin, Monroe, Montour, Northampton, Northumberland, Perry, Schuylkill, Snyder, Somerset, Sullivan, Susquehanna, Union, Venango, Warren, Washington, Wayne, Westmoreland, Wyoming, York
Advantra Choice (HMO) - H3959 (043)
Allegheny
Advantra Fayette Prime (HMO) - H3959 (044)
Fayette
Advantra Cares (HMO SNP) – H3959 (035)

You must have Medicare and Medicaid to join this plan

Bucks, Delaware, Montgomery, Philadelphia
Advantra Cares (HMO SNP) – H3959 (036)

You must have Medicare and Medicaid to join this plan

Berks, Erie, Fayette, Lehigh, Northampton


2016 Ohio Member Benefit Documents

Advantra Silver (PPO) – H1608 (029)
Belmont, Columbiana, Cuyahoga, Geauga, Harrison, Jefferson, Lake, Mahoning, Medina, Trumbull
Advantra Gold (PPO) – H1608 (030)
Belmont, Columbiana, Cuyahoga, Geauga, Harrison, Jefferson, Lake, Mahoning, Medina, Trumbull


Newsletters

A Coventry Health Care Magazine
Not yet a Member?

Access the Plan Finder to find plans available in your service area and compare benefits provided by Coventry.  The choice is yours.  When you compare costs, we think you’ll see the value that our plans offer.

Do you have Medicare and Medicaid? You may be eligible for our Dual Eligible Special Needs Plan.

You can join Advantra Cares (HMO SNP) if you have Medicare Part A (Hospital Insurance) and Medicare Part B (Medical Insurance), live in our service area, AND have both Medicare and Medicaid.
This plan is available to anyone who has both Medical Assistance from the State and Medicare.
 
We encourage you to call us before downloading and completing the enrollment form. We can help you make a choice that best meets your needs. Please call us. There will be someone available to speak with you from 8 a.m. to 5 p.m., Monday - Friday.

If you live in one of the following counties please call 1-800-470-4272: Erie, Fayette.

If you live in one of the following counties please call 1-866-218-9822: Berks, Bucks, Delaware, Lehigh, Montgomery, Northampton, Philadelphia.

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Additional Information

Y0022_PDPCCP_2013_4006_1202b Approved
CMS Approved Date: 02/08/2013
Page Last Updated: 03/09/2016

© Copyright 2008-2016 Coventry Health Care

Aetna Medicare is a PDP, HMO, PPO plan with a Medicare contract. Our SNPs also have contracts with State Medicaid programs. Enrollment in our plans depends on contract renewal.