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

Appointment of Representative Form
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.
Authorization Agreement for ACH Debit Form - Coming Soon
Complete this form to have your health plan premium deducted from your bank account each month.
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

HealthAmerica Advantra HMO
HealthAssurance Advantra PPO


2010 Summary of Benefits - Ohio

HealthAssurance Advantra PPO


2010 Evidence of Coverage (EOC) - Pennsylvania

HealthAmerica Advantra HMO
HealthAssurance Advantra PPO


2010 Evidence of Coverage (EOC) - Ohio

HealthAssurance Advantra Ohio PPO


2010 Low-Income Subsidy Tables - Pennsylvania

HealthAmerica Advantra HMO
HealthAssurance Advantra PPO


2010 Low-Income Subsidy Table - Ohio

HealthAssurance Advantra PPO


2009 Summaries of Benefits  - Pennsylvania

HealthAmerica Advantra HMO
HealthAmerica Advantra HMO MA Only
HealthAssurance Advantra PPO
HealthAmerica Advantra Special Needs


2009 Summary of Benefits - Ohio

HealthAssurance Advantra PPO


2009 Evidence of Coverage (EOC) - Pennsylvania

HealthAmerica Advantra HMO
HealthAssurance Advantra PPO
Health America Advantra Special Needs Chronic Care - Diabetes
HealthAmerica Special Needs Chronic Care - High Cholesterol
AdvantraOne


2009 Evidence of Coverage (EOC) - Ohio

HealthAssurance Advantra Ohio PPO


2009 Low-Income Subsidy Tables - Pennsylvania

HealthAmerica Advantra HMO
HealthAssurance Advantra PPO
HealthAmerica Advantra Special Needs


2009 Low-Income Subsidy Table - Ohio

HealthAssurance Advantra PPO
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Page Last Updated: 05/19/2009
CMS Approved Date: Pending CMS Approval
CMS Document ID: M0003C0002_09MAPDPDP_502_CVTYWEBs508a

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