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.

2014 Plan Ratings:
HealthAmerica - H3959
HealthAmerica - H5522
HealthAmerica - H8980

Member Information

The documents below contain helpful information about your plan.

All materials below are available in English unless otherwise noted.

2014 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, Clearfield, Crawford, Erie, Fayette, Greene, Indiana, Jefferson, Lawrence, Mercer, Somerset, Venango, Washington, Westmoreland
Advantra Elite (PPO) – H5522 (009)
Armstrong, Beaver, Bedford, Butler, Clearfield, Crawford, Erie, Fayette, Greene, Indiana, Jefferson, Lawrence, Mercer, Somerset, Venango, Washington, Westmoreland
Advantra Silver (HMO) – H3959 (011)
Adams, Armstrong, Beaver, Bedford, Berks, Blair, Butler, Carbon, Centre, Clearfield, Clinton, Columbia, Crawford, Cumberland, Dauphin, Erie, Fayette, Greene, Huntingdon, Indiana, Jefferson, Juniata, Lackawanna, Lancaster, Lawrence, Lebanon, Lehigh, Luzerne, Lycoming, Mercer, Mifflin, Monroe, Montour, Northampton, Northumberland, Perry, Schuylkill, Snyder, Somerset, Sullivan, Union, Venango, Washington, Westmoreland, Wyoming, York
Advantra Gold (HMO) – H3959 (002)
Armstrong, Beaver, Bedford, Butler, Clearfield, Crawford, Erie, Fayette, Greene, Indiana, Jefferson, Lawrence, Mercer, Somerset, Venango, Washington, Westmoreland
Advantra Silver Plus (HMO) – H3959 (032)
Crawford, Erie, Mercer, Venango
Advantra Gold (PPO) – H5522 (002)
Adams, Berks, Blair, Carbon, Centre, Clinton, Columbia, Cumberland, Dauphin, Huntingdon, Juniata, Lackawanna, Lancaster, Lebanon, Lehigh, Luzerne, Lycoming, Mifflin, Monroe, Montour, Northampton, Northumberland, Perry, Schuylkill, Snyder, Sullivan, Union, Wyoming, York
Advantra Silver (PPO) – H5522 (004)
Adams, Berks, Blair, Carbon, Centre, Clinton, Columbia, Cumberland, Dauphin, Huntingdon, Juniata, Lackawanna, Lancaster, Lebanon, Lehigh, Luzerne, Lycoming, Mifflin, Monroe, Montour, Northampton, Northumberland, Perry, Schuylkill, Snyder, Sullivan, Union, Wyoming, York
Advantra Elite (PPO) – H5522 (008)
Adams, Berks, Blair, Carbon, Centre, Clinton, Columbia, Cumberland, Dauphin, Huntingdon, Juniata, Lackawanna, Lancaster, Lebanon, Lehigh, Luzerne, Lycoming, Mifflin, Monroe, Montour, Northampton, Northumberland, Perry, Schuylkill, Snyder, Sullivan, Union, Wyoming, York
Advantra Gold (HMO) – H3959 - 037
Blair, Carbon, Centre, Clinton, Columbia, Huntingdon, Juniata, Lackawanna, Luzerne, Lycoming, Mifflin, Monroe, Montour, Northumberland, Schuylkill, Snyder, Sullivan, Union, Wyoming
Advantra Silver Plus (PPO) – H5522 (013)
Adams, Berks, Blair, Carbon, Centre, Clinton, Columbia, Cumberland, Dauphin, Huntingdon, Juniata, Lackawanna, Lancaster, Lebanon, Lehigh, Luzerne, Lycoming, Mifflin, Monroe, Montour, Northampton, Northumberland, Perry, Schuylkill, Snyder, Sullivan, Union, 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 Cares (HMO SNP) – H3959 (035)
Bucks, Chester, Delaware, Montgomery, Philadelphia
Advantra Cares (HMO SNP) – H3959 (036)
Adams, Allegheny, Armstrong, Beaver, Bedford, Berks, Butler, Carbon, Centre, Clearfield, Clinton, Columbia, Crawford, Cumberland, Dauphin, Erie, Fayette, Greene, Juniata, Lackawanna, Lancaster, Lawrence, Lebanon, Lehigh, Luzerne, Lycoming, Mercer, Mifflin, Monroe, Montour, Northampton, Northumberland, Perry, Schuylkill, Snyder, Somerset, Sullivan, Union, Washington, Westmoreland, Wyoming, York


2014 Ohio Member Benefit Documents

Advantra Silver (PPO) – H8980 (002)
Belmont, Columbiana, Cuyahoga, Geauga, Harrison, Jefferson, Lake, Mahoning, Medina, Trumbull
Advantra Gold (PPO) – H8980 (004)
Belmont, Columbiana, Cuyahoga, Geauga, Harrison, Jefferson, Lake, Mahoning, Medina, Trumbull


Newsletters

A Coventry Health Care Magazine
Additional Information

New 2014 QIO Contact Information

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.

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 Monday through Friday, 8 AM – 5 PM.

If you live in one of the following counties please call 800-470-4272: Allegheny, Armstrong, Beaver, Bedford, Butler, Clearfield, Crawford, Erie, Fayette, Greene, Lawrence, Mercer, Somerset, Washington, or Westmoreland.

If you live in one of the following counties please call 866-218-9822: Adams, Berks, Bucks, Carbon, Centre, Chester, Clinton, Columbia, Cumberland, Dauphin, Delaware, Juniata, Lackawanna, Lancaster, Lebanon, Lehigh, Luzerne, Lycoming, Mifflin, Monroe, Montgomery, Montour, Northampton, Northumberland, Perry, Philadelphia, Schuylkill, Snyder, Sullivan, Union, Wyoming, or York.

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Page Last Updated: 03/28/2014
CMS Approved Date: Approved 02/08/2013
CMS Document ID: Y0022_PDPCCP_2013_4006_1202b

© Copyright 2008-2014 Coventry Health Care

Coventry Health Care is a Coordinated Care plan with a Medicare contract. First Health Part D is a Medicare-approved Part D sponsor. Enrollment in our plans depends on contract renewal.