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.

Summary of Benefits - 2010

Altius Advantra (HMO-POS) - Utah
Combined Summary of Benefits for Altius Advantra Option 1 (HMO-POS) and Altius Advantra Option 2 (HMO-POS)
Altius Advantra (HMO-POS) - Wyoming
Summary of Benefits for Altius Advantra Wyoming (HMO-POS)


Evidence of Coverage - 2010

Altius Advantra Option 1 (HMO-POS)
Evidence of Coverage for Altius Advantra Option 1 (HMO-POS)
Altius Advantra Option 2 (HMO-POS)
Evidence of Coverage for Altius Advantra Option 2 (HMO-POS)
Altius Advantra Wyoming (HMO-POS)
Evidence of Coverage for Altius Advantra Wyoming (HMO-POS)


Low-Income Subsidy Table - 2010

Altius Advantra (HMO-POS) - Utah
Combined Low-Income Subsidy Table for Altius Advantra Option 1 (HMO-POS) and Altius Advantra Option 2 (HMO-POS)
Altius Advantra Wyoming (HMO-POS)
Low-Income Subsidy Table for Altius Advantra Wyoming (HMO-POS)


Summary of Benefits - 2009

Altius Advantra (HMO-POS) Northern Utah
Combined Summary of Benefits for Altius Advantra Bronze (HMO-POS), Silver (HMO-POS) and Gold (HMO-POS).
Altius Advantra (HMO-POS) Southern Utah
Combined Summary of Benefits for Altius Advantra Bronze South (HMO-POS), Silver South (HMO-POS) and Gold South (HMO-POS).
Altius Advantra (HMO-POS) Wyoming
Combined Summary of Benefits for Altius Advantra Bronze (HMO-POS), Silver (HMO-POS) and Gold (HMO-POS).


Evidence of Coverage - 2009

Altius Advantra (HMO-POS) Northern Utah
Altius Advantra (HMO-POS) Southern Utah
Altius Advantra (HMO-POS) Wyoming


Low-Income Subsidy Tables - 2009

Altius Advantra (HMO-POS) Northern Utah
Combined Low-Income Subsidy Table for Altius Advantra Bronze (HMO-POS), Silver (HMO-POS) and Gold (HMO-POS).
Altius Advantra (HMO-POS) Southern Utah
Combined Low-Income Subsidy Table for Altius Advantra Bronze South (HMO-POS), Silver South (HMO-POS) and Gold South (HMO-POS).
Altius Advantra (HMO-POS) Wyoming
Combined Low-Income Subsidy Table for Altius Advantra Bronze (HMO-POS), Silver (HMO-POS) and Gold (HMO-POS).
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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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