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2013 Plan Year Options




Notices & Disclaimers

All plan sponsors are Coordinated Care plans with a Medicare contract.

Coventry Health Care of Florida, Missouri, Kansas and Pennsylvania (HealthAmerica) also have contracts with the Florida, Missouri, Kansas and Missouri, and Pennsylvania state Medicaid programs (respectively).

The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.

Limitations, copayments, and restrictions may apply.

Benefits, formulary, pharmacy network, premium and/or co-payments/co-insurance may change on January 1 of each year.

Plan performance Star Ratings are assessed each year and may change from one year to the next.

Our dual-eligible Special Needs Plans (DSNPs) are available in Florida, Missouri, Kansas and Pennsylvania to anyone who has both Medical Assistance from the state and Medicare. Premiums, copays, coinsurance and deductibles may vary based on the level of Extra Help that you receive. Please contact the plan for further details.

You must continue to pay your Medicare Part B premium. The Part B premium is covered for full-dual members where DSNP plans are available.

This information is available for free in other languages. Please contact Coventry Health Care at 1-877-725-8933 , 8 a.m. to 8 p.m., seven days, from October 1 – February 14; 8 a.m. to 8 p.m. Monday – Friday, from February 15 – September 30.

Medicare beneficiaries may also enroll through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov.



Page Last Updated: 12/28/2012
CMS Approved Date: Approved 02/08/2013
CMS Document ID: Y0022_PDPCCP_2013_4006_1202b

© Copyright 2008-2013 Coventry Health Care

Coventry Health Care is a Coordinated Care plan with a Medicare contract. A Medicare-approved Part D sponsor.