First Health Part D Value Plus Benefit Plans

Medicare Prescription Drug Plan Ratings

The Medicare Program rates how well Medicare Prescription Drug Plans perform in different categories (for example, customer service, drug pricing, patient safety). The information provided in the documents below are summary ratings of each of our plan's overall performance. This information is available to help you make the best choice. If you would like to get additional information on the performance of our plans please contact us at 1-800-882-3822 (TTY/TDD 711 Telecommunications Relay Service) for prospective members, 1-866-823-5178 (toll-free) or 1-800-716-3231 (TTY/TDD) for current members, 8 a.m. to 8 p.m., seven days a week or you may visit www.medicare.gov.

2013 Plan Ratings:
First Health Part D - S5569
First Health Part D - S5768

Member Benefits Documents

Below you will find access to the Summary of Benefits and Evidence of Coverage for your plan by state. Or review the Low Income Subsidy Summary for your state.

2013 First Health Part D Value Plus Member Benefits

Alabama

2013 Summary of Benefits
2013 Evidence of Coverage

Arizona

2013 Summary of Benefits
2013 Evidence of Coverage

Arkansas

2013 Summary of Benefits
2013 Evidence of Coverage

California

2013 Summary of Benefits
2013 Evidence of Coverage

Colorado

2013 Summary of Benefits
2013 Evidence of Coverage

Connecticut

2013 Summary of Benefits
2013 Evidence of Coverage

Delaware

2013 Summary of Benefits
2013 Evidence of Coverage

Florida

2013 Summary of Benefits
2013 Evidence of Coverage

Georgia

2013 Summary of Benefits
2013 Evidence of Coverage

Idaho

2013 Summary of Benefits
2013 Evidence of Coverage

Illinois

2013 Summary of Benefits
2013 Evidence of Coverage

Indiana

2013 Summary of Benefits
2013 Evidence of Coverage

Iowa

2013 Summary of Benefits
2013 Evidence of Coverage

Kansas

2013 Summary of Benefits
2013 Evidence of Coverage

Kentucky

2013 Summary of Benefits
2013 Evidence of Coverage

Louisiana

2013 Summary of Benefits
2013 Evidence of Coverage

Maine

2013 Summary of Benefits
2013 Evidence of Coverage

Maryland

2013 Summary of Benefits
2013 Evidence of Coverage

Massachusetts

2013 Summary of Benefits
2013 Evidence of Coverage

Michigan

2013 Summary of Benefits
2013 Evidence of Coverage

Minnesota

2013 Summary of Benefits
2013 Evidence of Coverage

Mississippi

2013 Summary of Benefits
2013 Evidence of Coverage

Missouri

2013 Summary of Benefits
2013 Evidence of Coverage

Montana

2013 Summary of Benefits
2013 Evidence of Coverage

Nebraska

2013 Summary of Benefits
2013 Evidence of Coverage

Nevada

2013 Summary of Benefits
2013 Evidence of Coverage

New Hampshire

2013 Summary of Benefits
2013 Evidence of Coverage

New Jersey

2013 Summary of Benefits
2013 Evidence of Coverage

New Mexico

2013 Summary of Benefits
2013 Evidence of Coverage

New York

2013 Summary of Benefits
2013 Evidence of Coverage

North Carolina

2013 Summary of Benefits
2013 Evidence of Coverage

North Dakota

2013 Summary of Benefits
2013 Evidence of Coverage

Ohio

2013 Summary of Benefits
2013 Evidence of Coverage

Oklahoma

2013 Summary of Benefits
2013 Evidence of Coverage

Oregon

2013 Summary of Benefits
2013 Evidence of Coverage

Pennsylvania

2013 Summary of Benefits
2013 Evidence of Coverage

Rhode Island

2013 Summary of Benefits
2013 Evidence of Coverage

South Carolina

2013 Summary of Benefits
2013 Evidence of Coverage

South Dakota

2013 Summary of Benefits
2013 Evidence of Coverage

Tennessee

2013 Summary of Benefits
2013 Evidence of Coverage

Texas

2013 Summary of Benefits
2013 Evidence of Coverage

Utah

2013 Summary of Benefits
2013 Evidence of Coverage

Vermont

2013 Summary of Benefits
2013 Evidence of Coverage

Virginia

2013 Summary of Benefits
2013 Evidence of Coverage

Washington

2013 Summary of Benefits
2013 Evidence of Coverage

Washington DC

2013 Summary of Benefits
2013 Evidence of Coverage

West Virginia

2013 Summary of Benefits
2013 Evidence of Coverage

Wisconsin

2013 Summary of Benefits
2013 Evidence of Coverage

Wyoming

2013 Summary of Benefits
2013 Evidence of Coverage

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Additional Prescription Information

Contact Us

More Information

Online Request Forms
Member Request for Coverage Determination
Member Request for Redetermination (Appeal)
Medicare.gov Resources
Medicare.gov
Medicare Complaint Form
Ombudsman
Other Resources
Best Available Evidence for Low-Income Subsidy
Prior Authorizations & Exceptions
Transition Policies and Exceptions Process
Out-of-Network Coverage
Quality Assurance Policies and Procedures
Potential For Contract Termination

Coventry Medicare

Coventry Health Care

Page Last Updated: 05/16/2013
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.