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Compare and find the best plan for you.
View plan details, compare costs and enroll online or download a printable enrollment form.
2012 Plan Year Options
If you are an individual and are ready to enroll in one of our plans, you can also call 1-877-988-3589 (TTY/TDD 711 Telecommunications Relay Service) 8 a.m. - 8 p.m. local time, seven days a week.
If you receive your health care coverage through your former employer, please contact your Human Resource Department or Benefit Administrator to receive instructions on how to enroll in the Coventry Health Care plan available to you.
Notices & Disclaimers
First Health Part D (PDP)
A Medicare-approved Part D sponsor. First Health Part D Value Plus is not available in Alaska or Hawaii. We invite residents of those states to consider our Premier or Premier Plus plans..
You must be entitled to Medicare benefits under Part A and/or enrolled in Part B, and reside in the First Health Part D service area. You may only enroll in one Part D Benefit Plan (PDP) at a time and only during specific times of the year. If you are enrolled in a Medicare coordinated care (HMO or PPO) plan or a Medicare Advantage (MA) Private Fee-for-Service (PFFS) plan that includes Medicare prescription drugs, you may not enroll in a PDP unless you disenroll from the HMO, PPO or MA PFFS plan. Enrollees in a PFFS plan that does not provide Medicare prescription drug coverage, or a MA Medical Savings Account (MSA) plan may enroll in a PDP. Enrollees in an 1876 Cost plan may enroll in a PDP.
You must continue to pay your Medicare Part B premium.
If you decide to switch to premium withhold or move from premium withhold to direct billing, it could take up to three months for it to take effect and you will ultimately be held responsible for those premiums.
The benefit information provided herein is a brief summary, not a comprehensive description of benefits. For more information contact the plan.
Limitations, copayments and restrictions may apply.
Eligible beneficiaries must use network pharmacies to access their prescription drug benefit except under non-routine circumstances, and quantity limitations and restrictions may apply.
Benefits, formulary, pharmacy, network premium and/or co-payments/co-insurance may change on January 1, 2013. Please contact First Health Part D for details.
You may be able to get Extra Help to pay for your prescription drug premiums and costs. To see if you qualify for getting Extra Help, call:
- 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/7 days a week;
- The Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call 1-800-325-0778; or
- Your State Medicaid Office.
People with limited incomes may qualify for Extra Help to pay for their prescription drug costs. If you qualify, Medicare could pay up to seventy-five (75) percent or more of your drug costs including monthly prescription drug premiums, annual deductibles and coinsurance. Additionally, those who qualify will not be subject to the coverage gap or a late enrollment penalty. Many people are eligible for these savings and don’t even know it. For more information about this Extra Help, contact your local Social Security office or call 1-800-MEDICARE (1-800-633-4227), 24 hours per day, 7 days per week. TTY users should call 1-877-486-2048.
This is not a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov. Medicare beneficiaries may enroll in First Health Part D through the CMS Medicare Online Enrollment Center, located at www.medicare.gov. For more information contact First Health Part D (PDP) at 1-800-588-3322 (TTY/TDD 711 Telecommunications Relay Service), 8 a.m. to 8 p.m., seven days a week. Brokers are paid a commission upon beneficiary enrollment.
The Medicare program rates how well plans perform in different categories (for example, detecting and preventing illness, ratings from patients and customer service.) To find plan ratings information, go to http://www.medicare.gov and select “Health & Drug Plans” on the left navigation to compare the plan ratings for Medicare plans in your area. You can also call us directly at 1-800-588-3322 (TTY/TDD users call 711), 8 a.m. to 8 p.m., seven days a week to obtain a copy of the plan ratings for First Health Part D.
Documents are available for free in alternative formats or languages. Call First Health Part D at 1-800-588-3322 (TTY/TDD 711 Telecommunications Relay Service), 8 a.m. to 8 p.m., seven days a week for additional information.
Medicare Advantage (HMO/PPO/POS)
A Coordinated Care plan with a Medicare Advantage contract. The benefit information provided herein is a brief summary, not a comprehensive description of benefits. For more information contact the plan.
Benefits, formulary, pharmacy network, premium and/or copayments/coinsurance may change on January 1, 2013.
Individuals must have both Part A and Part B to enroll. You must continue to pay your Medicare Part B premium.
Limitations, copayments and restrictions may apply.
You may be able to get Extra Help to pay for your prescription drug premiums and costs. To see if you qualify for extra help, call:
- 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/7 days a week;
- The Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call 1-800-325-0778; or
- Your State Medicaid Office.
People with limited incomes may qualify for Extra Help to pay for their prescription drug costs. If you qualify, Medicare could pay up to seventy-five (75) percent or more of your drug costs including monthly prescription drug premiums, annual deductibles and coinsurance. Additionally, those who qualify will not be subject to the coverage gap or a late enrollment penalty. Many people are eligible for these savings and don’t even know it. For more information about this Extra Help, contact your local Social Security office or call 1-800-MEDICARE (1-800-633-4227), 24 hours per day, 7 days per week. TTY users should call 1-877-486-2048.
You may enroll in the plan only during specific times of the year. Contact us for more information. You can enroll at any time in a Dual Eligbile SNP. You must have both Part A and Part B to enroll.
Documents are available for free in alternate formats or languages. For more information, contact our Customer Service Department.
Eligible beneficiaries must use network pharmacies to access their prescription drug benefit except under non-routine circumstances, and quantity limitations and restrictions may apply.
Members in our HMO plans must use plan providers except in emergency or urgent care situations or for out-of-area renal dialysis or other services. If you obtain routine care from out-of-network providers, neither Medicare nor Coventry Health Care (and all subsidiaries) will be responsible for the costs.
Members in our PPO/POS plans can go to doctors, specialists or hospitals in- or out-of-network. With the exception of emergency or urgent care, it may cost more to get care from out-of-network providers.
Dual-eligible Special Needs Plans are available 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.
The Medicare program rates how well plan sponsors perform in different categories (for example, detecting and preventing illness, ratings from patients, patient safety and customer service and other measures). To find plan ratings information go to http://www.medicare.gov and select "Health & Drug Plans" on the left navigation to compare the plan ratings for Medicare plans in your area. You can also call us directly at 1-877-982-9123 ( TTY users may call 711) to obtain a copy of the plan ratings for this plan.
This is not a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov. Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov.
Coventry Medicare
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Medicare.gov Resources
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Medicare.gov
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Medicare Complaint Form
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Ombudsman
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Employer Groups & Consultants
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Looking for group retiree health care solutions?
Click to find out what Coventry has to offer Employer Groups.
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Other Information
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Contact Information
If you would like to speak to a representative about any of our plans, please call us at 1-877-988-3589 (TDD/TTY: 711 Telecommunications Relay Service).
