Our Medicare Advantage plans are open to all Medicare beneficiaries eligible by age or disability and living in the plan’s service area. You must be entitled to Medicare benefits under Part A and be enrolled in Part B. You must continue to pay your Medicare Part B premium if not otherwise paid for under Medicaid or by another third party. If you switch to premium withhold or move from premium withhold to direct bill, it can take up to three months for the switch to take effect. You will be held responsible for those premiums. You may enroll during specific times of the year. You cannot enroll in this plan if your current or former employer helps pay for your drugs. For information on enrollment periods and for full information on Coventry benefits, please click here to contact our Customer Service Department.
Coventry Advantra HMO for State of Illinois Medicare retirees: Home
Aetna Medicare is a PDP, HMO, PPO plan with a Medicare contract. Our SNPs also have contracts with State Medicaid programs. Enrollment in our plans depends on contract renewal. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium. See Evidence of Coverage for a complete description of benefits, exclusions, limitations and conditions of coverage. Plan features and availability may vary by location. The Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary. Cost sharing for members who get "Extra Help" is the same at preferred and network pharmacies. Participating physicians, hospitals and other health care providers are independent contractors and are neither agents nor employees of Aetna. The availability of any particular provider cannot be guaranteed, and provider network composition is subject to change. The Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary. This material is for informational purposes only and is not medical advice. Health information programs provide general health information and are not a substitute for diagnosis or treatment by a physician or other health care professional. Contact a health care professional with any questions or concerns about specific health care needs. Providers are independent contractors and are not agents of Aetna. Provider participation may change without notice. Aetna is not a provider of health care services and, therefore, cannot guarantee any results or outcomes. The availability of any particular provider cannot be guaranteed and is subject to change. Information is believed to be accurate as of the production date; however, it is subject to change. You may have the option to use mail-order. For mail-order, you can get prescription drugs shipped to your home through the network mail-order delivery program. Typically, mail-order drugs arrive within 7 to 14 days. Please call us if you do not receive your mail-order drugs within this timeframe. Aetna members, please call if you do not receive your mail-order drugs within this timeframe. Members may have the option to sign-up for automated mail-order delivery. For Customer Service call the number on the back of your ID card. 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. This information is available for free in other languages. Please call our customer service number at 1-855-223-4807 (TTY: 711), Monday through Sunday, 8 a.m. to 8 p.m. Esta información está disponible en otros idiomas de manera gratuita. Comuníquese con Servicios al Cliente al 1-855-223-4807 (TTY: 711). Horario de atención: de 8 a.m. a 8 p.m., los siete días de la semana. *By providing my email address or telephone number, I give permission to Coventry Health Care sales and service representatives to contact me in the manner indicated above regarding Coventry Health Care Medicare Advantage (HMO/PPO/HMO-POS) plans, products, services and/or educational initiatives related to health care. This information is not a complete description of benefits. Contact the plan for more information. SilverSneakers® is a registered mark of Healthways, Inc.
HealthAmerica Advantra Silver (PPO) Benefits in Pennsylvania
Our plan covers many preventive services including: Abdominal aortic aneurysm screening Alcohol misuse counseling Bone mass measurement Breast cancer screening (mammogram) Cardiovascular disease (behavioral therapy) Cardiovascular screenings Cervical and vaginal cancer screening Colorectal cancer screenings (Colonoscopy Fecal occult blood test Flexible sigmoidoscopy) Depression screening Diabetes screenings HIV screening Medical nutrition therapy services Obesity screening and counseling Prostate cancer screenings (PSA) Sexually transmitted infections screening and counseling Tobacco use cessation counseling (counseling for people with no sign of tobacco-related disease) Vaccines including Flu shots Hepatitis B shots Pneumococcal shots “Welcome to Medicare” preventive visit (one-time) Yearly “Wellness” visit Any additional preventive services approved by Medicare during the contract year will be covered.
For existing members, to obtain the terms of your policy or a copy of your plan document, please contact us at the number located on the back of your member ID card. If you are not an existing member, for additional information on the terms of the policy or a copy of the plan document, please contact us using the phone number under the Contact Us tab.
Coventry Medicare Services Overview
Coventry’s acquisition by Aetna seems to have benefited both carriers, especially for the valuable Medicare audience. “It’s a deal that almost had to happen,” stated analyst Thomas Carroll. “For Aetna to really compete effectively amongst the other large, national managed-care companies, they have to do more in terms of gaining market share in the commercial business, as well as getting a bigger foothold in Medicare and Medicaid, which are the growth areas in managed care over the next decade.” Aetna gained 5 million Coventry members, including: 250,000 Medicare enrollees, 1.5 million Part D enrollees and 930,000 Medicaid enrollees. They were also able to grow two valuable audiences: smaller employers and beneficiaries who purchased individual coverage.