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Coventry Advantra: Prescription Drug Plan

Coordinated Care plans from Coventry Health Care combine Part A (hospital), Part B (medical) and Part D (prescription drug) coverage into one source of coverage, and include HMO, PPO, and POS options.

In addition to medical and prescription drug coverage, these plans offer many added benefits like dental, vision, hearing, over-the-counter drug coverage and no-cost health club memberships.

Best of all, most Coventry plans offer coverage options for no or low monthly plan premiums.

Members in the HMO plans must use plan providers (sometimes called “in network” providers), except in emergency or urgent care situations or for out-of-area renal dialysis.

Members in the PPO/POS plans can go to doctors, specialists or hospitals in- or out-of-network. With the exception of emergency or urgent care, it costs less for members to utilize in-network providers.


FORMS >>


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pdf Formulary (List of covered drugs)
      513.66 kB pdf on 2009-08-21 from: Coventry

  • pdf Individual Enrollment Form
          3.8 MB pdf on 2009-09-16 from: Coventry

  • pdf Prescription Drug Plans
          1.78 MB pdf on 2010-01-01 from: Coventry

  • pdf Summary of Benefits
          640.15 kB pdf on 2009-10-02 from: Coventry



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