PARTCRX

Plan Summary

Insurance Type
Medicare Advantage Plan (Part C w/ RX)
Insurance Provider
Coventry Health Care
CMS Rating
Plan Type
HMO
Annual Deductible
$0.00

What To Know About This Plan

  • This plan has health and drug coverage

Why We Like This Plan

  • has both Health and Drug Coverage
  • Primary care physician office visit copay of $10

Cost Sharing Information

Prescription Drug Copay/Coninsurance Details - Initial Coverage Limit

30 Day SupplyPreferred Retail PharmaciesNon-Preferred Retail PharmaciesMail-Order Pharmacies
Tier 1: Preferred Generic$4 copay$8 copay$4 copay
Tier 2: Non-Preferred Generic$19 copay$33 copay$19 copay
Tier 3: Preferred Brand Name$34 copay$45 copay$34 copay
Tier 4: Non-Preferred Brand Name$92 copay$95 copay$92 copay
Tier 5: Specialty Tier33% coinsurance33% coinsuranceNot offered
90 Day SupplyPreferred Retail PharmaciesNon-Preferred Retail PharmaciesMail-Order Pharmacies
Tier 1: Preferred Generic$12 copay$24 copay$10 copay
Tier 2: Non-Preferred Generic$57 copay$99 copay$47.5 copay
Tier 3: Preferred Brand Name$102 copay$135 copay$85 copay
Tier 4: Non-Preferred Brand Name$276 copay$285 copay$276 copay
Tier 5: Specialty Tier

CMS Ratings

Staying healthy - screenings, tests and vaccines

Breast cancer screening
Not Rated
Colorectal cancer screening
Cholesterol screening for patients with heart disease
Glaucoma testing
Annual flu vaccine
Pneumonia vaccine
Improving or maintaining physical health
Improving or maintaining mental health
Monitoring physical ability
Access to primary care doctor visits
Adult BMI assessment

Managing Chronic Conditions

Care for older adults – medication review
Not Rated
Care for older adults – functional status assessment
Not Rated
Care for older adults – Pain screening
Not Rated
Osteoporosis management in women who had a fracture
Diabetes care – eye exam
Diabetes care – kidney disease monitoring
Diabetes care – blood sugar controlled
Diabetes care – cholesterol controlled
Controlling blood pressure
Rheumatoid arthritis management
Improving bladder control
Reducing the risk of falling
Plan all-cause readmissions

Ratings of Plan Responsiveness and Care

Getting needed care
Getting appointments and care quickly
Customer service
Overall rating of health care quality
Overall rating of plan

Member Complaints, Problems Getting Services, and Choosing to Leave the Plan

Complaints about the health plan
Beneficiary access and performance problems
Members choosing to leave the plan
Plan makes timely decision about appeals
Reviewing appeals decisions
Call center – foreign language interpreter and TTY/TDD availability

Physician Finder

Physicians that accept Advantra Silver Plus (HMO) for Pennsylvania

/
TADLEY, GERALD
335 E WYOMING AVE
PHILADELPHIA, PA 19120
BLENDER, BURTON
335 E WYOMING AVE
PHILADELPHIA, PA 19120
VANGORE, SURYA
431 W ROOSEVELT BLVD
PHILADELPHIA, PA 19120
MATSON, DAVID
101 E OLNEY AVE
PHILADELPHIA, PA 19120
AHSAN, SYED
101 E OLNEY AVE
PHILADELPHIA, PA 19120
SRIDHARA, CHANNARAYAPATNA
101 E OLNEY AVE
PHILADELPHIA, PA 19120
VACHRANUKUNKIET, THEERA
101 E OLNEY AVE
PHILADELPHIA, PA 19120
BRADY, PAUL
101 E OLNEY AVE
PHILADELPHIA, PA 19120
YOO, STANLEY
101 E OLNEY AVE
PHILADELPHIA, PA 19120
ANG, DEXTER
100 BOWMAN DR
VOORHEES, NJ 08043
GARCIA, LAUREANO
328 W GODFREY AVE
PHILADELPHIA, PA 19120
MANIN, BRADLEY
8302 OLD YORK RD
ELKINS PARK, PA 19027
SILVERSTEIN, DANIEL
8302 OLD YORK RD
ELKINS PARK, PA 19027
SCHWARTZ, MELISSA
375 TOWNSHIP LINE RD
ELKINS PARK, PA 19027
DIAMOND, NICHOLAS
8080 OLD YORK RD
ELKINS PARK, PA 19027
BIRNBAUM, MICHAEL
8380 OLD YORK RD
ELKINS PARK, PA 19027
OVSIOWITZ, REBECCA
333 TOWNSHIP LINE RD
ELKINS PARK, PA 19027
SINGER, EDWARD
401 TOWNSHIP LINE RD
ELKINS PARK, PA 19027
LAFONTANT, GILBERT
60 TOWNSHIP LINE RD
ELKINS PARK, PA 19027
CALANTONI, SUSAN
8380 OLD YORK RD
ELKINS PARK, PA 19027
SHORE, MATTHEW
314 YORK RD
JENKINTOWN, PA 19046
HUDES, DEBRA
9331 OLD BUSTLETON AVE
PHILADELPHIA, PA 19115
MARINO, MICHAEL
60 TOWNSHIP LINE RD
ELKINS PARK, PA 19027
HALLUSKA, MARIA
5501 OLD YORK RD
PHILADELPHIA, PA 19141
KORVEK, SCOTT
5501 OLD YORK RD
PHILADELPHIA, PA 19141
Details
GERALD TADLEY, DO
Phone Number
(215) 455-0113
Office Locations
335 E WYOMING AVE
PHILADELPHIA, PA 19120
335 E WYOMING AVE PHILADELPHIA PA, 19120

Community Q&A

Do you have questions about this plan?

Get answers from the HealthPocket community.
1 question| 1 answer
Premium
Q:What is the TOTAL monthly premium for the Advantra Silver Plus HMO in Allegheny County, PA (15241) for the year 2014?
Asked by Anonymous 

1 answer

Know the Answer? Answer this Question
A: You may fill out your zip code, date of birth , medication, condition etc information required in the quote page, then you will get the total monthly premium there.
Answered on 1/6/2014 by Anonymous 

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