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
  • has no additional premium costs outside of your Medicare Part B premium
  • Primary care physician office visit copay of $5

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$2 copay$5 copay$2 copay
Tier 2: Non-Preferred Generic$4 copay$7 copay$4 copay
Tier 3: Preferred Brand Name$40 copay$43 copay$40 copay
Tier 4: Non-Preferred Brand Name$80 copay$83 copay$80 copay
Tier 5: Specialty Tier33% coinsurance33% coinsuranceNot offered
90 Day SupplyPreferred Retail PharmaciesNon-Preferred Retail PharmaciesMail-Order Pharmacies
Tier 1: Preferred Generic$6 copay$15 copay$6 copay
Tier 2: Non-Preferred Generic$12 copay$21 copay$12 copay
Tier 3: Preferred Brand Name$120 copay$129 copay$120 copay
Tier 4: Non-Preferred Brand Name$240 copay$249 copay$240 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
Not Rated

Physician Finder

Physicians that accept Coventry Total Care (HMO) for Iowa

/
WEBB, KRISTA
3400 E 33RD ST
DES MOINES, IA 50317
PERCY-SWEET, JEAN
2918 E UNIVERSITY AVE
DES MOINES, IA 50317
VAN WYK, ALEXANDER
2915 HUBBELL AVE
DES MOINES, IA 50317
QUINN, MICHAEL
700 E UNIVERSITY AVE
DES MOINES, IA 50316
NATH, AMAR
1301 PENN AVENUE
DES MOINES, IA 50316
ZAFAR, SAIMA
1301 PENN AVENUE
DES MOINES, IA 50316
BUNTING, TERRI
1301 PENN AVENUE
DES MOINES, IA 50316
RICHARDS, L
1301 PENN AVE
DES MOINES, IA 50316
SIDNEY, REBECCA
1201 PENNSYLVANIA AVE
DES MOINES, IA 50316
WYMER, SARAH
840 E UNIVERSITY AVE
DES MOINES, IA 50316
VAUDT, CORY
1301 PENNSYLVANIA AVE STE 417
DES MOINES, IA 50316
ABBASI, JAVAID
1301 PENNSYLVANIA AVE
DES MOINES, IA 50316
NICHOLS, JEFF
700 E UNIVERSITY AVE
DES MOINES, IA 50316
WEBSTER, MATTHEW
840 E UNIVERSITY AVE
DES MOINES, IA 50316
BAKER, LARRY
1200 PLEASANT ST
DES MOINES, IA 50309
HOFFMAN, ERNST
1301 PENNSYLVANIA AVE
DES MOINES, IA 50316
GUTSHALL, TIMOTHY
1301 PENNSYLVANIA AVE
DES MOINES, IA 50316
ANKENY, JOHN
1301 PENNSYLVANIA AVE
DES MOINES, IA 50316
PATE, JENNIFER
1301 PENN AVE
DES MOINES, IA 50316
SMIDT, WESLEY
1301 PENNSYLVANIA AVENUE,
DES MOINES, IA 50316
LEWIS, GINA
5900 E UNIVERSITY AVE
PLEASANT HILL, IA 50327
JOHNSON-ROSE, NANCY
7481 HIGHWAY 65 69
DES MOINES, IA 50320
HANSEN-PENMAN, WENDY
1801 HICKMAN ROAD
DES MOINES, IA 50314
SEXTON, TIMOTHY
5921 SE 14TH ST
DES MOINES, IA 50320
Details
KRISTA WEBB, PA
Phone Number
(515) 262-1405
Office Locations
3400 E 33RD ST
DES MOINES, IA 50317
3400 E 33RD ST DES MOINES IA, 50317

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