MEDICARE MEMBERS: PROTECT YOURSELF AGAINST MEDICARE FRAUD AND IDENTIFY THEFT! THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES OFFICE OF INSPECTOR GENERAL IS ALERTING THE PUBLIC ABOUT A FRAUD SCHEME INVOLVING GENETIC TESTING. LEARN HOW TO PROTECT YOURSELF.
Alabama Plan Benefit Materials
This booklet gives you a summary of costs and coverage in your plan. Please select the document for your plan and county:
For HMO Members:
Plan Name | CMS # | County | Summary of Benefits |
---|---|---|---|
Ascension Complete St. Vincent's Reward (HMO) | H4343- 001 | Bibb, Blount, Jefferson, Shelby and St. Clair counties | |
Ascension Complete Providence Reward (HMO) | H4343- 002 | Mobile county | |
Ascension Complete St. Vincent's Secure (HMO) | H4343-003 | Bibb, Blount, Jefferson, Shelby and St. Clair counties | |
Ascension Complete Providence Secure (HMO) | H4343- 004 | Mobile county |
For HMO D SNP Members:
Plan Name | CMS # | County | Summary of Benefits |
---|---|---|---|
Ascension Complete St. Vincent's DSNP (HMO D-SNP) | H4343- 005 | Bibb, Blount, Jefferson, Shelby and St. Clair counties | |
Ascension Complete Providence DSNP (HMO D-SNP) | H4343- 006 | Mobile county |
For PPO Members:
Plan Name
CMS #
County
Summary of Benefits
Ascension Complete St. Vincent's Access Plus (PPO)
H7556- 001
Bibb, Blount, Jefferson, Shelby and St. Clair counties
Ascension Complete St. Vincent's Access (PPO)
H7556- 002
Bibb, Blount, Jefferson, Shelby and St. Clair counties
Ascension Complete Providence Access Plus (PPO)
H7556- 003
Mobile County
Ascension Complete Providence Access (PPO)
H7556- 004
Mobile county
This booklet gives you a complete list of services, limitations and exclusions for your plan coverage. Please select the document for your plan and county:
Plan Name | CMS # | County | Evidence of Coverage (EOC) |
---|---|---|---|
Ascension Complete St. Vincent's Reward (HMO) | H4343- 001 | Bibb, Blount, Jefferson, Shelby and St. Clair counties | |
Ascension Complete Providence Reward (HMO) | H4343- 002 | Mobile county | |
Ascension Complete St. Vincent's Secure (HMO) | H4343-003 | Bibb, Blount, Jefferson, Shelby and St. Clair counties | |
Ascension Complete Providence Secure (HMO) | H4343- 004 | Mobile county |
For HMO D SNP Members:
Plan Name | CMS # | County | Evidence of Coverage (EOC) |
---|---|---|---|
Ascension Complete St. Vincent's DSNP (HMO D-SNP) | H4343- 005 | Bibb, Blount, Jefferson, Shelby, St. Clair | |
Ascension Complete Providence DSNP (HMO D-SNP) | H4343- 006 | Mobile |
For PPO Members:
Plan Name
CMS #
County
Evidence of Coverage (EOC)
Ascension Complete St. Vincent's Access Plus (PPO)
H7556- 001
Bibb, Blount, Jefferson, Shelby and St. Clair counties
Ascension Complete St. Vincent's Access (PPO)
H7556- 002
Bibb, Blount, Jefferson, Shelby and St. Clair counties
Ascension Complete Providence Access Plus
H7556- 003
Mobile County
Ascension Complete Providence Access (PPO)
H7556- 004
Mobile County
This booklet will tell you about changes to your plan’s costs and benefits for the coming year. Please select the document for your plan and county:
For HMO Members:
Plan Name | CMS # | County | Annual Notice of Changes (ANOC) |
---|---|---|---|
Ascension Complete St. Vincent's Reward (HMO) | H4343- 001 | Bibb, Blount, Jefferson, Shelby and St. Clair counties | |
Ascension Complete Providence Reward (HMO) | H4343- 002 | Mobile county | |
Ascension Complete St. Vincent's Secure (HMO) | H4343-003 | Bibb, Blount, Jefferson, Shelby and St. Clair counties | |
Ascension Complete Providence Secure (HMO) | H4343- 004 | Mobile county |
If you have any questions please, contact Member Services.