Florida 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) H8225 - 001 Baker, Clay, Duval, Escambia, Nassau and Santa Rosa counties
Ascension Complete Sacred Heart Reward (HMO) H8225 - 002 Baker, Clay, Duval, Escambia, Nassau and Santa Rosa counties
Ascension Complete St. Vincent's Secure (HMO) H8225 -003 Baker, Clay, Duval, Escambia, Nassau and Santa Rosa counties
Ascension Complete Sacred Heart Secure (HMO) H8225 - 004 Baker, Clay, Duval, Escambia, Nassau and Santa Rosa counties
Ascension Complete St. Vincent's Access POS H8225-007  
Ascension Complete Sacred Heart Access POS H8225-008  

For HMO D SNP Members:

Plan Name CMS # County Summary of Benefits
Ascension Complete St. Vincent's DSNP H8225 - 005 Baker, Clay, Duval, Escambia, Nassau and Santa Rosa counties
Ascension Complete Sacred Heart DSNP H8225 - 006 Baker, Clay, Duval, Escambia, Nassau and Santa Rosa counties

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:

For HMO Members:

Plan Name CMS # County Evidence of Coverage (EOC)
Ascension Complete St. Vincent's Access POS (HMO POS) H8225 - 007 Baker, Clay, Duval, Nassau
  • Evidence of Coverage, H8225-007 - English (PDF)
Ascension Complete Sacred Heart Access POS H8225 - 008 Escambia, Santa Rosa, Walton
  • Evidence of Coverage, H8225-008 - English (PDF)

For HMO D SNP Members:

Plan Name CMS # County Evidence of Coverage (EOC)
Ascension Complete St. Vincent's DSNP (HMO D-SNP) H8225 - 005 Baker, Clay, Duval, Nassau
  • Evidence of Coverage, H8225-005 - English (PDF)
Ascension Complete Sacred Heart DSNP (HMO D-SNP) H8225 - 006 Escambia, Santa Rosa, Walton
  • Evidence of Coverage, H8225-006 - English (PDF)

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:

Plan Name CMS # County Annual Notice of Changes (ANOC)
Ascension Complete St. Vincent's Reward (HMO) H8225 - 001 Baker, Clay, Duval, Escambia, Nassau and Santa Rosa counties
Ascension Complete Sacred Heart Reward (HMO) H8225 - 002 Baker, Clay, Duval, Escambia, Nassau and Santa Rosa counties
Ascension Complete St. Vincent's Secure (HMO) H8225 -003 Baker, Clay, Duval, Escambia, Nassau and Santa Rosa counties
Ascension Complete Sacred Heart Secure (HMO) H8225 - 004 Baker, Clay, Duval, Escambia, Nassau and Santa Rosa counties

Your current plan may have an over-the-counter benefit that allows you to purchase over-the-counter (OTC) health and wellness products. This catalog includes a list of over-the-counter items that you can order to be directly mailed to your home. Check the catalog for item limits.

Ordering is easy! Just follow the steps listed on your plan's catalog.

If you have questions please, contact Member Services.

If you have questions please, contact Member Services.