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:
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
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)
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
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.