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:

For HMO D SNP Members:

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:

For HMO D SNP Members:

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:

• Optional Benefit Individual Enrollment Form - English (PDF)
• Optional Benefit Individual Enrollment Form - Spanish (PDF)

• Optional Supplemental Benefits Flyer - H8225-001 - English (PDF)
• Optional Supplemental Benefits Flyer - H8225-001 - Spanish (PDF)
• Optional Supplemental Benefits Flyer - H8225-002 - English (PDF)
• Optional Supplemental Benefits Flyer - H8225-002 - Spanish (PDF)

• Over-the-Counter Benefits - English (PDF)
• Over-the-Counter Benefits - Spanish (PDF)

• Member Newsletter

This booklet gives you a summary of costs and coverage in your plan. Please select the document for your plan and county:

** Refer to Addendum to 2023 Medicare Advantage Benefits for additional information**

For HMO Members:

For HMO D SNP Members:

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:

** Refer to Addendum to 2023 Medicare Advantage Benefits for additional information**

For HMO Members:

For HMO D SNP Members:

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:

** Refer to Addendum to 2023 Medicare Advantage Benefits for additional information**

For HMO D SNP Members:

This document is an addendum to the 2023 Evidence of Coverage (EOC), Annual Notice of Change (ANOC) and Summary of Benefits (SB) for the plan(s) listed below.  It describes the member cost sharing protections provided under the Inflation Reduction Act (IRA) for certain Part B drugs.

• Addendum to 2023 Medicare Advantage Benefits (PDF)
  • H8225-001 Ascension Complete Florida Reward (HMO)
  • H8225-003 Ascension Complete St. Vincent's Secure (HMO)
  • H8225-004 Ascension Complete Sacred Heart Secure (HMO)
  • H8225-007 Ascension Complete St. Vincent's Access POS (HMO-POS) 
  • H8225-008 Ascension Complete Sacred Heart Access POS (HMO-POS)
  • H8225-009 Ascension Complete Florida Reward II (HMO)

For HMO Members:

For HMO D SNP Members:

• Optional Benefit Individual Enrollment Form - English (PDF)

• Optional Supplemental Benefits Flyer - H8225-001 - English (PDF)

• Over-the-Counter Catalog - English (PDF)

• Ascension Extra Benefit - English (PDF)
• Ascension Extra Benefit - Spanish (PDF)