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.
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, and Nassau | |
Ascension Complete Sacred Heart Reward (HMO) | H8225 - 002 | Escambia, Santa Rosa, and Walton | |
Ascension Complete St. Vincent's Secure (HMO) | H8225 -003 | Baker, Clay, Duval, and Nassau | |
Ascension Complete Sacred Heart Secure (HMO) | H8225 - 004 | Escambia, Santa Rosa, and Walton | |
Ascension Complete St. Vincent's Access POS | H8225-007 | Baker, Clay, Duval, and Nassau | |
Ascension Complete Sacred Heart Access POS | H8225-008 | Escambia, Santa Rosa, and Walton |
For HMO D SNP Members:
Plan Name
CMS #
County
Summary of Benefits
Ascension Complete St. Vincent's DSNP
H8225 - 005
Baker, Clay, Duval, and Nassau
Ascension Complete Sacred Heart DSNP
H8225 - 006
Escambia, Santa Rosa, and Walton
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 Reward (Jacksonville) | H8225 - 001 | Baker, Clay, Duval, and Nassau | |
Ascension Complete Sacred Heart Reward (Pensacola) | H8225 - 002 | Escambia, Santa Rosa, and Walton | |
Ascension Complete St. Vincent's Secure (Jacksonville) | H8225 - 003 | Baker, Clay, Duval, and Nassau | |
Ascension Complete Sacred Heart Secure (Pensacola) | H8225 - 004 | Escambia, Santa Rosa, and Walton | |
Ascension Complete St. Vincent's Access POS (HMO POS) | H8225 - 007 | Baker, Clay, Duval, and Nassau | |
Ascension Complete Sacred Heart Access POS | H8225 - 008 | Escambia, Santa Rosa, and Walton |
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, and Nassau
Ascension Complete Sacred Heart DSNP (HMO D-SNP)
H8225 - 006
Escambia, Santa Rosa, and Walton
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, and Nassau
Ascension Complete Sacred Heart Reward (HMO)
H8225 - 002
Escambia, Santa Rosa, and Walton
Ascension Complete St. Vincent's Secure (HMO)
H8225 -003
Baker, Clay, Duval, and Nassau
Ascension Complete Sacred Heart Secure (HMO)
H8225 - 004
Escambia, Santa Rosa, and Walton
If you have any questions please, contact Member Services.