Illinois 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 AMITA Health Reward (HMO) H7399-001 Cook, DuPage, Kane, Kankakee, and Will
Ascension Complete AMITA Health Secure (HMO) H7399-002 Cook, DuPage, Kane, Kankakee, and Will

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 AMITA Health Reward (HMO) H7399 - 001 Cook, DuPage, Kane, Kankakee, and Will
Ascension Complete AMITA Health Secure (HMO) H7399 - 002 Cook, DuPage, Kane, Kankakee, and Will

If you were enrolled in Ascension Complete last year, 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
Ascension Complete AMITA Health Reward (HMO) H7399-001 Cook, DuPage, Kane, Kankakee, and Will
Ascension Complete AMITA Health Secure (HMO) H7399-002 Cook, DuPage, Kane, Kankakee, and Will

If you have questions please, contact Member Services.