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 PPO 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 PPO Members: 

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:

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

For HMO Members:

For PPO 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)
  • H5398-002 Ascension Complete Via Christi Secure (HMO)
  • H5398-004 Ascension Complete Via Christi Reward II (HMO) 
  • H6830-001 Ascension Complete Via Christi Access Plus (PPO)
  • H6830-002 Ascension Complete Via Christi Access (PPO)

For PPO Members: 

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

• Member Newsletter

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