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.
Kansas Plan Materials and Forms
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 Via Christi Reward (HMO) | H5398-001 | Butler, Harvey and Sedgwick counties | |
Ascension Complete Via Christi Secure (HMO) | H5398-002 | Butler, Harvey and Sedgwick counties |
For PPO Members:
Plan Name | CMS# | County | Summary of Benefits |
---|---|---|---|
Ascension Complete Via Christi Access Plus (PPO) | H6830-001 | Butler, Harvey and Sedgwick counties | |
Ascension Complete Via Christi Access (PPO) | H6830-002 | Butler, Harvey and Sedgwick 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:
For HMO Members
Plan Name | CMS # | County | Evidence of Coverage (EOC) |
---|---|---|---|
Ascension Complete Via Christi Reward | H5398-001 | Butler, Harvey and Sedgwick counties | |
Ascension Complete Via Christi Secure | H5398-002 | Butler, Harvey and Sedgwick counties |
For PPO Members:
Plan Name | CMS# | County | Evidence of Coverage (EOC) |
---|---|---|---|
Ascension Complete Via Christi Access Plus (PPO) | H6830-001 | Butler, Harvey and Sedgwick counties | |
Ascension Complete Via Christi Access (PPO) | H6830-002 | Butler, Harvey and Sedgwick counties |
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:
For HMO Members:
Plan Name | CMS# | County | Annual Notice of Changes (ANOC) |
---|---|---|---|
Ascension Complete Via Christi Reward (HMO) | H5398-001 | Butler, Harvey and Sedgwick counties | |
Ascension Complete Via Christi Secure (HMO) | H5398-002 | Butler, Harvey and Sedgwick counties |
For PPO Members:
Plan Name | CMS# | County | Annual Notice of Changes (ANOC) |
---|---|---|---|
Ascension Complete Via Christi Access Plus (PPO) | H6830-001 | Butler, Harvey and Sedgwick counties |
If you have any questions please, contact Member Services.