MA EOC Links

Medicare Advantage Evidence of Coverage Links

 

Aetna PPO GA:

H5521-360 (Aetna Medicare Signature for ATL)

H2293-006 (Aetna Medicare Signature - Cobb & Paulding)

H5521-091 (Aetna Essential)

H5521-328 (Aetna Medicare Choice)

H2293-008 (Aetna Medicare Freedom Plus)

H2293-010 (Aetna Medicare Advantage Plus, New Part B Premium "Give Back")

Humana HMO GA:

 

H4141-015-ATL HMO

H4141-017-003-HMO

H4141-003-DE-SNP HMO

H4141-021-DE-SNP HMO

 

Humana PPO GA:

H5216-203-001-ATL LPPO

H5216-207-LPPO

H5216-345-PPO ($100 per month giveback)

H5216-279-PPO (ATL Low MOOP plan)

H5216-349-PPO (GA Outstate Low MOOP plan)

H5216-280-PPO

H5216-284-PPO

H5216-154-PPO

H5216-205-DE-SNP PPO

H5216-206-DE-SNP PPO (Partial Dual)

H5216-246 PPO (C-SNP for Heart & Diabetes)

R3392-001-PPO

R3392-004-PPO

H5216-157 (MA Only)

H5216-217 (MA Only, Honors)

H5216-286 (MA Only, Honors, $150 Part B Premium "Give Back")