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Amerivantage Classic (HMO) - No Premium
Amerivantage Classic (HMO) - Premium
Amerivantage Plus (HMO)
  • Evidence of Coverage*
  • Summary of Benefits
  • * To review benefits provided during disasters, go to Chapter 3, Section 3.3 of this document. Please note that the Medicare Diabetes Prevention Program benefits as described in Chapter 4, Section 2.1 will begin on April 1, 2018.

Amerivantage Dual Coordination (HMO SNP)
Other Documents
Plan Star Ratings
Search for a Provider or Pharmacy

Find a Provider
Find a Pharmacy


Call Member Services at 1-866-805-4589 (TTY 711) to ask us to mail you a directory. If you are already a member, you can log in and visit About Your Plan to ask for a mailed directory.

Disenrollment Forms

This form is used by members to disenroll from the current plan