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:

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:

• Medicare Step Therapy Part B (PDF)

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 - English (PDF)
• Addendum to 2023 Medicare Advantage Benefits - Spanish (PDF)
  • H6678-001 Ascension Complete Seton Reward (HMO)
  • H6678-002 Ascension Complete Seton Secure (HMO) 
  • H6678-003 Ascension Complete Providence Reward (HMO)
  • H6678-004 Ascension Complete Providence Secure (HMO)
  • H9357-001 Ascension Complete Seton Access Plus (PPO)
  • H9357-002 Ascension Complete Seton Access (PPO)
  • H9357-003 Ascension Complete Providence Access Plus (PPO)
  • H9357-004 Ascension Complete Providence Access Plus (PPO)

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

• Member Newsletter

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

For HMO Members:

For PPO Members: