Vantage Medicare Advantage

Vantage Standard (HMO-POS) - $49 per month (AHN) / $59 per month (Non-AHN)

No Referrals

Low Medical Home Primary Care Physician (MH-PCP) Office visit copay

No Medical Deductible

Part D prescription coverage included

Added benefits include Dental, Vision, Hearing, Transportation, and select Over-the-Counter items

Evidence of Coverage
Evidence of Coverage - Affinity
Summary of Benefits
Summary of Benefits - Affinity
Comprehensive Formulary
Updated June 3, 2019
Enrollment Election Form
Enrollment Election Form - Affinity

The benefit information provided is a brief summary, not a complete description of benefits. Premiums and co-payments/co-insurance amounts may change on January 1 of each year.

This page was last updated:6/11/2019

Vantage Health Plan, Inc. is an HMO plan with a Medicare contract. Enrollment in Vantage Health Plan, Inc. depends on contract renewal.

CMS H5576_4006_01_CY2019