Medicare advantage
Medicare Advantage resources for providers
Browse all Blue Medicare AdvantageSM plan materials, forms, documents and resources.
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- 2023 Evidence of Coverage
- Iowa Blue Medicare Advantage HMO Evidence of Coverage PDF File
- Iowa Blue Medicare Advantage PPO and Enhanced PPO Evidence of Coverage PDF File
- Iowa Blue Medicare Advantage Valor PPO Evidence of Coverage PDF File
- South Dakota Blue Medicare Advantage PPO and Enhanced PPO Evidence of Coverage PDF File
- South Dakota Blue Medicare Advantage PPO | Avera Evidence of Coverage PDF File
- South Dakota Blue Medicare Advantage Valor PPO Evidence of Coverage PDF File
- Drug Formulary External Link
- STARS Tip Sheets
- Antidepressant Medication Management PDF File
- Breast Cancer Screening PDF File
- Colorectal Cancer Screening PDF File
- Consumer Assessment of Healthcare Providers and Systems (CAHPS) PDF File
- Controlling Blood Pressure PDF File
- Eye Exams for Patients with Diabetes PDF File
- Follow-up after emergency department visit for people with multiple high-risk chronic conditions (FMC) PDF File
- Health Outcomes Survey (HOS) PDF File
- HEDIS® Advanced Illness and Frailty Exclusions Guide PDF File
- Hemoglobin A1C control for patients with diabetes (HBD) PDF File
- Kidney health evaluation for patients with diabetes (KED) PDF File
- Medication Adherence PDF File
- Medication reconciliation post-discharge (MRP) PDF File
- Osteoporosis management in women with a fracture (OMW) PDF File
- Plan All Cause Readmission (PCR) PDF File
- Statin Therapy for Patients with Cardiovascular Disease PDF File
- Statin use in Patients with Diabetes PDF File
- Transition of Care PDF File
- Risk Adjustment Tip Sheets
- Acute Conditions PDF File
- Body Mass Index (BMI) PDF File
- Chronic Kidney Disease PDF File
- Current Procedural Terminology (CPT) II Coding PDF File
- Diabetes Mellitus PDF File
- Documentation Tips for Primary Care Providers PDF File
- Status of Malignancies PDF File
- Stroke and Cerebrovascular Accidents PDF File
- Symphony user guide PDF File
- Symphony 6.0 Inpatient Quick Reference Guide PDF File
- Symphony 6.0 Outpatient Quick Reference Guide PDF File
- Symphony 6.0 Part B Drug Authorization Quick Reference Guide PDF File
- Symphony webinar
- Recording Secure Site
- Symphony demo Secure Site
- Slides Secure Site
- Questions and answers Secure Site
- Medical
- Policies
- Cosmetic and Reconstructive Surgery PDF File
- Dynamic Posturography PDF File
- Non-emergent Air Ambulance Services PDF File
- Medical PA list PDF File
- MA prior authorization form PDF File - IMPORTANT: This form and fax number are for Medicare Advantage members only. All other submissions will be destroyed. If needed, find a non-Medicare Advantage form.
- Skilled Nursing Facility and Inpatient Rehabilitation Assessment Form PDF File
- Long-Term Acute Care Hospital Assessment Form PDF File
- Part B Drug
- Part D Drug
- Annual physical examination
- Blood and Blood Components
- Chiropractic Care
- Dental Benefits
- Iowa Blue Medicare Advantage HMO PDF File
- Iowa Blue Medicare Advantage PPO and Enhanced PPO PDF File
- South Dakota Blue Medicare Advantage PPO and Enhanced PPO PDF File
- Fitness Benefits
- Hearing Benefits
- Home Infusion Therapy
- Inpatient Hospital
- Over-the-Counter
- Senior Savings Model
- Skilled Nursing Facility
- Vision Services
- Worldwide Emergency and Urgent Care
