Passport Advantage is a health plan with a Medicare contract. This Plan is available to all anyone who is an active Passport Health Plan members and who has Medicare Parts A and B. Eligible beneficiaries may enroll in the plan at any time. Please call Passport Advantage for more information. Benefits, formulary, pharmacy, network, premium, and/or co-payments may change on January 1, 2012. Copays may vary based on the level of Extra Help you receive. Contact Passport Advantage for more details. Eligible beneficiaries must use network pharmacies to access their prescription drug benefit, except under non-routine circumstances. Quantity limitations and restrictions may apply. The content on this website is available in alternate formats, such as Braille, large type, or another language. Please call us at 1-800-578-0603, then press 1 TTY: 1-800-648-6056, 7 days a week from 8 a.m. to 8 p.m. to request another format.
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H1807_001_PA101108v3_ CMS Approved_11/2/11     Last Update:
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