Banner Medicare Advantage Plus PPO - 2021 Plan Materials

(Coverage Year: January 01, 2021 to December 31, 2021)  The materials and links below provide you with information related to the health plans and benefits. Contact our Customer Care Center if you need further assistance.

2021 Evidence of Coverage

This booklet gives you the details about your Medicare health care and prescription drug coverage from January 1, 2021 – December 31, 2021. It explains how to get coverage for the health care services and prescription drugs you need. This is an important legal document.

Maricopa / Pinal 
Evidence of Coverage     English | Español

Pima 
Evidence of Coverage     English | Español

2021 Summary of Benefits

This is a summary of drug and health services covered by Banner Medicare Advantage from January 1, 2021 to December 31, 2021. The benefit information provided is a summary of what we cover and what you pay. It does not list every service that we cover or list every limitation or exclusion. To get a complete list of services we cover, see the “Evidence of Coverage.” This information is not a complete description of benefits. Limitations, co-payments, and restrictions may apply.

Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium. The monthly Part B premium is paid for by State in some cases. Your cost-sharing is determined by your level of Medicaid eligibility. Premium, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact our Customer Care Center for further details.  

Maricopa / Pinal / Pima 
Summary of Benefits    English | Español