Providers Resources

Thank you for visiting AveraAdvantage.  We are excited you are considering becoming a provider of AveraAdvantage. 

AveraAdvantage is a Private Fee-for-Service (PFFS) plan authorized by the Centers for Medicare & Medicaid Services (CMS).  The Plan is not an HMO.  Instead it works much the same way as Original Medicare.  As a provider, you do not need to process referrals, sign contracts or send your patients to physicians or facilities within a predetermined network.  Prior to treating an AveraAdvantage member, providers must accept the plans Terms and Conditions.

Members have the ability to choose care from any physician or specialist who is eligible to participate in Medicare and accept the plans Terms & Conditions.

With AveraAdvantage, members can choose from a variety of plans – including plans that feature integrated Part D drug benefits:

Questions

Do you have any questions about AveraAdvantage payment or coverage?  Please contact Provider Relations at: 1-866-414-0048 from 8 AM to 11 PM EST, 7 days a week.