On Feb. 21, 2024, Change Healthcare experienced a cyber security incident. Any individuals impacted by this incident will receive a letter in the mail. Learn more about this from Change Healthcare, or reach out to the contact center at 1-866-262-5342.
Plan Benefit Materials |
Plan Materials and Forms
Learn about your plan and all that it has to offer by reviewing helpful plan documents such as the Annual Notice of Change (ANOC), Summary of Benefits, and Evidence of Coverage.
To get started, locate your plan in the list of plans below and select “Plan Benefits.”
For HMO Members:
| Plan Name | CMS # | County | Summary of Benefits |
|---|---|---|---|
| Wellcare No Premium (HMO-POS) | H4661-001 | Kent, New Castle, Sussex |
For HMO D-SNP Members:
| Plan Name | CMS # | County | Summary of Benefits |
|---|---|---|---|
| Wellcare Dual Access (HMO-POS D-SNP) | H4661- 002 | Kent, New Castle, Sussex | |
| Wellcare Dual Liberty (HMO-POS D-SNP) | H4661- 003 | Kent, New Castle, Sussex |
For HMO Members:
| Plan Name | CMS # | County | Evidence of Coverage |
|---|---|---|---|
| Wellcare No Premium (HMO-POS) | H4661-001 | Kent, New Castle, Sussex |
For HMO D-SNP Members:
| Plan Name | CMS # | County | Evidence of Coverage |
|---|---|---|---|
| Wellcare Dual Access (HMO-POS D-SNP) | H4661- 002 | Kent, New Castle, Sussex | |
| Wellcare Dual Liberty (HMO-POS D-SNP) | H4661- 003 | Kent, New Castle, Sussex |