Plan Benefit Materials |

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Plan Benefit Materials

Explore your plan and its benefits by reviewing important documents like 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.”

HMO   |   HMO D-SNP

Wellcare

Wellcare

HMO Plans

Wellcare Simple (HMO-POS) H4661-001

Counties: Kent, New Castle, Sussex

Annual Notice of Change

  • Annual Notice of Change - English (PDF) - Coming Soon

Summary of Benefits

  • Summary of Benefits - English (PDF) - Coming Soon

Evidence of Coverage

  • Evidence of Coverage - English (PDF) - Coming Soon

Dental Benefit Details

  • Dental Benefit Details - English (PDF) - Coming Soon

HMO D-SNP

Wellcare Dual Select (HMO-POS D-SNP) H4661-005

Counties: Kent, New Castle, Sussex

Annual Notice of Change

  • Annual Notice of Change: Wellcare Dual Access (HMO-POS D-SNP) H4661-002 to Wellcare Dual Select (HMO-POS D-SNP) H4661-005 - English (PDF) - Coming Soon

Summary of Benefits

  • Summary of Benefits - English (PDF) - Coming Soon

Evidence of Coverage

  • Evidence of Coverage - English (PDF) - Coming Soon

Dental Benefit Details

  • Dental Benefit Details - English (PDF) - Coming Soon

Wellcare By Delaware First Health

Wellcare By Deleware First Health

HMO D-SNP Plans

Wellcare Delaware First Health Dual Align (HMO-POS D-SNP) H4661-003

Counties: Kent, New Castle, Sussex

Annual Notice of Change

  • Annual Notice of Change: Wellcare Dual Access (HMO-POS D-SNP) H4661-002 to Wellcare Delaware First Health Dual Align (HMO-POS D-SNP) H4661-003 - English (PDF) - Coming Soon
  • Annual Notice of Change: Wellcare Dual Liberty (HMO-POS D-SNP) H4661-003 to Wellcare Delaware First Health Dual Align (HMO-POS D-SNP) H4661-003 - English (PDF) - Coming Soon

Summary of Benefits

  • Summary of Benefits - English (PDF) - Coming Soon

Evidence of Coverage

  • Evidence of Coverage - English (PDF) - Coming Soon

Dental Benefit Details

  • Dental Benefit Details - English (PDF) - Coming Soon

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Additional Forms

  • Over-the-Counter Catalog (PDF) - Coming Soon
  • Over-the-Counter Catalog and Healthy Food (PDF) - Coming Soon

  • Medicare Step Therapy Part B (PDF) - Coming Soon

  • 2026 Medicare Parts A & B Premiums and Deductibles (PDF) - Coming Soon