This booklet gives you a summary of costs and coverage in your plan.

Please select the document for your plan and county:

**Refer to Addendum to 2023 Medicare Advantage Benefits for additional information**

For HMO Members:

For HMO D-SNP Members:

For PPO Members:

This booklet gives you a complete list of services, limitations and exclusions for your plan coverage.

Please select the document for your plan and county:

**Refer to Addendum to 2023 Medicare Advantage Benefits for additional information**

For HMO Members:

For HMO D-SNP Members:

For PPO Members:

This booklet gives you a complete list of services, limitations and exclusions for your plan coverage.

Please select the document for your plan and county:

**Refer to Addendum to 2023 Medicare Advantage Benefits for additional information**

For HMO Members:

For HMO-DSNP Members:

For PPO Members:

• Medicare Step Therapy Part B (PDF)

This document is an addendum to the 2023 Evidence of Coverage (EOC), Annual Notice of Change (ANOC) and Summary of Benefits (SB) for the plan(s) listed below.  It describes the member cost sharing protections provided under the Inflation Reduction Act (IRA) for certain Part B drugs.

• Addendum to 2023 Medicare Advantage Benefits - English (PDF)
• Addendum to 2023 Medicare Advantage Benefits - Spanish (PDF)
  • H2134-002 Wellcare Giveback (HMO)
  • H2134-004 Wellcare Assist (HMO)
  • H2134-005 Wellcare No Premium (HMO)
  • H2134-006 Wellcare Patriot No Premium (HMO)
  • H9976-001 Wellcare Assist Open (PPO)
  • H9976-002 Wellcare No Premium Open (PPO)
  • H9976-004 Wellcare Giveback Open (PPO)

• Mid-Year Change Notification - English (PDF)
• Mid-Year Change Notification - Spanish (PDF)
  
  • H9976-001 Wellcare Assist Open (PPO)
  • H9976-002 Wellcare No Premium Open (PPO)
  • H9976-002 Wellcare No Premium Open (PPO)
  • H9976-004 Wellcare Giveback Open (PPO)

• Over-The-Counter Catalog - English (PDF)
• Over-The-Counter Catalog - Spanish (PDF)