Plan Benefit Materials
2027 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.”
Wellcare
Wellcare Simple (HMO-POS) H1862-005
Counties: Adair, Adams, Appanoose, Audubon, Benton, Boone, Buchanan, Butler, Carroll, Cass, Cedar, Cerro Gordo, Chickasaw, Clarke, Clayton, Clinton, Crawford, Dallas, Davis, Decatur, Delaware, Des Moines, Floyd, Franklin, Fremont, Greene, Grundy, Guthrie, Hamilton, Hancock, Hardin, Harrison, Henry, Howard, Iowa, Jackson, Jasper, Jefferson, Johnson, Jones, Keokuk, Kossuth, Lee, Linn, Louisa, Lucas, Madison, Mahaska, Marion, Mills, Mitchell, Monona, Monroe, Montgomery, Muscatine, O'Brien, Osceola, Page, Polk, Pottawattamie, Poweshiek, Ringgold, Shelby, Sioux, Tama, Taylor, Union, Van Buren, Wapello, Warren, Washington, Wayne, Winnebago, Winneshiek, Worth, Wright
Annual Notice of Change
Summary of Benefits
Evidence of Coverage
Dental Benefit Details
Wellcare Iowa Total Care Dual Access (HMO-POS D-SNP) H1862-004
Counties: Adair, Adams, Appanoose, Audubon, Benton, Boone, Buchanan, Butler, Carroll, Cass, Cedar, Cerro Gordo, Chickasaw, Clarke, Clayton, Clinton, Crawford, Dallas, Davis, Decatur, Delaware, Des Moines, Floyd, Franklin, Fremont, Greene, Grundy, Guthrie, Hamilton, Hancock, Hardin, Harrison, Henry, Howard, Iowa, Jackson, Jasper, Jefferson, Johnson, Jones, Keokuk, Kossuth, Lee, Linn, Louisa, Lucas, Madison, Mahaska, Marion, Mills, Mitchell, Monona, Monroe, Montgomery, Muscatine, O'Brien, Osceola, Page, Polk, Pottawattamie, Poweshiek, Ringgold, Shelby, Sioux, Tama, Taylor, Union, Van Buren, Wapello, Warren, Washington, Wayne, Winnebago, Winneshiek, Worth, Wright
Annual Notice of Change
- Annual Notice of Change: Wellcare Dual Access (HMO-POS D-SNP) H1862-004 to Wellcare Iowa Total Care Dual Access (HMO-POS D-SNP) H1862-004 - English (PDF)
- Annual Notice of Change: Wellcare Dual Access (HMO-POS D-SNP) H1862-004 to Wellcare Iowa Total Care Dual Access (HMO-POS D-SNP) H1862-004 - Spanish (PDF)
Summary of Benefits
Evidence of Coverage
Dental Benefit Details
Your OTC Highlight
Wellcare Iowa Total Care Dual Liberty Sync (HMO-POS D-SNP) H1862-003
Counties: Adair, Adams, Appanoose, Audubon, Benton, Boone, Buchanan, Butler, Carroll, Cass, Cedar, Cerro Gordo, Chickasaw, Clarke, Clayton, Clinton, Crawford, Dallas, Davis, Decatur, Delaware, Des Moines, Floyd, Franklin, Fremont, Greene, Grundy, Guthrie, Hamilton, Hancock, Hardin, Harrison, Henry, Howard, Iowa, Jackson, Jasper, Jefferson, Johnson, Jones, Keokuk, Kossuth, Lee, Linn, Louisa, Lucas, Madison, Mahaska, Marion, Mills, Mitchell, Monona, Monroe, Montgomery, Muscatine, O'Brien, Osceola, Page, Polk, Pottawattamie, Poweshiek, Ringgold, Shelby, Sioux, Tama, Taylor, Union, Van Buren, Wapello, Warren, Washington, Wayne, Winnebago, Winneshiek, Worth, Wright
Annual Notice of Change
- Annual Notice of Change: Wellcare Dual Liberty Sync (HMO-POS D-SNP) H1862-003 to Wellcare Iowa Total Care Dual Liberty Sync (HMO-POS D-SNP) H1862-003 - English (PDF)
- Annual Notice of Change: Wellcare Dual Liberty Sync (HMO-POS D-SNP) H1862-003 to Wellcare Iowa Total Care Dual Liberty Sync (HMO-POS D-SNP) H1862-003 - Spanish (PDF)
Summary of Benefits
Evidence of Coverage
Dental Benefit Details
Your OTC Highlight
Wellcare Iowa Total Care Dual Reserve (HMO-POS D-SNP) H1862-006
Counties: Adair, Adams, Appanoose, Audubon, Benton, Boone, Buchanan, Butler, Carroll, Cass, Cedar, Cerro Gordo, Chickasaw, Clarke, Clayton, Clinton, Crawford, Dallas, Davis, Decatur, Delaware, Des Moines, Floyd, Franklin, Fremont, Greene, Grundy, Guthrie, Hamilton, Hancock, Hardin, Harrison, Henry, Howard, Iowa, Jackson, Jasper, Jefferson, Johnson, Jones, Keokuk, Kossuth, Lee, Linn, Louisa, Lucas, Madison, Mahaska, Marion, Mills, Mitchell, Monona, Monroe, Montgomery, Muscatine, O'Brien, Osceola, Page, Polk, Pottawattamie, Poweshiek, Ringgold, Shelby, Sioux, Tama, Taylor, Union, Van Buren, Wapello, Warren, Washington, Wayne, Winnebago, Winneshiek, Worth, Wright
Annual Notice of Change
- Annual Notice of Change: Wellcare Dual Reserve (HMO-POS D-SNP) H1862-006 to Wellcare Iowa Total Care Dual Reserve (HMO-POS D-SNP) H1862-006 - English (PDF)
- Annual Notice of Change: Wellcare Dual Reserve (HMO-POS D-SNP) H1862-006 to Wellcare Iowa Total Care Dual Reserve (HMO-POS D-SNP) H1862-006 - Spanish (PDF)
Summary of Benefits
Evidence of Coverage
Dental Benefit Details
Your OTC Highlight
Additional Forms
- Medicare Step Therapy Part B (PDF) - Coming Soon
- 2027 Medicare Parts A & B Premiums and Deductibles (PDF) - Coming Soon
- Member Secure Portal Guide (PDF) - Coming Soon
If you have questions please, contact Member Services.