Plan Benefit Materials | Allwell from Superior HealthPlan

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 By Allwell

Wellcare By Allwell

HMO Plans

Wellcare Patriot Simple (HMO) H5294-014

Counties: Armstrong, Atascosa, Bailey, Bandera, Bexar, Blanco, Borden, Briscoe, Castro, Collin, Comal, Crosby, Dallas, Denton, DeWitt, Ector, El Paso, Ellis, Fisher, Floyd, Garza, Glasscock, Gonzales, Guadalupe, Hockley, Hood, Kendall, Kent, La Salle, Lamb, Lubbock, Lynn, Martin, Medina, Milam, Nolan, Parker, Potter, Randall, Real, Rockwall, Shackelford, Sterling, Swisher, Tarrant, Terry, Throckmorton, Uvalde, Wilson, Wise, Zavala

Annual Notice of Change

Summary of Benefits

Evidence of Coverage

Dental Benefit Details

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

Your OTC Highlight


Wellcare Simple (HMO) H5294-017

Counties: Atascosa, Bandera, DeWitt, Gonzales, Kendall, Medina, Wilson

Annual Notice of Change

Summary of Benefits

Evidence of Coverage

Dental Benefit Details

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

Wellcare Simple (HMO) H5294-018

Counties: Armstrong, Bailey, Borden, Briscoe, Castro, Crosby, Ector, Fisher, Floyd, Garza, Glasscock, Hockley, Kent, La Salle, Lamb, Lubbock, Lynn, Martin, Nolan, Potter, Randall, Real, Shackelford, Sterling, Swisher, Terry, Throckmorton, Uvalde, Zavala


Wellcare Simple Value (HMO) H5294-026

Counties: Austin, Bastrop, Baylor, Burleson, Burnet, Caldwell, Callahan, Chambers, Clay, Coleman, Concho, Cooke, Coryell, Crane, Crockett, Dallam, Eastland, Edwards, Falls, Fayette, Fort Bend, Freestone, Frio, Gray, Hansford, Hardin, Hartley, Haskell, Hays, Hidalgo, Howard, Jackson, Johnson, Jones, Kinney, Knox, Lampasas, Lavaca, Lee, Liberty, Llano, Menard, Midland, Montgomery, Moore, Motley, Oldham, Polk, Reagan, Roberts, Runnels, San Jacinto, Schleicher, Sherman, Stephens, Stonewall, Sutton, Taylor, Tom Green, Upton, Washington, Wharton, Wheeler, Williamson, Yoakum

Summary of Benefits

Evidence of Coverage

Dental Benefit Details

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

HMO D-SNP Plans

Wellcare Superior HealthPlan Dual Liberty (HMO D-SNP) H5294-010

Counties: Atascosa, Bandera, Grayson, Hood, Kendall, Medina, Parker, Smith, Van Zandt, Wilson, Wise


Wellcare Superior HealthPlan Dual Liberty Sync (HMO D-SNP) H5294-021

Counties: Cameron, Duval, Jim Hogg, Maverick, McMullen, Starr, Webb, Willacy, Zapata


Wellcare Superior HealthPlan Dual Liberty Sync (HMO D-SNP) H5294-022

Counties: Aransas, Bee, Brooks, Calhoun, Goliad, Jim Wells, Karnes, Kenedy, Kleberg, Nueces, Refugio, San Patricio, Victoria


Wellcare Superior HealthPlan Dual Liberty Sync (HMO D-SNP) H5294-023

Counties: Carson, Crosby, Deaf Smith, Floyd, Garza, Hale, Hockley, Hutchinson, Lamb, Lubbock, Lynn, Potter, Randall, Swisher, Terry


Wellcare Superior HealthPlan Dual Liberty Sync (HMO D-SNP) H5294-024

Counties: Bosque, Colorado, DeWitt, Erath, Gillespie, Gonzales, Grimes, Hamilton, Hill, Leon, Limestone, Madison, Mills, Robertson, San Saba, Somervell


Wellcare Superior HealthPlan Dual Liberty Sync (HMO D-SNP) H5294-025

Counties: Armstrong, Bailey, Borden, Briscoe, Castro, Cochran, Coke, Dickens, Dimmit, Donley, Ector, Fisher, Glasscock, Irion, Jack, Kent, Kimble, La Salle, Martin, Mason, McCulloch, Mitchell, Nolan, Palo Pinto, Real, Shackelford, Sterling, Throckmorton, Uvalde, Zavala

Wellcare With Superior HealthPlan

Wellcare With Superior HealthPlan

HMO D-SNP Plans

Wellcare Superior HealthPlan Dual Align (HMO D-SNP) H0062-011

Counties: Dallas

Annual Notice of Change

Summary of Benefits

Member Handbook

Dental Benefit Details

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

Your OTC Highlight


Wellcare Superior HealthPlan Dual Align (HMO D-SNP) H0062-012

Counties: Hidalgo

Annual Notice of Change

Summary of Benefits

Member Handbook

Dental Benefit Details

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

Your OTC Highlight


Wellcare Superior HealthPlan Dual Reserve Value (HMO D-SNP) H0062-013

Counties: Armstrong, Atascosa, Austin, Bailey, Bandera, Bee, Bexar, Blanco, Borden, Bosque, Briscoe, Brooks, Burleson, Burnet, Caldwell, Carson, Castro, Chambers, Clay, Cochran, Coke, Collin, Colorado, Cooke, Coryell, Crane, Crosby, Dallam, Dawson, Deaf Smith, Dickens, Donley, Duval, Edwards, El Paso, Ellis, Erath, Falls, Fayette, Floyd, Fort Bend, Garza, Gillespie, Glasscock, Goliad, Gonzales, Grimes, Hale, Hamilton, Hansford, Hartley, Hays, Hill, Hockley, Howard, Hutchinson, Irion, Jack, Jackson, Jim Hogg, Jim Wells, Johnson, Karnes, Kendall, Kenedy, Kent, Kimble, Kinney, Kleberg, La Salle, Lamb, Lampasas, Lavaca, Lee, Leon, Liberty, Llano, Lubbock, Lynn, Madison, Martin, Mason, McCulloch, McMullen, Medina, Menard, Milam, Mills, Mitchell, Montgomery, Moore, Motley, Navarro, Oldham, Palo Pinto, Potter, Randall, Reagan, Real, Refugio, Roberts, Robertson, Rockwall, San Jacinto, San Saba, Shackelford, Sherman, Smith, Somervell, Starr, Sterling, Swisher, Tarrant, Terry, Throckmorton, Upton, Van Zandt, Washington, Wharton, Willacy, Williamson, Wilson, Wise, Yoakum, Zavala

Summary of Benefits

Evidence of Coverage

Dental Benefit Details

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

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.