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Plan Benefit Materials | Allwell from Superior HealthPlan

Plan Materials and Forms
Information about plan benefits, services, and drug costs can be found in your plan materials.
Look at your Wellcare By Allwell member ID card for your plan number and type to view materials for your plan.
- View a sample of an Wellcare By Allwell Member ID Card to see where this information is located.
You can also look for plan materials based on the plan name and the county you live in.
If you don’t have a Wellcare By Allwell ID card or have questions about plan materials, give us a call. We’re here to help.
This booklet gives you a summary of costs and coverage in your plan.
Please select the document for your plan and county:
For HMO Members:
Plan Name | CMS # | County | Summary of Benefits |
---|---|---|---|
Wellcare No Premium Medicare (HMO) | H0062-002 | Aransas, Bexar, Collin, Comal, Dallas, Denton, El Paso, Guadalupe, Jim Wells, Nueces, Rockwall, Tarrant, Wilson | |
Wellcare No Premium Medicare (HMO) | H0062-003 | Cameron, Hidalgo, Starr | |
Wellcare No Premium (HMO) | H0174-010 | Austin, Chambers, Fort Bend, Galveston, Hardin, Harris, Jefferson, Liberty, Montgomery, Orange, San Jacinto, Walker, Waller, Wharton | |
Wellcare No Premium (HMO) | H5294-011 | Aransas, Bee, Brooks, Cameron, Duval, Goliad, Hidalgo, Jim Hogg, Jim Wells, Kenedy, Kleberg, La Salle, McMullen, Nueces, Refugio, San Patricio, Starr, Victoria, Webb, Willacy, Zapata | |
Wellcare No Premium (HMO) | H5294-017 | Atascosa, Bandera, Bexar, Comal, DeWitt, Dimmit, Gonzales, Guadalupe, Karnes, Kendall, Maverick, Medina, Real, Uvalde, Wilson, and Zavala | |
Wellcare No Premium (HMO) | H5294-018 | Armstrong, Bailey, Borden, Briscoe, Castro, Cochran, Coke, Crosby, Dickens, Donley, Fisher, Floyd, Garza, Glasscock, Hale, Hockley, Irion, Kent, Lamb, Lubbock, Lynn, Martin, Mitchell, Nolan, Shackelford, Sterling, Swisher, Terry, Throckmorton | |
Wellcare TexanPlus Patriot Giveback (HMO) | H4506-010 | Austin, Brazoria, Chambers, Fort Bend, Galveston (partial county), Hardin, Harris, Jefferson, Liberty, Montgomery, Orange, Walker, Waller | |
Wellcare TexanPlus No Premium (HMO) | H0174-002 | Bastrop, Blanco, Burnet, Caldwell, Hays, Lee, Milam, Travis, Williamson | |
Wellcare TexanPlus No Premium (HMO) | H0174-011-001 | Bexar, Comal, Guadalupe | |
Wellcare TexanPlus No Premium (HMO) | H0174-011-002 | El Paso | |
Wellcare TexanPlus No Premium (HMO) | H0174-011-003 | Chambers, Galveston, Walker | |
Wellcare TexanPlus No Premium (HMO) | H0174-011-004 | Cooke | |
Wellcare TexanPlus No Premium (HMO) | H0174-014 | Collin, Dallas, Denton, Johnson, Rockwall, Tarrant | |
Wellcare TexanPlus Classic No Premium (HMO) | H4506-003 | Austin, Brazoria, Chambers, Fort Bend, Galveston (partial County), Hardin, Harris, Jefferson, Liberty, Montgomery, Orange, Walker, Waller | |
Wellcare Giveback (HMO) | H0174-013-001 | Bastrop, Blanco, Burnet, Caldwell, Hays, Lee, Milam, Travis, Williamson | |
Wellcare Giveback (HMO) | H0174-013-002 | Collin, Cooke, Dallas, Denton, Johnson, Rockwall, Tarrant | |
Wellcare Giveback (HMO) | H0174-013-003 | Austin, Chambers, Fort Bend, Galveston, Hardin, Harris, Jefferson, Liberty, Matagorda, Montgomery, Newton, Orange, Polk, San Jacinto, Walker, Waller, Wharton | |
Wellcare Giveback (HMO) | H0174-013-004 | Bexar, Comal, Guadalupe | |
Wellcare Giveback (HMO) | H0174-013-005 | El Paso | |
Wellcare Giveback (HMO) | H5294-012 | Aransas, Bee, Brooks, Cameron, Duval, Goliad, Hidalgo, Jim Hogg, Jim Wells, Kenedy, Kleberg, La Salle, McMullen, Nueces, Refugio, San Patricio, Starr, Victoria, Webb, Willacy, Zapata | |
Wellcare Giveback (HMO) | H5294-019 | Armstrong, Bailey, Borden, Briscoe, Castro, Cochran, Coke, Crosby, Dickens, Donley, Fisher, Floyd, Garza, Glasscock, Hale, Hockley, Irion, Kent, Lamb, Lubbock, Lynn, Martin, Mitchell, Nolan, Shackelford, Sterling, Swisher, Terry, Throckmorton | |
Wellcare Patriot No Premium (HMO) | H5294-014 | Aransas, Armstrong, Atascosa, Bailey, Bandera, Bastrop, Bee, Bexar, Blanco, Borden, Bosque, Briscoe, Brooks, Burnet, Caldwell, Calhoun, Cameron, Castro, Cochran, Coke, Collin, Colorado, Comal, Crosby, Dallas, Denton, DeWitt, Dickens, Dimmit, Donley, Duval, El Paso, Erath, Fayette, Fisher, Floyd, Garza, Gillespie, Glasscock, Goliad, Gonzales, Grayson, Grimes, Guadalupe, Hale, Hamilton, Hays, Hidalgo, Hill, Hockley, Hunt, Irion, Jack, Jim Hogg, Jim Wells, Karnes, Kendall, Kenedy, Kent, Kimble, Kleberg, La Salle, Lamb, Lee, Leon, Limestone, Lubbock, Lynn, Martin, Mason, Maverick, McCulloch, McMullen, Medina, Milam, Mills, Mitchell, Navarro, Nolan, Nueces, Palo Pinto, Real, Refugio, Rockwall, San Patricio, San Saba, Shackelford, Somervell, Starr, Sterling, Swisher, Tarrant, Terry, Throckmorton, Uvalde, Van Zandt, Victoria, Webb, Willacy, Williamson, Wilson, Zapata, Zavala | |
Wellcare Assist (HMO) | H0174-009 | Austin, Bastrop, Bexar, Blanco, Burnet, Caldwell, Chambers, Collin, Comal, Cooke, Dallas, Denton, El Paso, Fort Bend, Galveston, Guadalupe, Hardin, Harris, Hays, Jefferson, Johnson, Lee, Liberty, Matagorda, Milam, Montgomery, Newton, Orange, Polk, Rockwall, San Jacinto, Tarrant, Travis, Walker, Waller, Wharton, Williamson | |
Wellcare Complement Assist (HMO) | H5294-013 | Aransas, Bee, Brooks, Cameron, Duval, Goliad, Hidalgo, Jim Hogg, Jim Wells, Kenedy, Kleberg, La Salle, McMullen, Nueces, Refugio, San Patricio, Starr, Victoria, Webb, Willacy, Zapata | |
Wellcare Complement Assist (HMO) | H5294-016 | Armstrong, Atascosa, Bailey, Bandera, Bastrop, Bexar, Blanco, Borden, Bosque, Briscoe, Burnet, Caldwell, Calhoun, Castro, Cochran, Coke, Collin, Colorado, Comal, Crosby, Dallas, Denton, DeWitt, Dickens, Dimmit, Donley, El Paso, Erath, Fayette, Fisher, Floyd, Garza, Gillespie, Glasscock, Gonzales, Grayson, Grimes, Guadalupe, Hale, Hamilton, Hays, Hill, Hockley, Hunt, Irion, Jack, Karnes, Kendall, Kent, Kimble, Lamb, Lee, Leon, Limestone, Lubbock, Lynn, Martin, Mason, Maverick, McCulloch, Medina, Milam, Mills, Mitchell, Navarro, Nolan, Palo Pinto, Real, Rockwall, San Saba, Shackelford, Somervell, Sterling, Swisher, Tarrant, Terry, Throckmorton, Uvalde, Van Zandt, Williamson, Wilson, Zavala |
For HMO D-SNP Members:
Plan Name | CMS # | County | Summary of Benefits |
---|---|---|---|
Wellcare Dual Access (HMO D-SNP) | H0174-004 | Austin, Bastrop, Bexar, Blanco, Burnet, Caldwell, Chambers, Comal, Dallas, Denton, El Paso, Fort Bend, Galveston, Guadalupe, Hardin, Harris, Hays, Jefferson, Johnson, Lee, Liberty, Matagorda, Milam, Montgomery, Newton, Orange, Polk, San Jacinto, San Patricio, Tarrant, Walker, Waller, Wharton | |
Wellcare Dual Access Harmony (HMO D-SNP) | H5294-015 | Aransas, Armstrong, Atascosa, Bailey, Bandera, Bastrop, Bee, Bexar, Blanco, Borden, Bosque, Briscoe, Brooks, Burnet, Caldwell, Calhoun, Cameron, Castro, Cochran, Coke, Collin, Colorado, Comal, Crosby, Dallas, Denton, DeWitt, Dickens, Dimmit, Donley, Duval, El Paso, Erath, Fayette, Fisher, Floyd, Garza, Gillespie, Glasscock, Goliad, Gonzales, Grayson, Grimes, Guadalupe, Hale, Hamilton, Hays, Hidalgo, Hill, Hockley, Hunt, Irion, Jack, Jim Hogg, Jim Wells, Karnes, Kendall, Kenedy, Kent, Kimble, Kleberg, La Salle, Lamb, Lee, Leon, Limestone, Lubbock, Lynn, Martin, Mason, Maverick, McCulloch, McMullen, Medina, Milam, Mills, Mitchell, Navarro, Nolan, Nueces, Palo Pinto, Real, Refugio, Rockwall, San Patricio, San Saba, Shackelford, Somervell, Starr, Sterling, Swisher, Tarrant, Terry, Throckmorton, Uvalde, Van Zandt, Victoria, Webb, Willacy, Williamson, Wilson, Zapata, Zavala | |
Wellcare Dual Liberty (HMO D-SNP) | H0174-006 | Austin, Bastrop, Bexar, Blanco, Burnet, Caldwell, Chambers, Comal, Cooke, Dallas, Denton, El Paso, Fort Bend, Galveston, Guadalupe, Hardin, Harris, Hays, Jefferson, Johnson, Lee, Liberty, Matagorda, Milam, Montgomery, Newton, Orange, Polk, San Jacinto, San Patricio, Tarrant, Walker, Waller, Wharton | |
Wellcare Dual Liberty Nurture (HMO D-SNP) | H5294-010 | Aransas, Armstrong, Atascosa, Bailey, Bandera, Bee, Bexar, Borden, Bosque, Briscoe, Brooks, Calhoun, Cameron, Castro, Cochran, Coke, Collin, Colorado, Comal, Crosby, Dallas, Denton, DeWitt, Dickens, Dimmit, Donley, Duval, El Paso, Erath, Fayette, Fisher, Floyd, Garza, Gillespie, Glasscock, Goliad, Gonzales, Grayson, Grimes, Guadalupe, Hale, Hamilton, Hidalgo, Hill, Hockley, Hunt, Irion, Jack, Jim Hogg, Jim Wells, Karnes, Kendall, Kenedy, Kent, Kimble, Kleberg, La Salle, Lamb, Leon, Limestone, Lubbock, Lynn, Martin, Mason, Maverick, McCulloch, McMullen, Medina, Mills, Mitchell, Navarro, Nolan, Nueces, Palo Pinto, Real, Refugio, Rockwall, San Patricio, San Saba, Shackelford, Somervell, Starr, Sterling, Swisher, Tarrant, Terry, Throckmorton, Uvalde, Van Zandt, Victoria, Webb, Willacy, Wilson, Zapata, Zavala |
For HMO C-SNP Members
Plan Name | CMS # | County | Summary of Benefits |
---|---|---|---|
Wellcare Specialty No Premium (HMO C-SNP) | H0174-008 | Austin, Bexar, Chambers, Comal, El Paso, Fort Bend, Galveston, Guadalupe, Harris, Liberty, Matagorda, Montgomery, Polk, San Jacinto, Walker, Waller, Wharton |
For HMO-POS Members
Plan Name | CMS # | County | Summary of Benefits |
---|---|---|---|
Wellcare No Premium (HMO-POS) | H0174-012-001 | Bastrop, Blanco, Burnet, Caldwell, Hays, Lee, Milam, Travis, Williamson | |
Wellcare No Premium (HMO-POS) | H0174-012-002 | Collin, Cooke, Dallas, Denton, Johnson, Rockwall, Tarrant | |
Wellcare No Premium (HMO-POS) | H0174-012-003 | Austin, Chambers, Fort Bend, Galveston, Hardin, Harris, Jefferson, Liberty, Matagorda, Montgomery, Newton, Orange, Polk, San Jacinto, Walker, Waller, Wharton | |
Wellcare No Premium (HMO-POS) | H0174-012-004 | Bexar, Comal, Guadalupe | |
Wellcare No Premium (HMO-POS) | H0174-012-005 | El Paso | |
Wellcare TexanPlus No Premium (HMO-POS) | H4506-029 | Austin, Brazoria, Chambers, Fort Bend, Galveston (partial county), Hardin, Harris, Jefferson, Liberty, Montgomery, Orange, Walker, Waller |
For PPO Members
Plan Name | CMS # | County | Summary of Benefits |
---|---|---|---|
Wellcare Low Premium Open (PPO) | H7323-001 | Bastrop, Blanco, Burnet, Caldwell, Hays, Lee, Milam, Travis, Williamson | |
Wellcare Low Premium Open (PPO) | H7323-002 | Collin, Dallas, Denton, Johnson, Rockwall, Tarrant | |
Wellcare Low Premium Open (PPO) | H7323-003 | Austin, Brazoria, Chambers, Fort Bend, Galveston, Hardin, Harris, Jefferson, Liberty, Montgomery, Orange, Polk, San Jacinto, Walker, Waller | |
Wellcare No Premium Open (PPO) | H7323-004 | Atascosa, Bexar, El Paso, Medina | |
Wellcare Dual Access Open (PPO D-SNP) | H7323-005 | Atascosa, Austin, Bastrop, Bexar, Blanco, Brazoria, Burnet, Caldwell, Chambers, Collin, Comal, Cooke, Dallas, Denton, El Paso, Fort Bend, Galveston, Guadalupe, Hardin, Harris, Hays, Hidalgo, Jefferson, Johnson, Lee, Liberty, Medina, Milam, Montgomery, Orange, Polk, Rockwall, San Jacinto, Starr, Tarrant, Travis, Walker, Waller, Williamson | |
Wellcare No Premium Rx Plus Open (PPO) | H7323-006 | ||
Wellcare No Premium Open (PPO) | H7323-007 | Hidalgo, Starr |
For PPO D-SNP Members
Plan Name | CMS # | County | Summary of Benefits |
---|---|---|---|
Wellcare Dual Access Open (PPO D-SNP) | H7323-005 | Atascosa, Austin, Bastrop, Bexar, Blanco, Brazoria, Burnet, Caldwell, Chambers, Collin, Comal, Cooke, Dallas, Denton, El Paso, Fort Bend, Galveston, Guadalupe, Hardin, Harris, Hays, Hidalgo, Jefferson, Johnson, Lee, Liberty, Medina, Milam, Montgomery, Orange, Polk, Rockwall, San Jacinto, Starr, Tarrant, Travis, Walker, Waller, Williamson |
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:
For HMO Members:
Plan Name | CMS # | County | Evidence of Coverage |
---|---|---|---|
Wellcare No Premium Medicare (HMO) | H0062-002 | Aransas, Bexar, Collin, Comal, Dallas, Denton, El Paso, Guadalupe, Jim Wells, Nueces, Rockwall, Tarrant, Wilson |
|
Wellcare No Premium Medicare (HMO) | H0062-003 | Cameron, Hidalgo, Starr |
|
Wellcare No Premium (HMO) | H0174-010 | Austin, Chambers, Fort Bend, Galveston, Hardin, Harris, Jefferson, Liberty, Montgomery, Orange, San Jacinto, Walker, Waller, Wharton |
|
Wellcare No Premium (HMO) | H5294-011 | Aransas, Bee, Brooks, Cameron, Duval, Goliad, Hidalgo, Jim Hogg, Jim Wells, Kenedy, Kleberg, La Salle, McMullen, Nueces, Refugio, San Patricio, Starr, Victoria, Webb, Willacy, Zapata | |
Wellcare No Premium (HMO) | H5294-017 | Atascosa, Bandera, Bexar, Comal, DeWitt, Dimmit, Gonzales, Guadalupe, Karnes, Kendall, Maverick, Medina, Real, Uvalde, Wilson, Zavala | |
Wellcare No Premium (HMO) | H5294-018 | Armstrong, Bailey, Borden, Briscoe, Castro, Cochran, Coke, Crosby, Dickens, Donley, Fisher, Floyd, Garza, Glasscock, Hale, Hockley, Irion, Kent, Lamb, Lubbock, Lynn, Martin, Mitchell, Nolan, Shackelford, Sterling, Swisher, Terry, Throckmorton | |
Wellcare TexanPlus Patriot Giveback (HMO) | H4506-010 | Austin, Brazoria, Chambers, Fort Bend, Galveston (partial county), Hardin, Harris, Jefferson, Liberty, Montgomery, Orange, Walker, Waller |
|
Wellcare TexanPlus No Premium (HMO) | H0174-002 | Bastrop, Blanco, Burnet, Caldwell, Hays, Lee, Milam, Travis, Williamson |
|
Wellcare TexanPlus No Premium (HMO) | H0174-011-001 | Bexar, Comal, Guadalupe |
|
Wellcare TexanPlus No Premium (HMO) | H0174-011-002 | El Paso |
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Wellcare TexanPlus No Premium (HMO) | H0174-011-003 | Chambers, Galveston, Walker |
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Wellcare TexanPlus No Premium (HMO) | H0174-011-004 | Cooke |
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Wellcare TexanPlus No Premium (HMO) | H0174-014 | Collin, Dallas, Denton, Johnson, Rockwall, Tarrant |
|
Wellcare TexanPlus Classic No Premium (HMO) | H4506-003 | Austin, Brazoria, Chambers, Fort Bend, Galveston (partial County), Hardin, Harris, Jefferson, Liberty, Montgomery, Orange, Walker, Waller |
|
Wellcare Giveback (HMO) | H0174-013-001 | Bastrop, Blanco, Burnet, Caldwell, Hays, Lee, Milam, Travis, Williamson |
|
Wellcare Giveback (HMO) | H0174-013-002 | Collin, Cooke, Dallas, Denton, Johnson, Rockwall, Tarrant |
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Wellcare Giveback (HMO) | H0174-013-003 | Austin, Chambers, Fort Bend, Galveston, Hardin, Harris, Jefferson, Liberty, Matagorda, Montgomery, Newton, Orange, Polk, San Jacinto, Walker, Waller, Wharton |
|
Wellcare Giveback (HMO) | H0174-013-004 | Bexar, Comal, Guadalupe |
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Wellcare Giveback (HMO) | H0174-013-005 | El Paso |
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Wellcare Giveback (HMO) | H5294-012 | Aransas, Bee, Brooks, Cameron, Duval, Goliad, Hidalgo, Jim Hogg, Jim Wells, Kenedy, Kleberg, La Salle, McMullen, Nueces, Refugio, San Patricio, Starr, Victoria, Webb, Willacy, Zapata | |
Wellcare Giveback (HMO) | H5294-019 | Armstrong, Bailey, Borden, Briscoe, Castro, Cochran, Coke, Crosby, Dickens, Donley, Fisher, Floyd, Garza, Glasscock, Hale, Hockley, Irion, Kent, Lamb, Lubbock, Lynn, Martin, Mitchell, Nolan, Shackelford, Sterling, Swisher, Terry, Throckmorton | |
Wellcare Patriot No Premium (HMO) | H5294-014 | Aransas, Armstrong, Atascosa, Bailey, Bandera, Bastrop, Bee, Bexar, Blanco, Borden, Bosque, Briscoe, Brooks, Burnet, Caldwell, Calhoun, Cameron, Castro, Cochran, Coke, Collin, Colorado, Comal, Crosby, Dallas, Denton, DeWitt, Dickens, Dimmit, Donley, Duval, El Paso, Erath, Fayette, Fisher, Floyd, Garza, Gillespie, Glasscock, Goliad, Gonzales, Grayson, Grimes, Guadalupe, Hale, Hamilton, Hays, Hidalgo, Hill, Hockley, Hunt, Irion, Jack, Jim Hogg, Jim Wells, Karnes, Kendall, Kenedy, Kent, Kimble, Kleberg, La Salle, Lamb, Lee, Leon, Limestone, Lubbock, Lynn, Martin, Mason, Maverick, McCulloch, McMullen, Medina, Milam, Mills, Mitchell, Navarro, Nolan, Nueces, Palo Pinto, Real, Refugio, Rockwall, San Patricio, San Saba, Shackelford, Somervell, Starr, Sterling, Swisher, Tarrant, Terry, Throckmorton, Uvalde, Van Zandt, Victoria, Webb, Willacy, Williamson, Wilson, Zapata, Zavala | |
Wellcare Assist (HMO) | H0174-009 | Austin, Bastrop, Bexar, Blanco, Burnet, Caldwell, Chambers, Collin, Comal, Cooke, Dallas, Denton, El Paso, Fort Bend, Galveston, Guadalupe, Hardin, Harris, Hays, Jefferson, Johnson, Lee, Liberty, Matagorda, Milam, Montgomery, Newton, Orange, Polk, Rockwall, San Jacinto, Tarrant, Travis, Walker, Waller, Wharton, Williamson |
|
Wellcare Complement Assist (HMO) | H5294-013 | Aransas, Bee, Brooks, Cameron, Duval, Goliad, Hidalgo, Jim Hogg, Jim Wells, Kenedy, Kleberg, La Salle, McMullen, Nueces, Refugio, San Patricio, Starr, Victoria, Webb, Willacy, Zapata | |
Wellcare Complement Assist (HMO) | H5294-016 | Armstrong, Atascosa, Bailey, Bandera, Bastrop, Bexar, Blanco, Borden, Bosque, Briscoe, Burnet, Caldwell, Calhoun, Castro, Cochran, Coke, Collin, Colorado, Comal, Crosby, Dallas, Denton, DeWitt, Dickens, Dimmit, Donley, El Paso, Erath, Fayette, Fisher, Floyd, Garza, Gillespie, Glasscock, Gonzales, Grayson, Grimes, Guadalupe, Hale, Hamilton, Hays, Hill, Hockley, Hunt, Irion, Jack, Karnes, Kendall, Kent, Kimble, Lamb, Lee, Leon, Limestone, Lubbock, Lynn, Martin, Mason, Maverick, McCulloch, Medina, Milam, Mills, Mitchell, Navarro, Nolan, Palo Pinto, Real, Rockwall, San Saba, Shackelford, Somervell, Sterling, Swisher, Tarrant, Terry, Throckmorton, Uvalde, Van Zandt, Williamson, Wilson, Zavala |
For HMO D-SNP Members:
Plan Name | CMS # | County | Evidence of Coverage |
---|---|---|---|
Wellcare Dual Access (HMO D-SNP) | H0174-004 | Austin, Bastrop, Bexar, Blanco, Burnet, Caldwell, Chambers, Comal, Dallas, Denton, El Paso, Fort Bend, Galveston, Guadalupe, Hardin, Harris, Hays, Jefferson, Johnson, Lee, Liberty, Matagorda, Milam, Montgomery, Newton, Orange, Polk, San Jacinto, San Patricio, Tarrant, Walker, Waller, Wharton |
|
Wellcare Dual Access Harmony (HMO D-SNP) | H5294-015 | Aransas, Armstrong, Atascosa, Bailey, Bandera, Bastrop, Bee, Bexar, Blanco, Borden, Bosque, Briscoe, Brooks, Burnet, Caldwell, Calhoun, Cameron, Castro, Cochran, Coke, Collin, Colorado, Comal, Crosby, Dallas, Denton, DeWitt, Dickens, Dimmit, Donley, Duval, El Paso, Erath, Fayette, Fisher, Floyd, Garza, Gillespie, Glasscock, Goliad, Gonzales, Grayson, Grimes, Guadalupe, Hale, Hamilton, Hays, Hidalgo, Hill, Hockley, Hunt, Irion, Jack, Jim Hogg, Jim Wells, Karnes, Kendall, Kenedy, Kent, Kimble, Kleberg, La Salle, Lamb, Lee, Leon, Limestone, Lubbock, Lynn, Martin, Mason, Maverick, McCulloch, McMullen, Medina, Milam, Mills, Mitchell, Navarro, Nolan, Nueces, Palo Pinto, Real, Refugio, Rockwall, San Patricio, San Saba, Shackelford, Somervell, Starr, Sterling, Swisher, Tarrant, Terry, Throckmorton, Uvalde, Van Zandt, Victoria, Webb, Willacy, Williamson, Wilson, Zapata, Zavala |
|
Wellcare Dual Liberty (HMO D-SNP) | H0174-006 | Austin, Bastrop, Bexar, Blanco, Burnet, Caldwell, Chambers, Comal, Cooke, Dallas, Denton, El Paso, Fort Bend, Galveston, Guadalupe, Hardin, Harris, Hays, Jefferson, Johnson, Lee, Liberty, Matagorda, Milam, Montgomery, Newton, Orange, Polk, San Jacinto, San Patricio, Tarrant, Walker, Waller, Wharton |
|
Wellcare Dual Liberty Nurture (HMO D-SNP) | H5294-010 | Aransas, Armstrong, Atascosa, Bailey, Bandera, Bee, Bexar, Borden, Bosque, Briscoe, Brooks, Calhoun, Cameron, Castro, Cochran, Coke, Collin, Colorado, Comal, Crosby, Dallas, Denton, DeWitt, Dickens, Dimmit, Donley, Duval, El Paso, Erath, Fayette, Fisher, Floyd, Garza, Gillespie, Glasscock, Goliad, Gonzales, Grayson, Grimes, Guadalupe, Hale, Hamilton, Hidalgo, Hill, Hockley, Hunt, Irion, Jack, Jim Hogg, Jim Wells, Karnes, Kendall, Kenedy, Kent, Kimble, Kleberg, La Salle, Lamb, Leon, Limestone, Lubbock, Lynn, Martin, Mason, Maverick, McCulloch, McMullen, Medina, Mills, Mitchell, Navarro, Nolan, Nueces, Palo Pinto, Real, Refugio, Rockwall, San Patricio, San Saba, Shackelford, Somervell, Starr, Sterling, Swisher, Tarrant, Terry, Throckmorton, Uvalde, Van Zandt, Victoria, Webb, Willacy, Wilson, Zapata, Zavala |
For HMO C-SNP Members
Plan Name | CMS # | County | Evidence of Coverage |
---|---|---|---|
Wellcare Specialty No Premium (HMO C-SNP) | H0174-008 | Austin, Bexar, Chambers, Comal, El Paso, Fort Bend, Galveston, Guadalupe, Harris, Liberty, Matagorda, Montgomery, Polk, San Jacinto, Walker, Waller, Wharton |
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For HMO-POS Members
Plan Name | CMS # | County | Evidence of Coverage |
---|---|---|---|
Wellcare No Premium (HMO-POS) | H0174-012-001 | Bastrop, Blanco, Burnet, Caldwell, Hays, Lee, Milam, Travis, Williamson |
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Wellcare No Premium (HMO-POS) | H0174-012-002 | Collin, Cooke, Dallas, Denton, Johnson, Rockwall, Tarrant |
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Wellcare No Premium (HMO-POS) | H0174-012-003 | Austin, Chambers, Fort Bend, Galveston, Hardin, Harris, Jefferson, Liberty, Matagorda, Montgomery, Newton, Orange, Polk, San Jacinto, Walker, Waller, Wharton |
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Wellcare No Premium (HMO-POS) | H0174-012-004 | Bexar, Comal, Guadalupe |
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Wellcare No Premium (HMO-POS) | H0174-012-005 | El Paso |
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Wellcare TexanPlus No Premium (HMO-POS) | H4506-029 | Austin, Brazoria, Chambers, Fort Bend, Galveston (partial county), Hardin, Harris, Jefferson, Liberty, Montgomery, Orange, Walker, Waller |
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For PPO Members
Plan Name | CMS # | County | Evidence of Coverage |
---|---|---|---|
Wellcare No Premium Open (PPO) | H7323-001 | Bastrop, Blanco, Burnet, Caldwell, Hays, Lee, Milam, Travis, Williamson |
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Wellcare No Premium Open (PPO) | H7323-002 | Collin, Dallas, Denton, Johnson, Rockwall, Tarrant |
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Wellcare No Premium Open (PPO) | H7323-003 | Austin, Brazoria, Chambers, Fort Bend, Galveston, Hardin, Harris, Jefferson, Liberty, Montgomery, Orange, Polk, San Jacinto, Walker, Waller |
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Wellcare No Premium Open (PPO) | H7323-004 | Atascosa, Bexar, El Paso, Medina |
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Wellcare No Premium Rx Plus Open (PPO) | H7323-006 | Atascosa, Austin, Bastrop, Bexar, Blanco, Brazoria, Burnet, Caldwell, Chambers, Collin, Comal, Cooke, Dallas, Denton, El Paso, Fort Bend, Galveston, Guadalupe, Hardin, Harris, Hays, Hidalgo, Jefferson, Johnson, Lee, Liberty, Medina, Milam, Montgomery, Orange, Polk, Rockwall, San Jacinto, Starr, Tarrant, Travis, Walker, Waller, Williamson |
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Wellcare No Premium Open (PPO) | H7323-007 | Hidalgo, Starr |
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For PPO D-SNP Members
Plan Name | CMS # | County | Evidence of Coverage |
---|---|---|---|
Wellcare Dual Access Open (PPO D-SNP) | H7323-005 | Atascosa, Austin, Bastrop, Bexar, Blanco, Brazoria, Burnet, Caldwell, Chambers, Collin, Comal, Cooke, Dallas, Denton, El Paso, Fort Bend, Galveston, Guadalupe, Hardin, Harris, Hays, Hidalgo, Jefferson, Johnson, Lee, Liberty, Medina, Milam, Montgomery, Orange, Polk, Rockwall, San Jacinto, Starr, Tarrant, Travis, Walker, Waller, Williamson |
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If you were enrolled in Superior HealthPlan Medicare Advantage last year, this booklet will tell you about changes to your plan’s costs and benefits for the coming year.
Please select the document for your plan and county:
For HMO Members:
Plan Name | CMS # | County | Annual Notice of Changes |
---|---|---|---|
Wellcare No Premium Medicare (HMO) | H0062-002 | Aransas, Bexar, Collin, Comal, Dallas, Denton, El Paso, Guadalupe, Jim Wells, Nueces, Rockwall, Tarrant, Wilson |
|
Allwell Medicare (HMO) to Wellcare No Premium Medicare (HMO) | H0062-001 - H0062-002 | Aransas, Bexar, Collin, Comal, Dallas, Denton, El Paso, Guadalupe, Jim Wells, Nueces, Rockwall, Tarrant, Wilson |
|
Wellcare No Premium Medicare (HMO) | H0062-003 | Cameron, Hidalgo, Starr |
|
Wellcare No Premium (HMO) | H5294-011 | Aransas, Bee, Brooks, Cameron, Duval, Goliad, Hidalgo, Jim Hogg, Jim Wells, Kenedy, Kleberg, La Salle, McMullen, Nueces, Refugio, San Patricio, Starr, Victoria, Webb, Willacy, Zapata | |
Wellcare Giveback (HMO) | H5294-012 | ||
Wellcare Complement Assist (HMO) | H5294-013 | ||
Wellcare Patriot No Premium (HMO) | H5294-014 | ||
Wellcare Complement Assist (HMO) | H5294-016 | ||
Wellcare No Premium (HMO) | H5294-017 | Atascosa, Bandera, Bexar, Comal, DeWitt, Dimmit, Gonzales, Guadalupe, Karnes, Kendall, Maverick, Medina, Real, Uvalde, Wilson, Zavala | |
Wellcare No Premium (HMO) | H5294-018 | Armstrong, Bailey, Borden, Briscoe, Castro, Cochran, Coke, Crosby, Dickens, Donley, Fisher, Floyd, Garza, Glasscock, Hale, Hockley, Irion, Kent, Lamb, Lubbock, Lynn, Martin, Mitchell, Nolan, Shackelford, Sterling, Swisher, Terry, Throckmorton |
For HMO D-SNP Members:
Plan Name | CMS # | County | Annual Notice of Changes |
---|---|---|---|
Wellcare Dual Liberty Nurture (HMO D-SNP) | H5294-010 | Aransas, Armstrong, Atascosa, Bailey, Bandera, Bee, Bexar, Borden, Bosque, Briscoe, Brooks, Calhoun, Cameron, Castro, Cochran, Coke, Collin, Colorado, Comal, Crosby, Dallas, Denton, DeWitt, Dickens, Dimmit, Donley, Duval, El Paso, Erath, Fayette, Fisher, Floyd, Garza, Gillespie, Glasscock, Goliad, Gonzales, Grayson, Grimes, Guadalupe, Hale, Hamilton, Hidalgo, Hill, Hockley, Hunt, Irion, Jack, Jim Hogg, Jim Wells, Karnes, Kendall, Kenedy, Kent, Kimble, Kleberg, La Salle, Lamb, Leon, Limestone, Lubbock, Lynn, Martin, Mason, Maverick, McCulloch, McMullen, Medina, Mills, Mitchell, Navarro, Nolan, Nueces, Palo Pinto, Real, Refugio, Rockwall, San Patricio, San Saba, Shackelford, Somervell, Starr, Sterling, Swisher, Tarrant, Terry, Throckmorton, Uvalde, Van Zandt, Victoria, Webb, Willacy, Wilson, Zapata, Zavala | |
Wellcare Dual Access Harmony (HMO D-SNP) | H5294-015 | Aransas, Armstrong, Atascosa, Bailey, Bandera, Bastrop, Bee, Bexar, Blanco, Borden, Bosque, Briscoe, Brooks, Burnet, Caldwell, Calhoun, Cameron, Castro, Cochran, Coke, Collin, Colorado, Comal, Crosby, Dallas, Denton, DeWitt, Dickens, Dimmit, Donley, Duval, El Paso, Erath, Fayette, Fisher, Floyd, Garza, Gillespie, Glasscock, Goliad, Gonzales, Grayson, Grimes, Guadalupe, Hale, Hamilton, Hays, Hidalgo, Hill, Hockley, Hunt, Irion, Jack, Jim Hogg, Jim Wells, Karnes, Kendall, Kenedy, Kent, Kimble, Kleberg, La Salle, Lamb, Lee, Leon, Limestone, Lubbock, Lynn, Martin, Mason, Maverick, McCulloch, McMullen, Medina, Milam, Mills, Mitchell, Navarro, Nolan, Nueces, Palo Pinto, Real, Refugio, Rockwall, San Patricio, San Saba, Shackelford, Somervell, Starr, Sterling, Swisher, Tarrant, Terry, Throckmorton, Uvalde, Van Zandt, Victoria, Webb, Willacy, Williamson, Wilson, Zapata, Zavala |
|
Allwell Medicare Nurture (HMO D-SNP) to Wellcare Dual Access Harmony (HMO D-SNP) | H5294-010 - H5294-015 |
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