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 Low Premium (HMO-POS) H6815-038
Counties: Clackamas, Columbia, Coos, Lane, Linn, Marion, Multnomah, Polk, Washington, Yamhill
Annual Notice of Change
Summary of Benefits
Evidence of Coverage
Dental Benefit Details
Wellcare PeaceHealth Simple (HMO-POS) H6815-040
Counties: Lane
Annual Notice of Change
Summary of Benefits
Evidence of Coverage
Dental Benefit Details
Wellcare Low Premium Open (PPO) H5439-015
Counties: Clackamas, Lane, Linn, Marion, Multnomah, Polk, Washington, Yamhill
Annual Notice of Change
Summary of Benefits
Evidence of Coverage
Dental Benefit Details
Wellcare Low Premium Value Open (PPO) H5439-023
Counties: Lane, Linn, Yamhill
Annual Notice of Change
Summary of Benefits
Evidence of Coverage
Dental Benefit Details
Wellcare Patriot Giveback Open (PPO) H5439-010
Counties: Clackamas, Lane, Linn, Marion, Multnomah, Polk, Washington, Yamhill
Annual Notice of Change
Summary of Benefits
Evidence of Coverage
Dental Benefit Details
Your OTC Highlight
Wellcare Premium Enhanced Open (PPO) H5439-019
Counties: Clackamas, Douglas, Lane, Linn, Marion, Multnomah, Polk, Washington, Yamhill
Annual Notice of Change
Summary of Benefits
Evidence of Coverage
Dental Benefit Details
Wellcare Premium Ultra Open (PPO) H5439-011
Counties: Clackamas, Lane, Linn, Marion, Multnomah, Polk, Washington, Yamhill
Annual Notice of Change
Summary of Benefits
Evidence of Coverage
Dental Benefit Details
HMO D-SNP Plans
Wellcare Trillium Health Plan Dual Select Sync (HMO D-SNP) H2174-001
Counties: Clackamas, Lane, Multnomah, Washington
Annual Notice of Change
- Annual Notice of Change: Wellcare Dual Select Sync (HMO-POS D-SNP) H2174-001 to Wellcare Trillium Health Plan Dual Select Sync (HMO D-SNP) H2174-001 - English (PDF)
- Annual Notice of Change: Wellcare Dual Select Sync (HMO-POS D-SNP) H2174-001 to Wellcare Trillium Health Plan Dual Select Sync (HMO D-SNP) H2174-001 - Spanish (PDF)
Summary of Benefits
Evidence of Coverage
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.