Due to the current government shutdown, we want to let you know that updates to your Medicare account may take longer than usual. Learn more about how this may affect your services.
Plan Benefit Materials |
2026 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 Low Premium (HMO-POS) H6815-038
Counties: Benton, Clackamas, Columbia, Coos, Douglas, 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
Your OTC Highlight
Wellcare Simple (HMO-POS) H6815-039
Counties: Benton, Clackamas, Columbia, Linn, Marion, Multnomah, Polk, Washington, Yamhill
Annual Notice of Change
Summary of Benefits
Evidence of Coverage
Dental Benefit Details
Wellcare Dual Access (HMO-POS D-SNP) H2174-013
Counties: Clackamas, Lane, Multnomah, Washington
Annual Notice of Change
Summary of Benefits
Evidence of Coverage
Dental Benefit Details
Your OTC Highlight
Wellcare Dual Reserve (HMO-POS D-SNP) H2174-012
Counties: Clackamas, Lane, Multnomah, Washington
Annual Notice of Change
Summary of Benefits
Evidence of Coverage
Dental Benefit Details
Your OTC Highlight
Wellcare Dual Select Sync (HMO-POS D-SNP) H2174-001
Counties: Clackamas, Lane, Multnomah, Washington
Annual Notice of Change
- Annual Notice of Change: Wellcare Dual Select (HMO-POS D-SNP) H2174-001 to Wellcare Dual Select Sync (HMO-POS D-SNP) H2174-001 - English (PDF)
- Annual Notice of Change: Wellcare Dual Select (HMO-POS D-SNP) H2174-001 to Wellcare Dual Select Sync (HMO-POS D-SNP) H2174-001 - Spanish (PDF)
Summary of Benefits
Evidence of Coverage
Dental Benefit Details
Your OTC Highlight
Wellcare Giveback Open (PPO) H5439-015
Counties: Benton, Clackamas, Douglas, Jackson, Josephine, Lane, Linn, Marion, Multnomah, Polk, Washington, Yamhill
Annual Notice of Change
Summary of Benefits
Evidence of Coverage
Dental Benefit Details
Wellcare Low Premium Open (PPO) H5439-019
Counties: Benton, Clackamas, Douglas, Jackson, Josephine, Lane, Linn, Marion, Multnomah, Polk, Washington, Yamhill
Annual Notice of Change
Summary of Benefits
Evidence of Coverage
Dental Benefit Details
Wellcare Patriot Giveback Open (PPO) H5439-010
Counties: Benton, Clackamas, Douglas, Jackson, Josephine, 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 Ultra Open (PPO) H5439-011
Counties: Benton, Clackamas, Douglas, Jackson, Josephine, Lane, Linn, Marion, Multnomah, Polk, Washington, Yamhill
Annual Notice of Change
Summary of Benefits
Evidence of Coverage
Dental Benefit Details
Wellcare Simple Open (PPO) H5439-022-001
Counties: Jackson, Josephine
Annual Notice of Change
Summary of Benefits
Evidence of Coverage
Dental Benefit Details
Wellcare Simple Open (PPO) H5439-022-002
Counties: Clackamas, Marion, Multnomah, Polk, Washington
Annual Notice of Change
Summary of Benefits
Evidence of Coverage
Dental Benefit Details
Wellcare Simple Open (PPO) H5439-022-003
Counties: Benton, Douglas, Lane, Linn, Yamhill
Annual Notice of Change
Summary of Benefits
Evidence of Coverage
Dental Benefit Details
Additional Forms
- Medicare Step Therapy Part B (PDF) - Coming Soon
- 2026 Medicare Parts A & B Premiums and Deductibles (PDF) - Coming Soon
- Member Secure Portal Guide (PDF) - Coming Soon