MEDICARE MEMBERS: PROTECT YOURSELF AGAINST MEDICARE FRAUD AND IDENTIFY THEFT! THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES OFFICE OF INSPECTOR GENERAL IS ALERTING THE PUBLIC ABOUT A FRAUD SCHEME INVOLVING GENETIC TESTING. LEARN HOW TO PROTECT YOURSELF.
Plan Benefit Materials | Health Net Medicare Advantage for Oregon and Washington

Plan Materials and Forms
Information about plan benefits, services, and drug costs can be found in your plan materials.
Look at your Wellcare By Health Net member ID card for your plan number and type to view materials for your plan.
- View a sample of an Wellcare By Health Net 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 Health Net ID card or have questions about plan materials, give us a call. We’re here to help.
Plans | CMS# | County | Summary of Benefits |
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Wellcare Patriot No Premium Open (PPO) | H5439-010 | Benton, Clackamas, Clark, Douglas, Jackson, Josephine, Lane, Linn, Marion, Multnomah, Polk, Washington, Yamhill | |
Wellcare Premium Ultra Open (PPO) | H5439-011 | Benton, Clackamas, Clark, Douglas, Jackson, Josephine, Lane, Linn, Marion, Multnomah, Polk, Washington, Yamhill |
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Wellcare Low Premium Open (PPO) | H5439-018 | Benton, Clackamas, Clark, Lane, Linn, Marion, Multnomah, Polk, Washington, Yamhill | |
Wellcare Low Premium Open (PPO) | H5439-019 | Douglas, Jackson, Josephine | |
Wellcare Giveback Open (PPO) | H5439-015 | Benton, Clackamas, Clark, Douglas, Jackson, Josephine, Lane, Linn, Marion, Multnomah, Polk, Washington, Yamhill |
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Wellcare No Premium Open (PPO) | H5439-017 | Lane |
Plans | CMS# | County | Summary of Benefits |
---|---|---|---|
Wellcare No Premium (HMO) | H6815-038 | Benton, Clackamas, Columbia, Coos, Crook, Deschutes, Jackson, Jefferson, Josephine, Lane, Linn, Marion, Multnomah, Polk, Washington, YamhillClackamas, |
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Wellcare Assist (HMO) | H6815-037 | Benton, Clackamas, Columbia, Coos, Crook, Deschutes, Douglas, Jackson, Jefferson, Josephine, Lane, Linn, Marion, Multnomah, Polk, Washington, Yamhill |
For PPO Members
Plans | CMS# | County | Evidence of Coverage |
---|---|---|---|
Wellcare Patriot No Premium Open (PPO) | H5439-010 | Benton, Clackamas, Clark, Douglas, Jackson, Josephine, Lane, Linn, Marion, Multnomah, Polk, Washington, Yamhill | |
Wellcare Premium Ultra Open (PPO) | H5439-011 | Benton, Clackamas, Clark, Douglas, Jackson, Josephine, Lane, Linn, Marion, Multnomah, Polk, Washington, Yamhill |
|
Wellcare Low Premium Open (PPO) | H5439-018 | Benton, Clackamas, Clark, Lane, Linn, Marion, Multnomah, Polk, Washington, Yamhill |
|
Wellcare Low Premium Open (PPO) | H5439-019 | Douglas, Jackson, Josephine |
|
Wellcare Giveback Open (PPO) | H5439-015 | Benton, Clackamas, Clark, Douglas, Jackson, Josephine, Lane, Linn, Marion, Multnomah, Polk, Washington, Yamhill |
|
Wellcare No Premium Open (PPO) | H5439-017 | Lane |
|
For HMO Members
Plans | CMS# | County | Evidence of Coverage |
---|---|---|---|
Wellcare No Premium (HMO) | H6815-038 | Benton, Clackamas, Columbia, Coos, Crook, Deschutes, Jackson, Jefferson, Josephine, Lane, Linn, Marion, Multnomah, Polk, Washington, YamhillClackamas, |
|
Wellcare Assist (HMO) | H6815-037 | Benton, Clackamas, Columbia, Coos, Crook, Deschutes, Douglas, Jackson, Jefferson, Josephine, Lane, Linn, Marion, Multnomah, Polk, Washington, Yamhill |
For PPO Members
Plans | CMS# | County | Low Income Subsidy |
---|---|---|---|
Wellcare Patriot No Premium Open (PPO) | H5439-010 | Benton, Clackamas, Clark, Douglas, Jackson, Josephine, Lane, Linn, Marion, Multnomah, Polk, Washington, Yamhill | |
Wellcare Premium Ultra Open (PPO) | H5439-011 | Benton, Clackamas, Clark, Douglas, Jackson, Josephine, Lane, Linn, Marion, Multnomah, Polk, Washington, Yamhill
|
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Wellcare Giveback Open (PPO) | H5439-015 | Benton, Clackamas, Clark, Douglas, Jackson, Josephine, Lane, Linn, Marion, Multnomah, Polk, Washington, Yamhill
|
|
Wellcare No Premium Open (PPO) | H5439-017 | Lane
|
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Wellcare Low Premium Open (PPO) | H5439-018 | Benton, Clackamas, Clark, Lane, Linn, Marion, Multnomah, Polk, Washington, Yamhillc |
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Wellcare Low Premium Open (PPO) | H5439-019 | Douglas, Jackson, Josephine |
For HMO Members
Plans | CMS# | County | Annual Notice of Changes |
---|---|---|---|
Wellcare Assist (HMO) | H6815-037 | Benton, Clackamas, Columbia, Coos, Crook, Deschutes, Douglas, Jackson, Jefferson, Josephine, Lane, Linn, Marion, Multnomah, Polk, Washington, Yamhill | |
Wellcare No Premium (HMO) | H6815-038 | Benton, Clackamas, Columbia, Coos, Crook, Deschutes, Jackson, Jefferson, Josephine, Lane, Linn, Marion, Multnomah, Polk, Washington, YamhillClackamas, Multnomah & Washington |
|
Health Net Ruby (HMO) to Wellcare No Premium (HMO) | H6815-005 - H6815-038 | Benton, Clackamas, Columbia, Coos, Crook, Deschutes, Jackson, Jefferson, Josephine, Lane, Linn, Marion, Multnomah, Polk, Washington, Yamhill, Clackamas, Multnomah & Washington |
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Health Net Ruby (HMO) to Wellcare No Premium (HMO) | H6815-006 - H6815-038 | Benton, Clackamas, Columbia, Coos, Crook, Deschutes, Jackson, Jefferson, Josephine, Lane, Linn, Marion, Multnomah, Polk, Washington, YamhillClackamas, Multnomah & Washington |