For PPO Members

For HMO Members

For PPO Members

For HMO Members

• Medicare Part B Drug List (PDF)

• Over-The-Counter Catalog - English (PDF)
• Over-The-Counter Catalog - Korean (PDF)

This booklet gives you a summary of costs and coverage in your plan.

Please select the document for your plan and county:

** Refer to Addendum to 2023 Medicare Advantage Benefits for additional information**

For HMO Members:

For PPO Members:

This booklet gives you a summary of costs and coverage in your plan.

Please select the document for your plan and county:

** Refer to Addendum to 2023 Medicare Advantage Benefits for additional information**

For HMO Members:

For PPO Members:

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:

** Refer to Addendum to 2023 Medicare Advantage Benefits for additional information**

For HMO Members:

For PPO Members:

This document is an addendum to the 2023 Evidence of Coverage (EOC), Annual Notice of Change (ANOC) and Summary of Benefits (SB) for the plan(s) listed below.  It describes the member cost sharing protections provided under the Inflation Reduction Act (IRA) for certain Part B drugs.

• Addendum to 2023 Medicare Advantage Benefits (PDF)
  • H5439-010 Wellcare Patriot No Premium Open (PPO)
  • H5439-011 Wellcare Premium Ultra Open (PPO)
  • H5439-015 Wellcare Giveback Open (PPO)
  • H5439-017 Wellcare No Premium Open (PPO)
  • H5439-018 Wellcare Low Premium Open (PPO)
  • H5439-019 Wellcare Low Premium Open (PPO)
  • H6815-037 Wellcare Assist (HMO)
  • H6815-038 Wellcare No Premium (HMO)

• Mid-Year Change Notification (PDF)
  • H5439-011 Wellcare Premium Ultra Open (PPO)
  • H5439-015 Wellcare Giveback Open (PPO)
  • H5439-018 Wellcare Low Premium Open (PPO)

• Medicare Part B Drug List (PDF)

• AHIP Flyer (PDF)

• Over-The-Counter Catalog - English (PDF)