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.
You can also look for plan materials based on the plan name and the county you live in.
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:
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, Douglas, Jackson, Jefferson, Josephine, Lane, Linn, Marion, Multnomah, Polk, Washington, Yamhill | |
Wellcare No Premium (HMO) | H6815-039 |
Benton, Clackamas, Columbia, Crook, Deschutes, Jefferson, Lane, Linn, Marion, Multnomah, Polk, Washington, Yamhill |
For HMO D-SNP Members:
Plans | CMS# | County | Annual Notice of Changes |
---|---|---|---|
Wellcare Dual Select (HMO D-SNP) | H2174-001 | Lane |
|
For PPO Members:
Plans | CMS# | County | Annual Notice of Changes |
---|---|---|---|
Wellcare Premium Ultra Open (PPO) | H5439-011 | Benton, Clackamas, Douglas, Jackson, Josephine, Lane, Linn, Marion, Multnomah, Polk, Washington, Yamhill | |
Wellcare Giveback Open (PPO) | H5439-015 | Benton, Clackamas, Douglas, Jackson, Josephine, Lane, Linn, Marion, Multnomah, Polk, Washington, Yamhill |
|
Wellcare No Premium Open (PPO) | H5439-017 | Benton, Clackamas, Douglas, Jackson, Josephine, Lane, Linn, Marion, Multnomah, Polk, Washington, Yamhill | |
Wellcare Low Premium Open (PPO) | H5439-019 | Benton, Clackamas, Douglas, Jackson, Josephine, Lane, Linn, Marion, Multnomah, Polk, Washington, Yamhill |
|
Wellcare Patriot No Premium Open (PPO) | H5439-010 | Benton, Clackamas, Douglas, Jackson, Josephine, Lane, Linn, Marion, Multnomah, Polk, Washington, Yamhill |
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:
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, Douglas, Jackson, Jefferson, Josephine, Lane, Linn, Marion, Multnomah, Polk, Washington, Yamhill |
For HMO D-SNP Members:
Plans | CMS# | County | Annual Notice of Changes |
---|---|---|---|
Wellcare Dual Select (HMO D-SNP) | H2174-001 | Lane |
For PPO Members:
Plans | CMS# | County | Annual Notice of Changes |
---|---|---|---|
Wellcare Premium Ultra Open (PPO) | H5439-011 | Benton, Clackamas, Douglas, Jackson, Josephine, Lane, Linn, Marion, Multnomah, Polk, Washington, Yamhill | |
Wellcare Giveback Open (PPO) | H5439-015 | Benton, Clackamas, Douglas, Jackson, Josephine, Lane, Linn, Marion, Multnomah, Polk, Washington, Yamhill | |
Wellcare No Premium Open (PPO) | H5439-017 | Benton, Clackamas, Douglas, Jackson, Josephine, Lane, Linn, Marion, Multnomah, Polk, Washington, Yamhill | |
Wellcare Low Premium Open (PPO) to Wellcare Low Premium Open (PPO) | H5439-018 to H5439-019 | Benton, Clackamas, Douglas, Jackson, Josephine, Lane, Linn, Marion, Multnomah, Polk, Washington, Yamhill | |
Wellcare Low Premium Open (PPO) | H5439-019 | Benton, Clackamas, Douglas, Jackson, Josephine, Lane, Linn, Marion, Multnomah, Polk, Washington, Yamhill | |
Wellcare Patriot No Premium Open (PPO) | H5439-010 | Benton, Clackamas, Douglas, Jackson, Josephine, Lane, Linn, Marion, Multnomah, Polk, Washington, Yamhill |
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