Illinois Plan Benefit Materials
This booklet gives you a summary of costs and coverage in your plan. Please select the document for your plan and county:
Plan Name
CMS#
County
Summary of Benefits
Wellcare Complete - Giveback (HMO)
H7399-001
Cook, DuPage, Kane, Kankakee, Will
This booklet gives you a complete list of services, limitations and exclusions for your plan coverage. Please select the document for your plan and county:
Plan Name
CMS #
County
Evidence of Coverage (EOC)
Wellcare Complete - Giveback (HMO)
H7399 - 001
Cook, DuPage, Kane, Kankakee, Will
If you were enrolled in Ascension Complete last year, 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:
Plan Name
CMS#
County
Annual Notice of Changes
Wellcare Complete - Giveback (HMO)
H7399-001
Cook, DuPage, Kane, Kankakee, Will
If you have questions please, contact Member Services.