Michigan 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:
For HMO Members:
Plan Name | CMS # | County | Summary of Benefits |
---|---|---|---|
Wellcare Complete No Premium (HMO) | H0482- 002 | Arenac, Bay, Genesee, Iosco, Kalamazoo, Lapeer, Livingston, Macomb, Oakland, Saginaw, St. Clair, Tuscola, Wayne | |
Wellcare Complete - Giveback (HMO) | H0482- 003 | Arenac, Bay, Genesee, Iosco, Kalamazoo, Lapeer, Livingston, Macomb, Oakland, Saginaw, St. Clair, Tuscola, Wayne |
For HMO D SNP Members:
Plan Name | CMS # | County | Summary of Benefits |
---|---|---|---|
Wellcare Complete Dual Access (HMO D-SNP) | H0482- 005 | Arenac, Bay, Genesee, Iosco, Kalamazoo, Lapeer, Livingston, Macomb, Oakland, Saginaw, St. Clair, Tuscola, Wayne |
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:
For HMO Members:
Plan Name
CMS #
County
Evidence of Coverage (EOC)
Wellcare Complete No Premium (HMO)
H0482- 002
Arenac, Bay, Genesee, Iosco, Kalamazoo, Lapeer, Livingston, Macomb, Oakland, Saginaw, St. Clair, Tuscola, Wayne
Wellcare Complete - Giveback (HMO)
H0482- 003
Arenac, Bay, Genesee, Iosco, Kalamazoo, Lapeer, Livingston, Macomb, Oakland, Saginaw, St. Clair, Tuscola, Wayne
For HMO D SNP Members:
Plan Name | CMS # | County | Evidence of Coverage (EOC) |
---|---|---|---|
Wellcare Complete Dual Access (HMO D-SNP) | H0482- 005 | Arenac, Bay, Genesee, Iosco, Kalamazoo, Lapeer, Livingston, Macomb, Oakland, Saginaw, St. Clair, Tuscola, Wayne |
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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:
For HMO Members:
Plan Name | CMS # | County | Annual Notice of Changes (ANOC) |
---|---|---|---|
Ascension Complete Michigan Secure (HMO) to Wellcare Complete No Premium (HMO) | H0482- 004 to H0482 -002 | Arenac, Bay, Genesee, Iosco, Kalamazoo, Saginaw, Tuscola | |
Wellcare Complete No Premium (HMO) | H0482- 002 | Arenac, Bay, Genesee, Iosco, Kalamazoo, Saginaw, Tuscola | |
Wellcare Complete - Giveback (HMO) | H0482- 003 | Arenac, Bay, Genesee, Iosco, Kalamazoo, Lapeer, Livingston, Macomb, Oakland, Saginaw, St. Clair, Tuscola, Wayne | |
Ascension Complete Michigan Reward (HMO) to Wellcare Complete - Giveback (HMO) | H0482- 001 to H0482 - 003 | Lapeer, Livingston, Macomb, Oakland, St. Clair, Wayne |
For HMO DSNP Members:
Plan Name | CMS # | County | Annual Notice of Changes (ANOC) |
---|---|---|---|
Wellcare Complete Dual Access (HMO D-SNP) | H0482- 005 | Arenac, Bay, Genesee, Iosco, Kalamazoo, Lapeer, Livingston, Macomb, Oakland, Saginaw, St. Clair, Tuscola, Wayne | |
Ascension Complete Michigan DSNP (HMO D-SNP) to Wellcare Complete Dual Access (HMO D-SNP) | H0482-006 to H0482-005 | Arenac, Bay, Genesee, Iosco, Kalamazoo, Lapeer, Livingston, Macomb, Oakland, Saginaw, St. Clair, Tuscola, Wayne |
If you have any questions please, contact Member Services.
If you have any questions please, contact Member Services.