Texas Plan Benefit Materials

 

Look at your Wellcare By Health Net member ID card for your plan number and type to view materials for your plan.

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.

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 - Giveback (HMO) H6678-003 Bastrop, Bell, Burnet, Caldwell, Coryell, Hays, Hill, Lampasas, Lee, Llano, McLennan, Travis, Williamson
  • Summary of Benefits, H6678-003 - Spanish (PDF) - coming soon
Wellcare Complete No Premium (HMO) H6678-004 Bastrop, Bell, Burnet, Caldwell, Coryell, Hays, Hill, Lampasas, Lee, Llano, McLennan, Travis, Williamson
  • Summary of Benefits, H6678-004 - Spanish (PDF) - coming soon

For PPO Members:

Plan Name CMS # County Summary of Benefits
Wellcare Complete No Premium Open (PPO) H9357- 001 Bastrop, Bell, Burnet, Caldwell, Coryell, Hays, Hill, Lampasas, Lee, Llano, McLennan, Travis, Williamson
  • Summary of Benefits, H9357-001 - Spanish (PDF) - coming soon

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
Wellcare Complete - Giveback (HMO) H6678-003 Bastrop, Bell, Burnet, Caldwell, Coryell, Hays, Hill, Lampasas, Lee, Llano, McLennan, Travis, Williamson
  • Evidence of Coverage, H6678-003 - Spanish (PDF) - coming soon

 

  • Dental Benefit Details - English (PDF) - coming soon
Wellcare Complete No Premium (HMO) H6678-004 Bastrop, Bell, Burnet, Caldwell, Coryell, Hays, Hill, Lampasas, Lee, Llano, McLennan, Travis, Williamson
  • Evidence of Coverage, H6678-004 - Spanish (PDF) - coming soon

 

  • Dental Benefit Details - English (PDF) - coming soon

For PPO Members:

Plan Name CMS # County Evidence of Coverage
Wellcare Complete No Premium Open (PPO) H9357- 001 Bastrop, Bell, Burnet, Caldwell, Coryell, Hays, Hill, Lampasas, Lee, Llano, McLennan, Travis, Williamson
  • Dental Benefit Details - English (PDF) - coming soon

 

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 Annual Notice of Changes (ANOC)
Wellcare Complete - Giveback (HMO) H6678-001 to H6678-003 Bastrop, Bell, Burnet, Caldwell, Coryell, Hays, Hill, Lampasas, Lee, Llano, McLennan, Travis, Williamson
Wellcare Complete Giveback (HMO) H6678-003 Bastrop, Bell, Burnet, Caldwell, Coryell, Hays, Hill, Lampasas, Lee, Llano, McLennan, Travis, Williamson
Wellcare Complete No Premium (HMO) H6678-004 Bastrop, Bell, Burnet, Caldwell, Coryell, Hays, Hill, Lampasas, Lee, Llano, McLennan, Travis, Williamson
Wellcare Complete No Premium (HMO) H6678-002 to H6678-004 Bastrop, Bell, Burnet, Caldwell, Coryell, Hays, Hill, Lampasas, Lee, Llano, McLennan, Travis, Williamson

For PPO Members:

Plan Name CMS # County Annual Notice of Changes (ANOC)
Wellcare Complete No Premium Open (PPO) H9357- 001 Bastrop, Bell, Burnet, Caldwell, Coryell, Hays, Hill, Lampasas, Lee, Llano, McLennan, Travis, Williamson
Wellcare Complete No Premium Open (PPO) H9357- 002 to H9357- 001 Bastrop, Bell, Burnet, Caldwell, Coryell, Hays, Hill, Lampasas, Lee, Llano, McLennan, Travis, Williamson
Wellcare Complete No Premium Open (PPO) H9357- 003 to H9357- 001 Bastrop, Bell, Burnet, Caldwell, Coryell, Hays, Hill, Lampasas, Lee, Llano, McLennan, Travis, Williamson
Wellcare Complete No Premium Open (PPO) H9357- 004 to H9357- 001 Bastrop, Bell, Burnet, Caldwell, Coryell, Hays, Hill, Lampasas, Lee, Llano, McLennan, Travis, Williamson

If you have any questions please, contact Member Services.