Materiales de beneficios del plan | Trillium Advantage

Plan Materials and Forms

 

Information about plan benefits, services, and drug costs can be found in your plan materials.

Look at your Wellcare por Trillium Advantage 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 por Trillium Advantage 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:

** Refer to Addendum to 2024 Medicare Advantage Benefits for additional information**

For HMO D-SNP Members:

PlansCMS#CountySummary of Benefits
Wellcare Dual Select (HMO D-SNP)H2174-001Lane
  • Summary of Benefits, H2174-001 - 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:

** Refer to Addendum to 2024 Medicare Advantage Benefits for additional information**

For HMO D-SNP Members:

Plans CMS# County Evidence of Coverage
Wellcare Dual Select (HMO D-SNP)H2174-001Lane
  • Evidence of Coverage, H2174-001 - English (PDF) - coming soon

 

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 2024 Medicare Advantage Benefits for additional information**

For HMO Members:

PlansCMS#CountyAnnual Notice of Changes
Wellcare Dual Select (HMO D-SNP)H2174-001Lane
  • Annual Notice of Changes, H2174-001- English (PDF) - coming soon

  • Medicare Step Therapy Part B (PDF)

If you have questions please, contact Member Services.