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 |

Plan Materials and Forms
Information about plan benefits, services, and drug costs can be found in your plan materials.
Look at your Wellcare By Allwell member ID card for your plan number and type to view materials for your plan.
- View a sample of an Wellcare By Allwell Member ID Card to see where this information is located.
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 Allwell 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 parish:
For HMO Members:
Plan Name | CMS# | Parish | Summary of Benefits |
---|---|---|---|
Wellcare No Premium Medicare (HMO) | H5117-003 | Acadia, Ascension, East Baton Rouge, Iberville, Lafayette, Livingston, Pointe Coupee, St. James, St. Landry, St. Martin, St. Tammany, Tangipahoa, Washington and West Baton Rouge |
For HMO D-SNP Members:
Plan Name | CMS# | Parish | Summary of Benefits |
---|---|---|---|
Wellcare Dual Access Medicare (HMO D-SNP) | H5117-004 | Ascension, East Baton Rouge, Jefferson, Livingston, Orleans, Pointe Coupee, St. Tammany, Tangipahoa, Washington and West Baton Rouge |
This booklet gives you a complete list of services, limitations and exclusions for your plan coverage.
Please select the document for your plan and parish:
For HMO Members:
Plan Name | CMS# | Parish | Evidence of Coverage |
---|---|---|---|
Wellcare No Premium Medicare (HMO)
|
H5117-003 | Acadia, Ascension, East Baton Rouge, Iberville, Lafayette, Livingston, Pointe Coupee, St. James, St. Landry, St. Martin, St. Tammany, Tangipahoa, Washington and West Baton Rouge |
For HMO D-SNP Members:
Plan Name | CMS# | Parish | Evidence of Coverage |
---|---|---|---|
Wellcare Dual Access Medicare (HMO D-SNP) | H5117-004 | Ascension, East Baton Rouge, Jefferson, Livingston, Orleans, Pointe Coupee, St. Tammany, Tangipahoa, Washington and West Baton Rouge |
If you were enrolled in Wellcare By Allwell 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 parish:
For HMO and D SNP Members:
Plan Name | CMS# | Parish | Annual Notice of Changes |
---|---|---|---|
Wellcare No Premium Medicare (HMO) | H5117-003 | Acadia, Ascension, East Baton Rouge, Iberville, Lafayette, Livingston, Pointe Coupee, St. James, St. Landry, St. Martin, St. Tammany, Tangipahoa, Washington and West Baton Rouge |
|
Wellcare Dual Access Medicare (HMO D-SNP) | H5117-004 | Ascension, East Baton Rouge, Iberville, Livingston, Pointe Coupee, St. James, St Tammany parish, Tangipahoa, Washington Acadia, Lafayette, St. Landry, St. Martin parishes and West Baton Rouge parishes |