Plan Benefit Materials | Allwell at Arizona Complete Health
2027 Plan Benefit Materials
Explore your plan and its benefits by reviewing important documents like the Annual Notice of Change (ANOC), Summary of Benefits, and Evidence of Coverage.
To get started, locate your plan in the list of plans below and select “Plan Benefits.”
Wellcare
Wellcare Simple (HMO) H0351-063
Counties: Maricopa, Pima, Pinal
Annual Notice of Change
Summary of Benefits
Evidence of Coverage
Dental Benefit Details
Your OTC Highlight
Wellcare Simple (HMO) H0351-071
Counties: Cochise, Gila, Santa Cruz, Yuma
Summary of Benefits
Evidence of Coverage
Dental Benefit Details
Wellcare Specialty Simple (HMO C-SNP) H0351-038
Counties: Maricopa, Pima, Pinal
Annual Notice of Change
Summary of Benefits
Evidence of Coverage
Dental Benefit Details
Your OTC Highlight
Wellcare Arizona Complete Health Dual Liberty Sync (HMO D-SNP) H5590-012-001
Counties: Apache, Coconino, Gila, Graham, Greenlee, Mohave, Navajo, Yavapai
Annual Notice of Change
- Annual Notice of Change: Wellcare Dual Liberty Sync (HMO D-SNP) H5590-008-000 to Wellcare Arizona Complete Health Dual Liberty Sync (HMO D-SNP) H5590-012-001 - English (PDF)
- Annual Notice of Change: Wellcare Dual Liberty Sync (HMO D-SNP) H5590-008-000 to Wellcare Arizona Complete Health Dual Liberty Sync (HMO D-SNP) H5590-012-001 - Spanish (PDF)
Summary of Benefits
Evidence of Coverage
Dental Benefit Details
Your OTC Highlight
Wellcare Arizona Complete Health Dual Liberty Sync (HMO D-SNP) H5590-012-002
Counties: Cochise, La Paz, Maricopa, Pima, Pinal, Santa Cruz, Yuma
Annual Notice of Change
- Annual Notice of Change: Wellcare Dual Liberty Sync (HMO D-SNP) H5590-008-000 to Wellcare Arizona Complete Health Dual Liberty Sync (HMO D-SNP) H5590-012-002 - English (PDF)
- Annual Notice of Change: Wellcare Dual Liberty Sync (HMO D-SNP) H5590-008-000 to Wellcare Arizona Complete Health Dual Liberty Sync (HMO D-SNP) H5590-012-002 - Spanish (PDF)
Summary of Benefits
Evidence of Coverage
Dental Benefit Details
Your OTC Highlight
Additional Forms
- Medicare Step Therapy Part B (PDF) - Coming Soon
- 2027 Medicare Parts A & B Premiums and Deductibles (PDF) - Coming Soon
- Member Secure Portal Guide (PDF) - Coming Soon
If you have questions please, contact Member Services.