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Plan Benefit Materials | Allwell at Arizona Complete Health
2026 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 Giveback (HMO) H0351-054
Counties: Cochise, Coconino, Gila, Graham, Greenlee, La Paz, Mohave, Navajo, Santa Cruz, Yavapai, Yuma
Annual Notice of Change
Summary of Benefits
Evidence of Coverage
Dental Benefit Details
Wellcare Giveback (HMO) H0351-064
Counties: Maricopa, Pima, Pinal
Annual Notice of Change
Summary of Benefits
Evidence of Coverage
Dental Benefit Details
Wellcare Simple (HMO) H0351-053
Counties: Cochise, Coconino, Gila, Graham, Greenlee, La Paz, Mohave, Navajo, Santa Cruz, Yavapai, Yuma
Annual Notice of Change
Summary of Benefits
Evidence of Coverage
Dental Benefit Details
Your OTC Highlight
Wellcare Simple (HMO) H0351-063
Counties: Maricopa, Pima, Pinal
Annual Notice of Change
Summary of Benefits
Evidence of Coverage
Dental Benefit Details
- Dental Benefit Details - English (PDF)
- Dental Benefit Details - Spanish (PDF) - Coming Soon
Your OTC Highlight
Wellcare Simple Value (HMO) H0351-065
Counties: Maricopa, Pima, Pinal
Annual Notice of Change
Summary of Benefits
Evidence of Coverage
Dental Benefit Details
Your OTC Highlight
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 Specialty Simple (HMO C-SNP) H0351-057
Counties: Cochise, Mohave, Santa Cruz, Yavapai, Yuma
Annual Notice of Change
Summary of Benefits
Evidence of Coverage
Dental Benefit Details
Your OTC Highlight
Wellcare Dual Liberty Sync (HMO D-SNP) H5590-008
Counties: Apache, Cochise, Coconino, Gila, Graham, Greenlee, La Paz, Maricopa, Mohave, Navajo, Pima, Pinal, Santa Cruz, Yavapai, Yuma
Annual Notice of Change
Summary of Benefits
Evidence of Coverage
Dental Benefit Details
- Dental Benefit Details - English (PDF)
- Dental Benefit Details - Spanish (PDF) - Coming Soon
Your OTC Highlight
Additional Forms
- Medicare Step Therapy Part B (PDF) - Coming Soon
- 2026 Medicare Parts A & B Premiums and Deductibles (PDF) - Coming Soon
- Member Secure Portal Guide (PDF) - Coming Soon