This booklet gives you a summary of costs and coverage in your plan.

This booklet gives you a complete list of services, limitations and exclusions for your plan coverage.

If you were enrolled in Trillium Medicare Advantage last year, this booklet will tell you about changes to your plan’s costs and benefits for the coming year.

• Step Therapy Provider Policy (PDF)

• Over-The-Counter Catalog (PDF)

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 2023 Medicare Advantage Benefits for additional information**

For HMO D-SNP Members:

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 2023 Medicare Advantage Benefits for additional information**

For HMO D-SNP Members:

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 2023 Medicare Advantage Benefits for additional information**

For HMO Members:

This document is an addendum to the 2023 Evidence of Coverage (EOC), Annual Notice of Change (ANOC) and Summary of Benefits (SB) for the plan(s) listed below.  It describes the member cost sharing protections provided under the Inflation Reduction Act (IRA) for certain Part B drugs.

• Addendum to 2023 Medicare Advantage Benefits (PDF)
  • H21740-01 Wellcare Dual Select (HMO D-SNP)

• Mid-Year Change Notification (PDF)
  • H5439-011 Wellcare Premium Ultra Open (PDF)
  • H5439-015 Wellcare Giveback Open (PPO)
  • H5439-018 Wellcare Low Premium Open (PPO)
  • H5439-019 Wellcare Low Premium Open (PPO)

• Over-The-Counter Catalog - English (PDF)

• AHIP Flyer (PDF)