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Plan Benefit Materials | Trillium Advantage

Plan Materials and Forms
Learn about your plan and all that it has to offer by reviewing helpful plan documents such as 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.”
This booklet gives you a summary of costs and coverage in your plan.
Please select the document for your plan and county:
For HMO D-SNP Members:
Plans | CMS# | County | Summary of Benefits |
---|---|---|---|
Wellcare Dual Select (HMO D-SNP) | H2174-001 | Lane |
This booklet gives you a summary of costs and coverage in your plan.
Please select the document for your plan and county:
For HMO D-SNP Members:
Plans | CMS# | County | Evidence of Coverage |
---|---|---|---|
Wellcare Dual Select (HMO D-SNP) | H2174-001 | Lane |
|
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:
For HMO Members:
Plans | CMS# | County | Annual Notice of Changes |
---|---|---|---|
Wellcare Dual Select (HMO D-SNP) | H2174-001 | Lane |
If you have questions please, contact Member Services.