Plans for Wellcare

1,156,535 Total Members

Prescription Hearing Aid Coverage
Company Plan name Plan type Annual OTC Supplement Coverage? Covered Amount In Network Required? Coinsurance? Copay? Prior Authorization? Need Referral? Enrollees
Wellcare Wellcare TexanPlus Classic No Premium (HMO)
H4506-003-0 		HMO $120 Yes $1,500 No No Yes Yes No 40,075
Wellcare Wellcare Giveback Open (PPO)
H2775-111-0 		Local PPO $120 Yes $700 No No Yes Yes No 35,308
Wellcare Wellcare No Premium Open (PPO)
H2775-106-0 		Local PPO $340 Yes $1,500 No No Yes Yes No 35,231
Wellcare Wellcare Giveback (HMO)
H5087-025-0 		HMO $240 Yes $2,000 No No Yes Yes No 33,160
Wellcare Wellcare Dual Access (HMO D-SNP)
H4868-014-0 		HMO $1,860 Yes $1,500 No No Yes Yes No 29,485
Wellcare Wellcare Giveback (HMO)
H0174-013-5 		HMO $0 Yes $1,500 No No Yes Yes No 25,578
Wellcare Wellcare Dual Liberty (HMO D-SNP)
H1032-175-0 		HMO $1,740 Yes $5,000 No No Yes Yes No 21,506
Wellcare Wellcare Plus (HMO)
H5087-002-0 		HMO $1,260 Yes $2,000 No No Yes Yes No 21,055
Wellcare WellCare Dividend Prime (HMO)
H0174-007-0 		HMO $0 Yes $1,500 No No Yes Yes Yes 19,033
Wellcare Wellcare No Premium (HMO)
H9730-009-0 		HMO $460 Yes $2,000 No No Yes Yes No 18,432
Wellcare Wellcare No Premium Best (HMO)
H5087-005-0 		HMO $620 Yes $2,000 No No Yes Yes No 17,353
Wellcare Wellcare Dual Access (HMO D-SNP)
H1032-124-0 		HMO $1,600 Yes $3,000 No No Yes Yes No 17,116
Wellcare Wellcare Giveback Open (PPO)
H7326-003-0 		Local PPO $0 Yes $700 No No Yes Yes No 16,179
Wellcare Wellcare No Premium (HMO-POS)
H5475-026-0 		HMOPOS $440 Yes $3,000 No No Yes Yes No 15,697
Wellcare Wellcare No Premium (HMO-POS)
H0174-012-5 		HMOPOS $220 Yes $1,500 No No Yes Yes No 14,530
Wellcare Wellcare Dual Access (HMO-POS D-SNP)
H5475-001-0 		HMOPOS $1,400 Yes $3,000 No No Yes Yes No 13,857
Wellcare Wellcare Giveback (HMO)
H1032-200-0 		HMO $580 Yes $1,000 No No Yes Yes No 13,666
Wellcare Wellcare No Premium (HMO)
H1112-038-0 		HMO $340 Yes $2,000 No No Yes Yes No 12,944
Wellcare Wellcare No Premium (HMO)
H4868-019-0 		HMO $240 Yes $1,500 No No Yes Yes No 12,910
Wellcare WellCare Value (HMO-POS)
H0174-005-0 		HMOPOS $0 Yes $1,500 No No Yes Yes Yes 12,794
Wellcare WellCare Plus (HMO)
H5087-017-0 		HMO $0 Yes $2,000 No No Yes Yes Yes 12,719
Wellcare Wellcare No Premium Open (PPO)
H2775-109-0 		Local PPO $140 Yes $1,500 No No Yes Yes No 12,118
Wellcare Wellcare Dual Access Open (PPO D-SNP)
H2775-112-0 		Local PPO $1,200 Yes $2,000 No No Yes Yes No 11,588
Wellcare Wellcare Giveback (HMO)
H1112-042-0 		HMO $0 Yes $2,000 No No Yes Yes No 11,377
Wellcare Wellcare No Premium (HMO)
H0174-010-0 		HMO $500 Yes $1,500 No No Yes Yes No 11,015
Wellcare Wellcare Dual Access (HMO D-SNP)
H1112-006-0 		HMO $1,680 Yes $3,000 No No Yes Yes No 10,936
Wellcare Wellcare No Premium (HMO)
H1032-213-0 		HMO $1,040 Yes $2,000 No No Yes Yes No 10,686
Wellcare Wellcare No Premium (HMO-POS)
H1416-009-0 		HMOPOS $660 Yes $3,000 No No Yes Yes No 10,263
Wellcare Wellcare Giveback (HMO)
H9730-007-0 		HMO $300 Yes $1,000 No No Yes Yes No 10,151
Wellcare Wellcare Dual Access (HMO D-SNP)
H0174-004-0 		HMO $1,300 Yes $2,000 No No Yes Yes No 10,010
Wellcare Wellcare Assist Open (PPO)
H2775-113-0 		Local PPO $600 Yes $1,500 No No Yes Yes No 9,428
Wellcare Wellcare Giveback (HMO)
H1032-212-0 		HMO $340 Yes $1,000 No No Yes Yes No 9,349
Wellcare Wellcare No Premium (HMO)
H1416-071-0 		HMO $240 Yes $1,000 No No Yes Yes No 9,183
Wellcare Wellcare Giveback (HMO)
H1032-040-0 		HMO $1,400 Yes $3,000 No No Yes Yes No 9,089
Wellcare Wellcare Assist (HMO)
H1112-043-0 		HMO $500 Yes $2,000 No No Yes Yes No 8,961
Wellcare Wellcare Dual Liberty (HMO D-SNP)
H9730-004-0 		HMO $1,700 Yes $5,000 No No Yes Yes No 8,951
Wellcare Wellcare No Premium Open (PPO)
H7326-001-0 		Local PPO $300 Yes $1,500 No No Yes Yes No 8,911
Wellcare WellCare Value (HMO)
H1416-067-2 		HMO $0 Yes $1,000 No No Yes Yes Yes 8,474
Wellcare Wellcare Giveback (HMO)
H1416-065-0 		HMO $0 Yes $700 No No Yes Yes No 7,966
Wellcare Wellcare No Premium Open (PPO)
H8711-001-0 		Local PPO $160 Yes $1,500 No No Yes Yes No 7,838
Wellcare Wellcare No Premium (HMO)
H1112-039-0 		HMO $280 Yes $2,000 No No Yes Yes No 7,685
Wellcare Wellcare Dual Liberty (HMO D-SNP)
H0913-013-0 		HMO $1,800 No 7,414
Wellcare Wellcare No Premium (HMO)
H1032-201-0 		HMO $840 Yes $2,000 No No Yes Yes No 7,331
Wellcare Wellcare Dual Access (HMO D-SNP)
H1416-034-0 		HMO $1,340 Yes $2,000 No No Yes Yes No 7,311
Wellcare Wellcare No Premium Open (PPO)
H0111-001-0 		Local PPO $140 Yes $2,000 No No Yes Yes No 7,285
Wellcare Wellcare Giveback (HMO)
H1032-193-0 		HMO $820 Yes $2,000 No No Yes Yes No 7,188
Wellcare Wellcare Dual Liberty (HMO D-SNP)
H0174-006-0 		HMO $1,700 Yes $3,000 No No Yes Yes No 7,097
Wellcare Wellcare No Premium Open (PPO)
H6713-001-0 		Local PPO $280 Yes $1,500 No No Yes Yes No 6,907
Wellcare Wellcare Assist (HMO)
H0174-009-0 		HMO $1,440 Yes $3,000 No No Yes Yes No 6,605
Wellcare Wellcare Giveback Open (PPO)
H7175-004-0 		Local PPO $60 No 6,400
Wellcare Wellcare Giveback Open (PPO)
H8711-002-0 		Local PPO $0 Yes $700 No No Yes Yes No 6,400
Wellcare Wellcare Edge Plus (HMO)
H5779-006-0 		HMO $1,900 Yes $4,000 No No Yes Yes No 6,385
Wellcare Wellcare Dual Access (HMO D-SNP)
H9730-003-0 		HMO $1,440 Yes $2,000 No No Yes Yes No 6,288
Wellcare Wellcare Dual Liberty (HMO D-SNP)
H1112-033-0 		HMO $1,940 Yes $3,000 No No Yes Yes No 6,201
Wellcare Wellcare Dual Access (HMO D-SNP)
H1416-035-0 		HMO $2,080 Yes $4,000 No No Yes Yes No 6,006
Wellcare Wellcare No Premium (HMO)
H4073-001-0 		HMO $360 Yes $2,000 No No Yes Yes No 5,945
Wellcare Wellcare No Premium (HMO)
H1032-205-0 		HMO $780 Yes $2,000 No No Yes Yes No 5,751
Wellcare Wellcare No Premium Open (PPO)
H5199-012-0 		Local PPO $540 Yes $2,000 No No Yes Yes No 5,594
Wellcare WellCare Choice (HMO)
H4868-020-0 		HMO $0 Yes $1,500 No No Yes Yes Yes 5,577
WellCare WellCare Liberty (HMO D-SNP)
H5430-001-0 		HMO $0 Yes $2,000 No No Yes Yes Yes 5,418
Wellcare Wellcare Giveback (HMO)
H1416-073-3 		HMO $140 Yes $1,000 No No Yes Yes No 5,368
Wellcare WellCare Dividend (HMO)
H1416-039-0 		HMO $0 Yes $1,000 No No Yes Yes Yes 5,265
WellCare WellCare Dividend (HMO)
H6439-004-0 		HMO $0 Yes $1,000 No No Yes Yes Yes 5,167
Wellcare Wellcare No Premium (HMO-POS)
H1416-077-0 		HMOPOS $820 Yes $2,000 No No Yes Yes No 5,083
Wellcare Wellcare No Premium Preferred (HMO)
H1416-055-0 		HMO $220 Yes $1,000 No No Yes Yes No 4,999
Wellcare Wellcare Endurance Open (PPO)
H0111-005-0 		Local PPO $120 Yes $700 No No Yes Yes No 4,798
Wellcare Wellcare No Premium Open (PPO)
H1914-001-0 		Local PPO $180 Yes $2,000 No No Yes Yes No 4,766
Wellcare Wellcare No Premium (HMO)
H2491-007-0 		HMO $300 Yes $1,000 No No Yes Yes No 4,758
Wellcare Wellcare Assist (HMO)
H1416-068-0 		HMO $460 Yes $2,000 No No Yes Yes No 4,733
Wellcare Wellcare No Premium (HMO)
H5087-026-0 		HMO $620 Yes $2,000 No No Yes Yes No 4,725
Wellcare Wellcare No Premium Best (HMO)
H5087-016-0 		HMO $760 Yes $2,000 No No Yes Yes No 4,700
Wellcare Wellcare 'Ohana Dual Liberty (HMO D-SNP)
H2491-004-0 		HMO $1,480 Yes $700 No No Yes Yes No 4,687
Wellcare Wellcare Dual Liberty (HMO D-SNP)
H1416-044-0 		HMO $2,020 Yes $4,000 No No Yes Yes No 4,674
Wellcare Wellcare Giveback (HMO)
H1032-195-0 		HMO $1,440 Yes $1,500 No No Yes Yes No 4,514
Wellcare Wellcare No Premium Open (PPO)
H5199-008-0 		Local PPO $140 Yes $2,000 No No Yes Yes No 4,463
Wellcare Wellcare No Premium Exclusive (HMO)
H5779-007-0 		HMO $480 Yes $3,000 No No Yes Yes No 4,436
Wellcare Wellcare No Premium Open (PPO)
H2117-001-0 		Local PPO $240 Yes $1,000 No No Yes Yes No 4,394
Wellcare Wellcare Dual Access (HMO D-SNP)
H0712-005-0 		HMO $800 Yes $2,000 No No Yes Yes No 4,335
Wellcare Wellcare TexanPlus No Premium (HMO)
H0174-014-0 		HMO $340 Yes $2,000 No No Yes Yes No 4,334
Wellcare Wellcare No Premium Open (PPO)
H7175-001-0 		Local PPO $280 Yes $1,000 No No Yes Yes No 4,233
Wellcare Wellcare Dual Access Open (PPO D-SNP)
H0111-004-0 		Local PPO $1,680 Yes $3,000 No No Yes Yes No 4,214
Wellcare WellCare Value (HMO-POS)
H1416-069-3 		HMOPOS $0 Yes $3,000 No No Yes Yes Yes 4,190
Wellcare WellCare Element (HMO)
H4868-022-0 		HMO $0 No 4,128
Wellcare Wellcare Dual Pinnacle (HMO D-SNP)
H2491-012-0 		HMO $1,200 Yes $3,000 No No Yes Yes No 4,076
Wellcare Wellcare Assist (HMO)
H1416-042-0 		HMO $800 Yes $2,000 No No Yes Yes No 4,033
Wellcare Wellcare No Premium (HMO)
H1353-005-0 		HMO $340 Yes $2,000 No No Yes Yes No 3,888
Wellcare Wellcare Giveback (HMO)
H1032-198-0 		HMO $800 Yes $2,000 No No Yes Yes No 3,883
Wellcare Wellcare No Premium Essential (HMO-POS)
H9730-005-0 		HMOPOS $440 Yes $2,000 No No Yes Yes No 3,805
Wellcare Wellcare No Premium Open (PPO)
H3975-001-0 		Local PPO $240 Yes $2,000 No No Yes Yes No 3,790
Wellcare Wellcare Assist Compass (HMO)
H1416-023-0 		HMO $600 Yes $4,000 No No Yes Yes No 3,736
Wellcare Wellcare Giveback Open (PPO)
H6713-002-0 		Local PPO $0 Yes $700 No No Yes Yes No 3,722
Wellcare Wellcare Assist (HMO)
H9730-010-0 		HMO $800 Yes $1,500 No No Yes Yes No 3,625
Wellcare WellCare Essential (HMO-POS)
H5475-006-0 		HMOPOS $0 Yes $1,000 No No Yes Yes Yes 3,614
Wellcare Wellcare Assist Compass (HMO)
H1416-041-0 		HMO $600 Yes $1,000 No No Yes Yes No 3,553
Wellcare Wellcare No Premium Focus (HMO)
H1112-040-0 		HMO $280 Yes $2,000 No No Yes Yes No 3,534
Wellcare Wellcare Dual Access (HMO D-SNP)
H4868-004-0 		HMO $1,800 Yes $1,500 No No Yes Yes No 3,525
Wellcare Wellcare 'Ohana No Premium (HMO)
H2491-009-0 		HMO $340 Yes $2,000 No No Yes Yes No 3,475
Wellcare Wellcare No Premium (HMO)
H1032-194-0 		HMO $740 Yes $2,000 No No Yes Yes No 3,455
Wellcare Wellcare Dual Access (HMO D-SNP)
H9364-002-0 		HMO $800 Yes $2,000 No No Yes Yes No 3,394
Wellcare Wellcare No Premium (HMO)
H1032-192-0 		HMO $540 Yes $2,000 No No Yes Yes No 3,322
Wellcare Wellcare Assist (HMO)
H5779-008-0 		HMO $600 Yes $4,000 No No Yes Yes No 3,223
Wellcare Wellcare Giveback (HMO)
H5475-031-0 		HMO $60 No 3,202
Wellcare Wellcare Plus (HMO)
H1416-048-0 		HMO $1,600 Yes $2,000 No No Yes Yes No 3,163
Wellcare Wellcare 'Ohana No Premium (HMO)
H2491-015-0 		HMO $500 Yes $2,000 No No Yes Yes No 3,154
Wellcare Wellcare Assist (HMO)
H2491-010-0 		HMO $400 Yes $1,000 No No Yes Yes No 3,117
Wellcare Wellcare No Premium Exclusive (HMO)
H5475-033-0 		HMO $540 Yes $2,000 No No Yes Yes No 2,964
Wellcare WellCare Extra Plus (HMO-POS D-SNP)
H5475-004-0 		HMOPOS $0 Yes $2,000 No No Yes Yes Yes 2,947
Wellcare Wellcare Dual Access Open (PPO D-SNP)
H2117-002-0 		Local PPO $1,200 Yes $2,000 No No Yes Yes No 2,895
Wellcare Wellcare Giveback Dividend (HMO)
H1416-064-0 		HMO $80 Yes $700 No No Yes Yes No 2,871
Wellcare Wellcare Assist (HMO)
H4847-005-0 		HMO $500 Yes $2,000 No No Yes Yes No 2,831
Wellcare Wellcare Dual Liberty Freedom (HMO D-SNP)
H5087-001-0 		HMO $1,120 Yes $2,000 No No Yes Yes No 2,810
Wellcare Wellcare Dual Liberty (HMO D-SNP)
H1416-036-0 		HMO $2,040 Yes $3,000 No No Yes Yes No 2,736
Wellcare Wellcare Assist (HMO)
H4868-016-0 		HMO $400 Yes $2,000 No No Yes Yes No 2,725
Wellcare Wellcare Premium Ultra Open (PPO)
H2775-105-0 		Local PPO $540 Yes $1,500 No No Yes Yes No 2,675
Wellcare Wellcare No Premium (HMO)
H4847-001-0 		HMO $240 Yes $700 No No Yes Yes No 2,673
Wellcare Wellcare Giveback Open (PPO)
H3047-002-0 		Local PPO $0 Yes $700 No No Yes Yes No 2,538
WellCare WellCare Value (HMO)
H6439-002-0 		HMO $0 Yes $1,000 No No Yes Yes Yes 2,457
Wellcare Wellcare Dual Liberty (HMO D-SNP)
H4847-004-0 		HMO $2,040 Yes $3,000 No No Yes Yes No 2,450
Wellcare Wellcare Giveback (HMO)
H1032-204-0 		HMO $540 Yes $1,000 No No Yes Yes No 2,425
WellCare WellCare Compass (HMO)
H6439-003-0 		HMO $0 Yes $3,000 No No Yes Yes Yes 2,409
Wellcare Wellcare Advantage No Premium (PFFS)
H2816-038-0 		PFFS $0 No 2,405
Wellcare Wellcare Dual Liberty Open (PPO D-SNP)
H7175-002-0 		Local PPO $1,720 Yes $3,000 No No Yes Yes No 2,382
Wellcare Wellcare Giveback (HMO)
H1032-210-0 		HMO $740 Yes $2,000 No No Yes Yes No 2,374
Wellcare Wellcare Dual Reserve (HMO D-SNP)
H1032-214-0 		HMO $1,640 Yes $2,000 No No Yes Yes No 2,367
Wellcare Wellcare Giveback Open (PPO)
H1914-002-0 		Local PPO $140 Yes $700 No No Yes Yes No 2,365
Wellcare Wellcare No Premium (HMO)
H1032-199-0 		HMO $940 Yes $2,000 No No Yes Yes No 2,334
Wellcare Wellcare Assist Open (PPO)
H9761-003-0 		Local PPO $700 Yes $2,000 No No Yes Yes No 2,330
Wellcare Wellcare Low Premium (HMO-POS)
H5475-024-0 		HMOPOS $340 Yes $1,000 No No Yes Yes No 2,230
Wellcare Wellcare Giveback (HMO)
H1032-191-0 		HMO $340 Yes $1,500 No No Yes Yes No 2,180
Wellcare Wellcare No Premium Essential (HMO-POS)
H5475-022-0 		HMOPOS $540 Yes $3,000 No No Yes Yes No 2,177
Wellcare Wellcare Dual Liberty (HMO D-SNP)
H9364-003-0 		HMO $1,080 Yes $3,000 No No Yes Yes No 2,165
Wellcare Wellcare Low Premium (HMO-POS)
H1416-026-0 		HMOPOS $120 Yes $1,500 No No Yes Yes No 2,115
Wellcare Wellcare No Premium Open (PPO)
H9761-001-0 		Local PPO $180 Yes $2,000 No No Yes Yes No 2,115
Wellcare Wellcare Dual Select (HMO D-SNP)
H1032-182-0 		HMO $840 Yes $2,000 No No Yes Yes No 2,076
Wellcare Wellcare Dual Access (HMO D-SNP)
H2491-006-0 		HMO $800 Yes $1,000 No No Yes Yes No 2,051
Wellcare Wellcare Assist (HMO)
H0913-015-0 		HMO $400 Yes $2,000 No No Yes Yes No 2,030
Wellcare Wellcare Giveback (HMO)
H1353-006-0 		HMO $100 Yes $1,000 No No Yes Yes No 1,997
Wellcare Wellcare Patriot No Premium (HMO-POS)
H1112-034-0 		HMOPOS $600 Yes $2,000 No No Yes Yes No 1,977
Wellcare Wellcare No Premium Focus (HMO)
H0913-017-0 		HMO $280 Yes $3,000 No No Yes Yes No 1,952
Wellcare Wellcare No Premium (HMO-POS)
H0913-002-0 		HMOPOS $120 Yes $1,000 No No Yes Yes No 1,905
WellCare WellCare TexanPlus Classic (HMO)
H5656-001-0 		HMO $0 Yes $1,500 No No Yes Yes Yes 1,898
Wellcare Wellcare Dual Access (HMO-POS D-SNP)
H1416-033-0 		HMOPOS $1,260 Yes $2,000 No No Yes Yes No 1,864
Wellcare Wellcare Dual Freedom (HMO D-SNP)
H2491-011-0 		HMO $1,000 Yes $2,000 No No Yes Yes No 1,864
Wellcare Wellcare No Premium (HMO)
H1032-211-0 		HMO $740 Yes $2,000 No No Yes Yes No 1,848
Wellcare Wellcare No Premium (HMO)
H5087-024-0 		HMO $620 Yes $1,000 No No Yes Yes No 1,813
Wellcare Wellcare No Premium (HMO)
H9364-001-0 		HMO $180 Yes $1,500 No No Yes Yes No 1,766
Wellcare Wellcare Dual Access Open (PPO D-SNP)
H7323-005-0 		Local PPO $960 Yes $2,000 No No Yes Yes No 1,730
Wellcare Wellcare Dual Reserve (HMO D-SNP)
H1032-202-0 		HMO $1,460 Yes $2,000 No No Yes Yes No 1,729
Wellcare Wellcare Dual Liberty (HMO-POS D-SNP)
H1416-043-0 		HMOPOS $1,560 Yes $3,000 No No Yes Yes No 1,644
Wellcare Wellcare Assist (HMO)
H5475-038-0 		HMO $600 Yes $3,000 No No Yes Yes No 1,638
Wellcare Wellcare No Premium Open (PPO)
H5199-014-0 		Local PPO $440 Yes $2,000 No No Yes Yes No 1,627
Wellcare Wellcare No Premium Essential (HMO-POS)
H5475-011-0 		HMOPOS $280 Yes $1,000 No No Yes Yes No 1,623
Wellcare Wellcare No Premium Essential (HMO-POS)
H5475-005-0 		HMOPOS $300 Yes $1,000 No No Yes Yes No 1,616
Wellcare Wellcare No Premium Open (PPO)
H7169-001-0 		Local PPO $300 Yes $1,500 No No Yes Yes No 1,610
Wellcare Wellcare No Premium (HMO)
H1112-044-0 		HMO $280 Yes $2,000 No No Yes Yes No 1,609
Wellcare Wellcare No Premium (HMO)
H1215-002-0 		HMO $240 Yes $1,500 No No Yes Yes No 1,603
Wellcare Wellcare Dual Liberty (HMO D-SNP)
H0712-029-0 		HMO $1,200 Yes $2,000 No No Yes Yes No 1,593
Wellcare Wellcare No Premium Open (PPO)
H0969-001-0 		Local PPO $20 Yes $1,000 No No Yes Yes No 1,513
Wellcare WellCare Select (HMO D-SNP)
H1032-229-3 		HMO $0 Yes $2,000 No No Yes Yes Yes 1,509
Wellcare Wellcare No Premium (HMO)
H0712-019-0 		HMO $120 Yes $1,500 No No Yes Yes No 1,431
Wellcare Wellcare No Premium (HMO)
H1032-196-0 		HMO $1,400 Yes $2,000 No No Yes Yes No 1,403
Wellcare Wellcare No Premium Open (PPO)
H7323-003-0 		Local PPO $180 Yes $700 No No Yes Yes No 1,401
Wellcare Wellcare Giveback Open (PPO)
H9761-002-0 		Local PPO $120 Yes $700 No No Yes Yes No 1,400
Wellcare Wellcare No Premium (HMO-POS)
H1416-076-0 		HMOPOS $600 Yes $3,000 No No Yes Yes No 1,350
Wellcare Wellcare Assist (HMO)
H0712-020-0 		HMO $400 Yes $2,000 No No Yes Yes No 1,337
Wellcare Wellcare Giveback Open (PPO)
H2128-004-0 		Local PPO $0 Yes $700 No No Yes Yes No 1,330
Wellcare Wellcare Patriot Giveback Open (PPO)
H7518-002-0 		Local PPO $260 Yes $1,500 No No Yes Yes No 1,309
Wellcare Wellcare No Premium Open (PPO)
H7518-001-0 		Local PPO $200 Yes $1,000 No No Yes Yes No 1,302
Wellcare Wellcare Dividend Giveback (HMO)
H5475-032-0 		HMO $60 No 1,293
Wellcare Wellcare Assist Open (PPO)
H7175-003-0 		Local PPO $600 Yes $2,000 No No Yes Yes No 1,286
Wellcare Wellcare TexanPlus No Premium (HMO)
H0174-011-4 		HMO $220 Yes $2,000 No No Yes Yes No 1,274
Wellcare Wellcare TexanPlus Patriot Giveback (HMO)
H4506-010-0 		HMO $100 Yes $1,500 No No Yes Yes No 1,262
Wellcare Wellcare No Premium Open (PPO)
H3047-001-0 		Local PPO $300 Yes $700 No No Yes Yes No 1,247
Wellcare Wellcare Patriot Giveback Open (PPO)
H2117-003-0 		Local PPO $300 Yes $5,000 No No Yes Yes No 1,242
Wellcare Wellcare No Premium Value (HMO)
H1416-056-0 		HMO $120 Yes $700 No No Yes Yes No 1,232
Wellcare Wellcare No Premium Essential (HMO)
H5779-002-0 		HMO $380 Yes $2,000 No No Yes Yes No 1,216
Wellcare Wellcare Dual Access (HMO D-SNP)
H4073-002-0 		HMO $1,700 Yes $5,000 No No Yes Yes No 1,195
Wellcare Wellcare No Premium (HMO)
H6193-001-0 		HMO $240 Yes $3,000 No No Yes Yes No 1,177
Wellcare Wellcare Assist Open (PPO)
H2775-114-0 		Local PPO $640 Yes $2,000 No No Yes Yes No 1,166
Wellcare Wellcare No Premium Open (PPO)
H9428-001-0 		Local PPO $60 Yes $1,000 No No Yes Yes No 1,138
Wellcare Wellcare No Premium Open (PPO)
H0074-001-0 		Local PPO $240 Yes $1,000 No No Yes Yes No 1,128
Wellcare Wellcare No Premium Open (PPO)
H1395-002-0 		Local PPO $140 Yes $1,000 No No Yes Yes No 1,121
Wellcare WellCare Dividend Prime (HMO)
H1032-215-0 		HMO $0 Yes $2,000 No No Yes Yes Yes 1,077
Wellcare WellCare Value (HMO)
H9730-002-0 		HMO $0 Yes $700 No No Yes Yes Yes 1,072
Wellcare Wellcare No Premium (HMO)
H1032-190-0 		HMO $480 Yes $2,000 No No Yes Yes No 1,071
Wellcare Wellcare Giveback Open (PPO)
H0088-002-0 		Local PPO $120 Yes $700 No No Yes Yes No 1,026
Wellcare Wellcare Giveback (HMO)
H9364-004-0 		HMO $140 Yes $1,000 No No Yes Yes No 993
Wellcare Wellcare TexanPlus No Premium (HMO)
H0174-002-0 		HMO $340 Yes $2,000 No No Yes Yes No 982
Wellcare Wellcare No Premium (HMO)
H1032-218-0 		HMO $820 Yes $2,000 No No Yes Yes No 976
Wellcare Wellcare Endurance (HMO)
H2491-016-0 		HMO $240 Yes $700 No No Yes Yes No 969
Wellcare Wellcare Dual Liberty (HMO D-SNP)
H2491-008-0 		HMO $800 Yes $2,000 No No Yes Yes No 967
Wellcare Wellcare No Premium Open (PPO)
H6594-001-0 		Local PPO $120 Yes $1,500 No No Yes Yes No 962
Wellcare WellCare TexanPlus Classic (HMO)
H0174-003-0 		HMO $0 Yes $1,500 No No Yes Yes Yes 950
Wellcare Wellcare Giveback (HMO)
H1032-209-0 		HMO $820 Yes $2,000 No No Yes Yes No 918
Wellcare Wellcare 'Ohana Assist Open (PPO)
H6605-003-0 		Local PPO $280 Yes $1,500 No No Yes Yes No 903
Wellcare WellCare Value (HMO)
H1353-001-0 		HMO $0 Yes $2,000 No No Yes Yes Yes 892
Wellcare Wellcare Dual Liberty (HMO D-SNP)
H1032-176-0 		HMO $1,640 Yes $5,000 No No Yes Yes No 865
Wellcare Wellcare Giveback (HMO)
H1032-189-0 		HMO $220 Yes $1,500 No No Yes Yes No 838
Wellcare Wellcare Patriot Giveback (HMO-POS)
H1416-058-0 		HMOPOS $460 Yes $1,000 No No Yes Yes No 837
Wellcare Wellcare No Premium Open (PPO)
H8553-001-0 		Local PPO $240 Yes $1,500 No No Yes Yes No 824
Wellcare Wellcare Giveback Open (PPO)
H1848-001-0 		Local PPO $0 Yes $700 No No Yes Yes No 822
Wellcare WellCare Liberty (HMO D-SNP)
H4868-002-0 		HMO $0 Yes $1,500 No No Yes Yes Yes 815
Wellcare Wellcare No Premium Open (PPO)
H0270-001-0 		Local PPO $320 Yes $1,500 No No Yes Yes No 810
Wellcare Wellcare Giveback Open (PPO)
H9428-002-0 		Local PPO $0 Yes $700 No No Yes Yes No 800
Wellcare Wellcare TexanPlus No Premium (HMO-POS)
H4506-029-0 		HMOPOS $120 No 797
Wellcare Wellcare Assist Open (PPO)
H2128-001-0 		Local PPO $480 Yes $1,500 No No Yes Yes No 795
Wellcare Wellcare No Premium (HMO)
H4847-002-0 		HMO $240 Yes $700 No No Yes Yes No 771
Wellcare Wellcare No Premium Open (PPO)
H2128-002-0 		Local PPO $140 Yes $1,000 No No Yes Yes No 763
Wellcare Wellcare Dual Liberty (HMO D-SNP)
H1353-004-0 		HMO $2,180 Yes $2,000 No No Yes Yes No 752
Wellcare Wellcare No Premium Open (PPO)
H1848-002-0 		Local PPO $300 Yes $2,000 No No Yes Yes No 738
Wellcare Wellcare Patriot Giveback (HMO-POS)
H1416-060-0 		HMOPOS $360 Yes $1,500 No No Yes Yes No 733
Wellcare Wellcare No Premium (HMO)
H1862-001-0 		HMO $140 Yes $1,000 No No Yes Yes No 727
Wellcare Wellcare Patriot Giveback (HMO-POS)
H4847-006-0 		HMOPOS $120 Yes $2,000 No No Yes Yes No 725
Wellcare Wellcare Patriot Giveback Open (PPO)
H3975-002-0 		Local PPO $800 Yes $2,000 No No Yes Yes No 695
Wellcare WellCare Elite (HMO-POS)
H5475-003-0 		HMOPOS $0 Yes $4,000 No No Yes Yes Yes 694
Wellcare Wellcare Plus Open (PPO)
H6594-003-0 		Local PPO $1,200 Yes $1,500 No No Yes Yes No 692
Wellcare Wellcare No Premium Essential (HMO)
H5779-005-0 		HMO $240 Yes $1,000 No No Yes Yes No 677
Wellcare Wellcare No Premium (HMO)
H6975-005-0 		HMO $300 Yes $2,000 No No Yes Yes No 645
Wellcare Wellcare Dual Liberty Open (PPO D-SNP)
H2775-115-0 		Local PPO $940 Yes $2,000 No No Yes Yes No 644
Wellcare Wellcare Specialty Giveback (HMO C-SNP)
H1032-203-0 		HMO $680 Yes $2,000 No No Yes Yes No 622
Wellcare Wellcare Dual Access Extra (HMO-POS D-SNP)
H5475-021-0 		HMOPOS $1,432 Yes $3,000 No No Yes Yes No 607
Wellcare Wellcare Patriot Giveback Open (PPO)
H8553-002-0 		Local PPO $320 Yes $700 No No Yes Yes No 605
Wellcare Wellcare Giveback Open (PPO)
H6594-002-0 		Local PPO $100 Yes $700 No No Yes Yes No 595
Wellcare Wellcare No Premium Open (PPO)
H7323-002-0 		Local PPO $340 Yes $1,000 No No Yes Yes No 586
Wellcare Wellcare No Premium (HMO-POS)
H1416-075-0 		HMOPOS $620 Yes $2,000 No No Yes Yes No 563
Wellcare Wellcare No Premium Value (HMO)
H0712-023-0 		HMO $240 Yes $1,000 No No Yes Yes No 551
Wellcare Wellcare Specialty Giveback (HMO C-SNP)
H1032-227-0 		HMO $680 Yes $1,000 No No Yes Yes No 541
Wellcare Wellcare No Premium (HMO)
H1416-070-0 		HMO $240 Yes $1,000 No No Yes Yes No 539
Wellcare Wellcare 'Ohana Patriot Giveback Open (PPO)
H6605-002-0 		Local PPO $120 Yes $700 No No Yes Yes No 535
Wellcare Wellcare Premium Enhanced (PFFS)
H2816-019-0 		PFFS $0 No 535
Wellcare Wellcare No Premium Open (PPO)
H0088-003-0 		Local PPO $340 Yes $1,500 No No Yes Yes No 533
Wellcare Wellcare No Premium (HMO)
H9900-005-0 		HMO $240 Yes $1,500 No No Yes Yes No 533
Wellcare Wellcare Specialty No Premium (HMO C-SNP)
H1032-224-0 		HMO $660 Yes $2,000 No No Yes Yes No 524
Wellcare Wellcare Dual Liberty (HMO D-SNP)
H9900-003-0 		HMO $1,300 Yes $2,000 No No Yes Yes No 515
Wellcare Wellcare No Premium (HMO)
H9335-001-0 		HMO $620 Yes $2,000 No No Yes Yes No 513
Wellcare WellCare Premier (PPO)
H5199-007-0 		Local PPO $0 Yes $1,000 No No Yes Yes No 512
Wellcare Wellcare Advantage Premium Enhanced (PFFS)
H2816-037-0 		PFFS $0 No 507
Wellcare Wellcare No Premium (HMO)
H2162-001-0 		HMO $140 Yes $3,000 No No Yes Yes No 506
Wellcare Wellcare No Premium Rx Plus Open (PPO)
H7323-006-0 		Local PPO $120 Yes $700 No No Yes Yes No 505
Wellcare Wellcare Dual Access Extra (HMO-POS D-SNP)
H5475-010-0 		HMOPOS $1,200 Yes $2,000 No No Yes Yes No 503
Wellcare Wellcare Dual Access Medicare (HMO D-SNP)
H0712-025-0 		HMO $1,220 Yes $4,000 No No Yes Yes No 501
Wellcare WellCare Value (HMO)
H0712-022-0 		HMO $0 Yes $1,500 No No Yes Yes Yes 494
Wellcare Wellcare Patriot No Premium Open (PPO)
H7175-005-0 		Local PPO $240 Yes $2,000 No No Yes Yes No 492
Wellcare Wellcare Advantage No Premium (PFFS)
H2816-040-0 		PFFS $0 No 489
Wellcare Wellcare No Premium Open (PPO)
H4699-001-0 		Local PPO $180 Yes $1,000 No No Yes Yes No 479
Wellcare Wellcare Giveback (HMO)
H9900-001-0 		HMO $140 Yes $1,000 No No Yes Yes No 470
Wellcare Wellcare Dual Liberty (HMO D-SNP)
H1215-001-0 		HMO $1,400 Yes $3,000 No No Yes Yes No 467
Wellcare Wellcare Patriot Giveback (HMO-POS)
H1416-061-0 		HMOPOS $700 Yes $1,000 No No Yes Yes No 455
Wellcare Wellcare Assist Open (PPO)
H1395-003-0 		Local PPO $300 Yes $2,000 No No Yes Yes No 454
Wellcare Wellcare Dual Access (HMO D-SNP)
H1032-170-0 		HMO $1,640 Yes $3,000 No No Yes Yes No 451
Wellcare WellCare Elite (HMO)
H1032-216-0 		HMO $0 Yes $2,000 No No Yes Yes Yes 447
Wellcare Wellcare Premium Enhanced Open (PPO)
H5199-010-0 		Local PPO $840 Yes $2,000 No No Yes Yes No 441
Wellcare Wellcare 'Ohana No Premium Open (PPO)
H6605-001-0 		Local PPO $140 Yes $1,500 No No Yes Yes No 440
Wellcare Wellcare Dual Access Open (PPO D-SNP)
H1848-003-0 		Local PPO $1,440 Yes $3,000 No No Yes Yes No 436
Wellcare Wellcare Plus Open (PPO)
H0969-005-0 		Local PPO $700 Yes $1,500 No No Yes Yes No 435
Wellcare Wellcare Assist Open (PPO)
H0969-002-0 		Local PPO $300 Yes $2,000 No No Yes Yes No 415
Wellcare Wellcare Dual Liberty (HMO D-SNP)
H5087-027-0 		HMO $800 Yes $3,000 No No Yes Yes No 413
Wellcare Wellcare Assist (HMO)
H6975-003-0 		HMO $940 Yes $2,000 No No Yes Yes No 410
Wellcare Wellcare Premium Ultra (PFFS)
H2816-013-0 		PFFS $20 No 397
Wellcare Wellcare Low Premium Open (PPO)
H0111-002-0 		Local PPO $260 Yes $2,000 No No Yes Yes No 392
Wellcare Wellcare Giveback Open (PPO)
H4699-002-0 		Local PPO $100 Yes $1,000 No No Yes Yes No 388
Wellcare Wellcare Giveback Open (PPO)
H0969-003-0 		Local PPO $0 Yes $700 No No Yes Yes No 383
Wellcare Wellcare No Premium Choice (HMO)
H1112-035-0 		HMO $120 Yes $2,000 No No Yes Yes No 382
Wellcare Wellcare Dual Access Open (PPO D-SNP)
H0270-002-0 		Local PPO $1,388 Yes $2,000 No No Yes Yes No 375
Wellcare Wellcare Assist Open (PPO)
H6594-004-0 		Local PPO $480 Yes $1,500 No No Yes Yes No 375
Wellcare Wellcare Giveback (HMO)
H9335-005-0 		HMO $100 Yes $700 No No Yes Yes No 372
Wellcare Wellcare No Premium Open (PPO)
H7323-004-0 		Local PPO $220 Yes $700 No No Yes Yes No 362
Wellcare Wellcare Dual Access Open (PPO D-SNP)
H5199-016-0 		Local PPO $1,280 Yes $3,000 No No Yes Yes No 353
Wellcare Wellcare No Premium Baton Rouge General (HMO)
H2491-014-0 		HMO $140 Yes $1,000 No No Yes Yes No 349
Wellcare Wellcare Assist Open (PPO)
H1914-004-0 		Local PPO $400 Yes $1,500 No No Yes Yes No 338
Wellcare Wellcare No Premium (HMO)
H9258-001-0 		HMO $180 Yes $2,000 No No Yes Yes No 332
Wellcare Wellcare No Premium Exclusive (HMO)
H5475-034-0 		HMO $540 Yes $2,000 No No Yes Yes No 332
Wellcare Wellcare Dual Access Open (PPO D-SNP)
H1395-001-0 		Local PPO $900 Yes $2,000 No No Yes Yes No 328
Wellcare Wellcare Plus (HMO)
H2162-002-0 		HMO $920 Yes $3,000 No No Yes Yes No 322
Wellcare Wellcare Dual Access Open (PPO D-SNP)
H7518-003-0 		Local PPO $1,200 Yes $2,000 No No Yes Yes No 320
Wellcare Wellcare Premium Enhanced Open (PPO)
H5199-013-0 		Local PPO $660 Yes $2,000 No No Yes Yes No 319
Wellcare Wellcare Dual Access Open (PPO D-SNP)
H5965-004-0 		Local PPO $1,200 Yes $2,000 No No Yes Yes No 317
Wellcare Wellcare Dual Liberty Open (PPO D-SNP)
H4699-005-0 		Local PPO $1,500 Yes $3,000 No No Yes Yes No 309
Wellcare Wellcare Low Premium Open (PPO)
H7326-002-0 		Local PPO $220 Yes $700 No No Yes Yes No 308
Wellcare Wellcare Low Premium Open (PPO)
H7518-004-0 		Local PPO $200 Yes $2,000 No No Yes Yes No 306
Wellcare Wellcare Dual Liberty (HMO D-SNP)
H6975-002-0 		HMO $2,200 Yes $4,000 No No Yes Yes No 302
Wellcare Wellcare Giveback Focus (HMO)
H5087-028-0 		HMO $300 Yes $2,000 No No Yes Yes No 301
Wellcare Wellcare Specialty No Premium (HMO C-SNP)
H0174-008-0 		HMO $200 Yes $1,500 No No Yes Yes No 296
Wellcare Wellcare Giveback (HMO)
H1215-003-0 		HMO $0 Yes $700 No No Yes Yes No 296
Wellcare WellCare Value (HMO)
H4868-018-0 		HMO $0 Yes $1,500 No No Yes Yes Yes 292
Wellcare Wellcare 'Ohana Plus (HMO)
H2491-013-0 		HMO $600 No 277
Wellcare Wellcare No Premium Value (HMO)
H1416-057-0 		HMO $120 Yes $700 No No Yes Yes No 274
Wellcare Wellcare No Premium Open (PPO)
H5965-002-0 		Local PPO $120 Yes $1,000 No No Yes Yes No 270
Wellcare Wellcare Dual Access Open (PPO D-SNP)
H4699-003-0 		Local PPO $1,300 Yes $2,000 No No Yes Yes No 269
Wellcare Wellcare Premium Enhanced Open (PPO)
H0111-003-0 		Local PPO $140 Yes $2,000 No No Yes Yes No 268
Wellcare Wellcare No Premium (HMO)
H1416-072-0 		HMO $240 Yes $1,000 No No Yes Yes No 267
Wellcare Wellcare Dual Access (HMO D-SNP)
H6975-004-0 		HMO $2,040 Yes $4,000 No No Yes Yes No 264
Wellcare Wellcare Patriot No Premium (HMO)
H4868-003-0 		HMO $100 Yes $1,500 No No Yes Yes No 264
Wellcare Wellcare Patriot Giveback Open (PPO)
H5965-003-0 		Local PPO $180 Yes $700 No No Yes Yes No 260
Wellcare Wellcare Dual Reserve (HMO D-SNP)
H1032-236-0 		HMO $960 Yes $2,000 No No Yes Yes No 259
Wellcare Wellcare Assist (HMO)
H9900-007-0 		HMO $500 Yes $1,500 No No Yes Yes No 254
Wellcare Wellcare Low Premium Open (PPO)
H2128-003-0 		Local PPO $440 Yes $1,500 No No Yes Yes No 253
Wellcare Wellcare Dual Access (HMO D-SNP)
H1353-002-0 		HMO $1,880 Yes $2,000 No No Yes Yes No 251
Wellcare WellCare Preferred (HMO)
H4868-010-0 		HMO $0 Yes $1,500 No No Yes Yes Yes 248
Wellcare WellCare Today's Options Premier 200 (PFFS)
H2816-039-0 		PFFS $0 Yes No No No No No 243
Wellcare Wellcare Patriot No Premium (HMO-POS)
H1416-053-0 		HMOPOS $160 Yes $2,000 No No Yes Yes No 233
Wellcare WellCare Plus (HMO)
H4847-003-0 		HMO $0 Yes $2,000 No No Yes Yes Yes 226
Wellcare Wellcare Specialty Giveback (HMO C-SNP)
H1032-186-0 		HMO $1,420 Yes $3,000 No No Yes Yes No 223
Wellcare Wellcare No Premium (HMO)
H9900-004-0 		HMO $340 Yes $1,500 No No Yes Yes No 220
Wellcare Wellcare Patriot No Premium (HMO)
H0913-020-0 		HMO $600 Yes $3,000 No No Yes Yes No 216
Wellcare WellCare Essential (HMO-POS)
H5475-019-0 		HMOPOS $0 Yes $2,000 No No Yes Yes Yes 216
Wellcare Wellcare Dual Reserve (HMO D-SNP)
H1032-217-0 		HMO $1,600 Yes $2,000 No No Yes Yes No 216
Wellcare WellCare Guardian (HMO C-SNP)
H1032-225-0 		HMO $0 Yes $2,000 No No Yes Yes Yes 215
Wellcare WellCare Today's Options Advantage Plus 750B (PPO)
H2775-100-0 		Local PPO $0 Yes $1,500 No No Yes Yes No 203
Wellcare Wellcare Assist Open (PPO)
H4699-004-0 		Local PPO $400 Yes $2,000 No No Yes Yes No 197
Wellcare Wellcare No Premium Open (PPO)
H4537-002-0 		Local PPO $160 Yes $1,500 No No Yes Yes No 194
Wellcare Wellcare No Premium (HMO)
H2491-017-0 		HMO $260 Yes $1,000 No No Yes Yes No 184
Wellcare Wellcare Assist (HMO)
H9335-006-0 		HMO $740 Yes $4,000 No No Yes Yes No 179
Wellcare Wellcare Patriot No Premium (HMO-POS)
H1416-059-0 		HMOPOS $600 Yes $2,000 No No Yes Yes No 178
Wellcare Wellcare Premium Enhanced Open (PPO)
H9761-004-0 		Local PPO $420 Yes $3,000 No No Yes Yes No 176
Wellcare Wellcare Assist (HMO)
H1353-007-0 		HMO $400 Yes $1,500 No No Yes Yes No 173
Wellcare WellCare Flex Complete (PPO)
H7326-004-0 		Local PPO $0 Yes $2,000 No No Yes Yes No 167
Wellcare Wellcare Community Assist (PPO)
H2117-004-0 		Local PPO $220 Yes $1,500 No No Yes Yes No 161
Wellcare Wellcare Specialty No Premium (HMO C-SNP)
H1112-037-0 		HMO $300 Yes $2,000 No No Yes Yes No 160
Wellcare Wellcare Patriot No Premium Open (PPO)
H2775-108-0 		Local PPO $400 Yes $2,000 No No Yes Yes No 138
Wellcare Wellcare Assist (HMO)
H9900-006-0 		HMO $600 Yes $1,500 No No Yes Yes No 137
Wellcare Wellcare No Premium Open (PPO)
H4537-001-0 		Local PPO $140 Yes $1,500 No No Yes Yes No 128
Wellcare Wellcare Dual Reserve (HMO D-SNP)
H1032-206-0 		HMO $1,460 Yes $2,000 No No Yes Yes No 126
Wellcare WellCare Premier (PPO)
H0088-001-0 		Local PPO $0 Yes $700 No No Yes Yes No 122
Wellcare WellCare Endurance (PPO)
H1914-003-0 		Local PPO $0 No 118
Wellcare Wellcare Specialty No Premium (HMO C-SNP)
H1032-184-0 		HMO $800 Yes $2,000 No No Yes Yes No 117
Wellcare Wellcare Community Assist (PPO)
H0074-003-0 		Local PPO $200 Yes $1,500 No No Yes Yes No 113
Wellcare WellCare Patriot (HMO-POS)
H9730-006-0 		HMOPOS $0 Yes $2,000 No No Yes Yes Yes 108
Wellcare Wellcare Premium Ultra Open (PPO)
H7175-007-0 		Local PPO $440 Yes $2,000 No No Yes Yes No 95
Wellcare Wellcare Low Premium Open (PPO)
H7323-001-0 		Local PPO $240 Yes $1,500 No No Yes Yes No 91
Wellcare Wellcare No Premium Open (PPO)
H5199-015-0 		Local PPO $340 Yes $2,000 No No Yes Yes No 86
Wellcare Wellcare Community Assist (PPO)
H7518-005-0 		Local PPO $220 Yes $1,500 No No Yes Yes No 86
Wellcare Wellcare Specialty No Premium (HMO-POS C-SNP)
H5475-029-0 		HMOPOS $180 Yes $1,000 No No Yes Yes No 81
Wellcare WellCare Reserve (HMO D-SNP)
H1032-197-0 		HMO $0 Yes $2,000 No No Yes Yes Yes 81
Wellcare Wellcare Specialty No Premium (HMO C-SNP)
H1416-066-0 		HMO $120 Yes $1,000 No No Yes Yes No 76
Wellcare Wellcare Dual Access (HMO D-SNP)
H9335-003-0 		HMO $1,700 Yes $2,000 No No Yes Yes No 75
Wellcare Wellcare Patriot Giveback Open (PPO)
H0969-004-0 		Local PPO $180 Yes $1,000 No No Yes Yes No 73
Wellcare WellCare Value (HMO)
H9335-002-0 		HMO $0 Yes $4,000 No No Yes Yes Yes 71
Wellcare Wellcare No Premium Essential (HMO-POS)
H5475-036-0 		HMOPOS $320 Yes $3,000 No No Yes Yes No 69
Wellcare Wellcare Dual Access (HMO D-SNP)
H9900-002-0 		HMO $1,100 Yes $2,000 No No Yes Yes No 67
Wellcare Wellcare No Premium Open (PPO)
H7323-007-0 		Local PPO $140 Yes $1,000 No No Yes Yes No 54
Wellcare WellCare Champion (HMO C-SNP)
H1032-233-0 		HMO $0 Yes $1,000 No No Yes Yes Yes 51
Wellcare Wellcare Patriot No Premium (HMO)
H2491-018-0 		HMO $400 Yes $1,500 No No Yes Yes No 49
Wellcare Wellcare Dual Access Extra (HMO-POS D-SNP)
H5475-035-0 		HMOPOS $1,080 Yes $2,000 No No Yes Yes No 48
Wellcare Wellcare Premium Enhanced Open (PPO)
H7175-006-0 		Local PPO $340 Yes $1,500 No No Yes Yes No 44
Wellcare Wellcare Premium Enhanced Open (PPO)
H5965-001-0 		Local PPO $480 Yes $2,000 No No Yes Yes No 44
Wellcare Wellcare Community Assist (PPO)
H3047-004-0 		Local PPO $200 Yes $1,000 No No Yes Yes No 41
Wellcare Wellcare No Premium Rx Plus Open (PPO)
H8553-003-0 		Local PPO $140 Yes $700 No No Yes Yes No 38
Wellcare Wellcare Patriot No Premium (HMO)
H6975-006-0 		HMO $600 Yes $2,000 No No Yes Yes No 34
Wellcare Wellcare Patriot No Premium Open (PPO)
H4699-006-0 		Local PPO $240 Yes $2,000 No No Yes Yes No 31
Wellcare WellCare Champion (HMO C-SNP)
H1032-231-0 		HMO $0 Yes $1,000 No No Yes Yes Yes 31
Wellcare WellCare Value (HMO)
H6975-001-0 		HMO $0 No 31
Wellcare WellCare Guardian (HMO C-SNP)
H1032-230-0 		HMO $0 Yes $2,000 No No Yes Yes Yes 30
Wellcare WellCare Champion (HMO C-SNP)
H1032-228-0 		HMO $0 Yes $1,500 No No Yes Yes Yes 25
Wellcare WellCare Guardian (HMO C-SNP)
H1032-226-0 		HMO $0 Yes $2,000 No No Yes Yes Yes 20
Wellcare WellCare Guardian (HMO C-SNP)
H1032-232-0 		HMO $0 Yes $2,000 No No Yes Yes Yes 20
Wellcare Wellcare Premium Hybrid Open (PPO)
H0074-002-0 		Local PPO $140 Yes $2,000 No No Yes Yes No 13
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