Wellcare.homestatehealth.com

Evidence of Coverage

WEBJanuary 1 – December 31, 2022 Evidence of Coverage: Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of Wellcare No Premium (HMO)

Actived: 8 days ago

URL: https://wellcare.homestatehealth.com/content/dam/centene/home-state-health/Advantage/PDFs/2022-MO-EOC-H1664-001-MA.pdf

My Caregiver Journal

WEBMy Caregiver JOURNAL As a caregiver, people rely on your strength, your understanding, your knowledge and your dependability. But mostly, they count on your care.

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2024 Summary of Benefits

WEBThe Evidence of Coverage (EOC) provides a complete list of all coverage and services. It is important to review plan coverage, costs, and benefits before you enroll. Visit …

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2023 Summary of Benefits

WEBServices with an asterisk (*) may require prior authorization. Services with a square ( ) means a referral may be required. Wellcare No Premium (HMO) H1664, Plan 004. …

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Welcome to the first important step in your healthcare journey.

WEB3 We’re with you every step of your healthcare journey. If you have questions, please call us. We’re here to help. Call Member Services at 1-855-766-1452 (HMO),

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Summary of Benefits

WEBThere is a maximum allowance of $1,000 every calendar year; it applies to all comprehensive dental benefits. Vision Services. Vision exam (Medicare-covered): $0 …

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Updated/added Member cost sharing Benefit description …

WEBLTR041601EP00 (05/15) Updates to your Allwell covered benefits At times, the Centers for Medicare & Medicaid Services (CMS) make mid -year changes to what is covered

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Member Appeal Form

WEBMember Appeal Form. Complete and mail or fax to: Allwell/Attention: Appeals & Grievances/Medicare Operations 7700 Forsyth Blvd, St. Louis, MO 63105 Fax: 1-844 …

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2023 Summary of Benefits

WEBH1664_2023_MO_SB_DSNP_104577E_M ©Wellcare 2023 MO3CNCSOB04577E_0188 2023 Summary of Benefits Missouri Wellcare Dual Access (HMO D-SNP) H1664 | 005

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Authorization to Use and Disclose

WEBAuthorization to Use and Disclose Health Information Notice to Member: Completing this form will allow Allwell from Home State Health (Allwell) to (i) use your health information

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Over-the-Counter (OTC)Item Catalog

WEBEach eligible OTC item is either a medicine, ointment or spray, or used for treatment of a condition which is addressed by a medicine, ointment or spray, which has active medical …

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2022 Summary of Benefits

WEBNo matter what your level of Medicaid eligibility is, Wellcare Dual Access (HMO D-SNP) will cover the benefits described in the Premium and Benefit section of the Summary of …

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NA3WCMLTR21990E_0000_R

WEBWashington (H5965): “Wellcare” is issued by WellCare Health Insurance Company of Washington, Inc. New Mexico (H2134): New Mexico (NM) Dual Eligible Special Needs …

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Request for Redetermination of Medicare Prescription Drug …

WEBIf you or your prescriber believe that waiting 7 days for a standard decision could seriously harm your life, health, or ability to regain maximum function, you can ask for an expedited

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