Plan Benefit Materials | Allwell from Buckeye Health Plan
2027 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 Buckeye Health Dual Access (HMO D-SNP) H4158-002
Counties: Adams, Allen, Ashland, Ashtabula, Athens, Auglaize, Belmont, Brown, Butler, Carroll, Champaign, Clark, Clermont, Clinton, Columbiana, Coshocton, Crawford, Cuyahoga, Darke, Defiance, Delaware, Erie, Fairfield, Fayette, Franklin, Fulton, Gallia, Geauga, Greene, Guernsey, Hamilton, Hancock, Hardin, Harrison, Henry, Highland, Hocking, Holmes, Huron, Jackson, Jefferson, Knox, Lake, Lawrence, Licking, Logan, Lorain, Lucas, Madison, Mahoning, Marion, Medina, Meigs, Mercer, Miami, Monroe, Montgomery, Morgan, Morrow, Muskingum, Noble, Ottawa, Paulding, Perry, Pickaway, Pike, Portage, Preble, Putnam, Richland, Ross, Sandusky, Scioto, Seneca, Shelby, Stark, Summit, Trumbull, Tuscarawas, Union, Van Wert, Vinton, Warren, Washington, Wayne, Williams, Wood, Wyandot
Summary of Benefits
Evidence of Coverage
Dental Benefit Details
Your OTC Highlight
Wellcare Buckeye Health Dual Reserve (HMO D-SNP) H4158-003
Counties: Adams, Allen, Ashland, Ashtabula, Athens, Auglaize, Belmont, Brown, Butler, Carroll, Champaign, Clark, Clermont, Clinton, Columbiana, Coshocton, Crawford, Cuyahoga, Darke, Defiance, Delaware, Erie, Fairfield, Fayette, Franklin, Fulton, Gallia, Geauga, Greene, Guernsey, Hamilton, Hancock, Hardin, Harrison, Henry, Highland, Hocking, Holmes, Huron, Jackson, Jefferson, Knox, Lake, Lawrence, Licking, Logan, Lorain, Lucas, Madison, Mahoning, Marion, Medina, Meigs, Mercer, Miami, Monroe, Montgomery, Morgan, Morrow, Muskingum, Noble, Ottawa, Paulding, Perry, Pickaway, Pike, Portage, Preble, Putnam, Richland, Ross, Sandusky, Scioto, Seneca, Shelby, Stark, Summit, Trumbull, Tuscarawas, Union, Van Wert, Vinton, Warren, Washington, Wayne, Williams, Wood, Wyandot
Summary of Benefits
Evidence of Coverage
Dental Benefit Details
Your OTC Highlight
Wellcare Buckeye MyCare Ohio Dual Align (HMO D-SNP) H4158-004
Counties: Adams, Allen, Ashland, Ashtabula, Athens, Auglaize, Belmont, Brown, Butler, Carroll, Champaign, Clark, Clermont, Clinton, Columbiana, Coshocton, Crawford, Cuyahoga, Darke, Defiance, Delaware, Erie, Fairfield, Fayette, Franklin, Fulton, Gallia, Geauga, Greene, Guernsey, Hamilton, Hancock, Hardin, Harrison, Henry, Highland, Hocking, Holmes, Huron, Jackson, Jefferson, Knox, Lake, Lawrence, Licking, Logan, Lorain, Lucas, Madison, Mahoning, Marion, Medina, Meigs, Mercer, Miami, Monroe, Montgomery, Morgan, Morrow, Muskingum, Noble, Ottawa, Paulding, Perry, Pickaway, Pike, Portage, Preble, Putnam, Richland, Ross, Sandusky, Scioto, Seneca, Shelby, Stark, Summit, Trumbull, Tuscarawas, Union, Van Wert, Vinton, Warren, Washington, Wayne, Williams, Wood, Wyandot
Annual Notice of Change
- Annual Notice of Change: Wellcare Buckeye MyCare Ohio Dual Align (HMO D-SNP) H4158-001 to Wellcare Buckeye MyCare Ohio Dual Align (HMO D-SNP) H4158-004 - English (PDF)
- Annual Notice of Change: Wellcare Buckeye MyCare Ohio Dual Align (HMO D-SNP) H4158-001 to Wellcare Buckeye MyCare Ohio Dual Align (HMO D-SNP) H4158-004 - Spanish (PDF)
- Annual Notice of Change: Wellcare Dual Liberty (HMO-POS D-SNP) H0908-007 to Wellcare Buckeye MyCare Ohio Dual Align (HMO D-SNP) H4158-004 - English (PDF)
- Annual Notice of Change: Wellcare Dual Liberty (HMO-POS D-SNP) H0908-007 to Wellcare Buckeye MyCare Ohio Dual Align (HMO D-SNP) H4158-004 - Spanish (PDF)
- Annual Notice of Change: Wellcare Dual Liberty (HMO-POS D-SNP) H0908-008 to Wellcare Buckeye MyCare Ohio Dual Align (HMO D-SNP) H4158-004 - English (PDF)
- Annual Notice of Change: Wellcare Dual Liberty (HMO-POS D-SNP) H0908-008 to Wellcare Buckeye MyCare Ohio Dual Align (HMO D-SNP) H4158-004 - Spanish (PDF)
Summary of Benefits
Evidence of Coverage
Your OTC Highlight
Wellcare Buckeye MyCare Ohio Dual Align Unity (HMO D-SNP) H4158-001
Counties: Adams, Allen, Ashland, Ashtabula, Athens, Auglaize, Belmont, Brown, Butler, Carroll, Champaign, Clark, Clermont, Clinton, Columbiana, Coshocton, Crawford, Cuyahoga, Darke, Defiance, Delaware, Erie, Fairfield, Fayette, Franklin, Fulton, Gallia, Geauga, Greene, Guernsey, Hamilton, Hancock, Hardin, Harrison, Henry, Highland, Hocking, Holmes, Huron, Jackson, Jefferson, Knox, Lake, Lawrence, Licking, Logan, Lorain, Lucas, Madison, Mahoning, Marion, Medina, Meigs, Mercer, Miami, Monroe, Montgomery, Morgan, Morrow, Muskingum, Noble, Ottawa, Paulding, Perry, Pickaway, Pike, Portage, Preble, Putnam, Richland, Ross, Sandusky, Scioto, Seneca, Shelby, Stark, Summit, Trumbull, Tuscarawas, Union, Van Wert, Vinton, Warren, Washington, Wayne, Williams, Wood, Wyandot
Annual Notice of Change
- Annual Notice of Change: Wellcare Buckeye MyCare Ohio Dual Align (HMO D-SNP) H4158-001 to Wellcare Buckeye MyCare Ohio Dual Align Unity (HMO D-SNP) H4158-001 - English (PDF)
- Annual Notice of Change: Wellcare Buckeye MyCare Ohio Dual Align (HMO D-SNP) H4158-001 to Wellcare Buckeye MyCare Ohio Dual Align Unity (HMO D-SNP) H4158-001 - Spanish (PDF)
- Annual Notice of Change: Wellcare Dual Liberty (HMO-POS D-SNP) H0908-007 to Wellcare Buckeye MyCare Ohio Dual Align Unity (HMO D-SNP) H4158-001 - English (PDF)
- Annual Notice of Change: Wellcare Dual Liberty (HMO-POS D-SNP) H0908-007 to Wellcare Buckeye MyCare Ohio Dual Align Unity (HMO D-SNP) H4158-001 - Spanish (PDF)
- Annual Notice of Change: Wellcare Dual Liberty (HMO-POS D-SNP) H0908-008 to Wellcare Buckeye MyCare Ohio Dual Align Unity (HMO D-SNP) H4158-001 - English (PDF)
- Annual Notice of Change: Wellcare Dual Liberty (HMO-POS D-SNP) H0908-008 to Wellcare Buckeye MyCare Ohio Dual Align Unity (HMO D-SNP) H4158-001 - Spanish (PDF)
Summary of Benefits
Evidence of Coverage
Your OTC Highlight
Additional Forms
- Medicare Step Therapy Part B (PDF) - Coming Soon
- 2027 Medicare Parts A & B Premiums and Deductibles (PDF) - Coming Soon
- Member Secure Portal Guide (PDF) - Coming Soon
If you have questions please, contact Member Services.
