19
Plan ID LOB Plan Name Region County Name Tier H5698035 MA Only (No Part D) WellCare Silver Advance AR AR STANDARD H5698128 Dual Special Needs Plans WellCare Comp Access AR AR STANDARD H5698063 MA-PD (Includes Part D) Wellcare Emerald Value AR AR STANDARD H5698035 MA Only (No Part D) WellCare Silver Advance AR Ashley STANDARD H5698128 Dual Special Needs Plans WellCare Comp Access AR Ashley STANDARD H5698035 MA Only (No Part D) WellCare Silver Advance AR Baxter STANDARD H5698128 Dual Special Needs Plans WellCare Comp Access AR Baxter STANDARD H5698063 MA-PD (Includes Part D) Wellcare Emerald Value AR Baxter STANDARD H5698035 MA Only (No Part D) WellCare Silver Advance AR Bradley STANDARD H5698063 MA-PD (Includes Part D) Wellcare Emerald Value AR Bradley STANDARD H5698128 Dual Special Needs Plans WellCare Comp Access AR Bradley STANDARD H5698035 MA Only (No Part D) WellCare Silver Advance AR Calhoun STANDARD H5698128 Dual Special Needs Plans WellCare Comp Access AR Calhoun STANDARD H5698063 MA-PD (Includes Part D) Wellcare Emerald Value AR Calhoun STANDARD H5698035 MA Only (No Part D) WellCare Silver Advance AR Carroll STANDARD H5698063 MA-PD (Includes Part D) Wellcare Emerald Value AR Carroll STANDARD H5698128 Dual Special Needs Plans WellCare Comp Access AR Carroll STANDARD H5698035 MA Only (No Part D) WellCare Silver Advance AR Chicot STANDARD H5698128 Dual Special Needs Plans WellCare Comp Access AR Chicot STANDARD H5698063 MA-PD (Includes Part D) Wellcare Emerald Value AR Clark STANDARD H5698035 MA Only (No Part D) WellCare Silver Advance AR Clark STANDARD H5698128 Dual Special Needs Plans WellCare Comp Access AR Clark STANDARD H5698035 MA Only (No Part D) WellCare Silver Advance AR Clay STANDARD H5698128 Dual Special Needs Plans WellCare Comp Access AR Clay STANDARD H5698035 MA Only (No Part D) WellCare Silver Advance AR Cleburne STANDARD H5698128 Dual Special Needs Plans WellCare Comp Access AR Cleburne STANDARD H5698063 MA-PD (Includes Part D) Wellcare Emerald Value AR Cleburne STANDARD H5698035 MA Only (No Part D) WellCare Silver Advance AR Cleveland STANDARD H5698128 Dual Special Needs Plans WellCare Comp Access AR Cleveland STANDARD H5698063 MA-PD (Includes Part D) Wellcare Emerald Value AR Cleveland STANDARD H5698063 MA-PD (Includes Part D) Wellcare Emerald Value AR Conway STANDARD H5698035 MA Only (No Part D) WellCare Silver Advance AR Conway STANDARD H5698128 Dual Special Needs Plans WellCare Comp Access AR Conway STANDARD H5698035 MA Only (No Part D) WellCare Silver Advance AR Craighead STANDARD H5698128 Dual Special Needs Plans WellCare Comp Access AR Craighead STANDARD H5698035 MA Only (No Part D) WellCare Silver Advance AR Crittenden STANDARD H5698128 Dual Special Needs Plans WellCare Comp Access AR Crittenden STANDARD H5698035 MA Only (No Part D) WellCare Silver Advance AR Cross STANDARD H5698128 Dual Special Needs Plans WellCare Comp Access AR Cross STANDARD H5698035 MA Only (No Part D) WellCare Silver Advance AR Dallas STANDARD H5698063 MA-PD (Includes Part D) Wellcare Emerald Value AR Dallas STANDARD H5698128 Dual Special Needs Plans WellCare Comp Access AR Dallas STANDARD H5698035 MA Only (No Part D) WellCare Silver Advance AR Desha STANDARD H5698128 Dual Special Needs Plans WellCare Comp Access AR Desha STANDARD Final 12/31/2014

Final 12/31/2014 Plan ID LOB Plan Name Region County Name Tierdqkjwx3xr6pzf.cloudfront.net/c111495/2015_County... · H5698128 Dual Special Needs Plans WellCare Comp Access AR Desha

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Page 1: Final 12/31/2014 Plan ID LOB Plan Name Region County Name Tierdqkjwx3xr6pzf.cloudfront.net/c111495/2015_County... · H5698128 Dual Special Needs Plans WellCare Comp Access AR Desha

Plan ID LOB Plan Name Region County Name TierH5698035 MA Only (No Part D) WellCare Silver Advance AR AR STANDARD

H5698128 Dual Special Needs Plans WellCare Comp Access AR AR STANDARD

H5698063 MA-PD (Includes Part D) Wellcare Emerald Value AR AR STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance AR Ashley STANDARD

H5698128 Dual Special Needs Plans WellCare Comp Access AR Ashley STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance AR Baxter STANDARD

H5698128 Dual Special Needs Plans WellCare Comp Access AR Baxter STANDARD

H5698063 MA-PD (Includes Part D) Wellcare Emerald Value AR Baxter STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance AR Bradley STANDARD

H5698063 MA-PD (Includes Part D) Wellcare Emerald Value AR Bradley STANDARD

H5698128 Dual Special Needs Plans WellCare Comp Access AR Bradley STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance AR Calhoun STANDARD

H5698128 Dual Special Needs Plans WellCare Comp Access AR Calhoun STANDARD

H5698063 MA-PD (Includes Part D) Wellcare Emerald Value AR Calhoun STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance AR Carroll STANDARD

H5698063 MA-PD (Includes Part D) Wellcare Emerald Value AR Carroll STANDARD

H5698128 Dual Special Needs Plans WellCare Comp Access AR Carroll STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance AR Chicot STANDARD

H5698128 Dual Special Needs Plans WellCare Comp Access AR Chicot STANDARD

H5698063 MA-PD (Includes Part D) Wellcare Emerald Value AR Clark STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance AR Clark STANDARD

H5698128 Dual Special Needs Plans WellCare Comp Access AR Clark STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance AR Clay STANDARD

H5698128 Dual Special Needs Plans WellCare Comp Access AR Clay STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance AR Cleburne STANDARD

H5698128 Dual Special Needs Plans WellCare Comp Access AR Cleburne STANDARD

H5698063 MA-PD (Includes Part D) Wellcare Emerald Value AR Cleburne STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance AR Cleveland STANDARD

H5698128 Dual Special Needs Plans WellCare Comp Access AR Cleveland STANDARD

H5698063 MA-PD (Includes Part D) Wellcare Emerald Value AR Cleveland STANDARD

H5698063 MA-PD (Includes Part D) Wellcare Emerald Value AR Conway STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance AR Conway STANDARD

H5698128 Dual Special Needs Plans WellCare Comp Access AR Conway STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance AR Craighead STANDARD

H5698128 Dual Special Needs Plans WellCare Comp Access AR Craighead STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance AR Crittenden STANDARD

H5698128 Dual Special Needs Plans WellCare Comp Access AR Crittenden STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance AR Cross STANDARD

H5698128 Dual Special Needs Plans WellCare Comp Access AR Cross STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance AR Dallas STANDARD

H5698063 MA-PD (Includes Part D) Wellcare Emerald Value AR Dallas STANDARD

H5698128 Dual Special Needs Plans WellCare Comp Access AR Dallas STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance AR Desha STANDARD

H5698128 Dual Special Needs Plans WellCare Comp Access AR Desha STANDARD

Final 12/31/2014

Page 2: Final 12/31/2014 Plan ID LOB Plan Name Region County Name Tierdqkjwx3xr6pzf.cloudfront.net/c111495/2015_County... · H5698128 Dual Special Needs Plans WellCare Comp Access AR Desha

Plan ID LOB Plan Name Region County Name TierH5698063 MA-PD (Includes Part D) Wellcare Emerald Value AR Desha STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance AR Fulton STANDARD

H5698128 Dual Special Needs Plans WellCare Comp Access AR Fulton STANDARD

H5698063 MA-PD (Includes Part D) Wellcare Emerald Value AR Fulton STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance AR Garland $0

H5698128 Dual Special Needs Plans WellCare Comp Access AR Garland $0

H5698063 MA-PD (Includes Part D) Wellcare Emerald Value AR Garland $0

H5698035 MA Only (No Part D) WellCare Silver Advance AR Grant STANDARD

H5698128 Dual Special Needs Plans WellCare Comp Access AR Grant STANDARD

H5698063 MA-PD (Includes Part D) Wellcare Emerald Value AR Grant STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance AR Greene STANDARD

H5698128 Dual Special Needs Plans WellCare Comp Access AR Greene STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance AR Hot Spring STANDARD

H5698128 Dual Special Needs Plans WellCare Comp Access AR Hot Spring STANDARD

H5698063 MA-PD (Includes Part D) Wellcare Emerald Value AR Hot Spring STANDARD

H5698063 MA-PD (Includes Part D) Wellcare Emerald Value AR Independence STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance AR Independence STANDARD

H5698128 Dual Special Needs Plans WellCare Comp Access AR Independence STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance AR Izard STANDARD

H5698128 Dual Special Needs Plans WellCare Comp Access AR Izard STANDARD

H5698063 MA-PD (Includes Part D) Wellcare Emerald Value AR Jackson STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance AR Jackson STANDARD

H5698128 Dual Special Needs Plans WellCare Comp Access AR Jackson STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance AR Lawrence STANDARD

H5698128 Dual Special Needs Plans WellCare Comp Access AR Lawrence STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance AR Lee STANDARD

H5698128 Dual Special Needs Plans WellCare Comp Access AR Lee STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance AR Lincoln STANDARD

H5698128 Dual Special Needs Plans WellCare Comp Access AR Lincoln STANDARD

H5698063 MA-PD (Includes Part D) Wellcare Emerald Value AR Lincoln STANDARD

H5698063 MA-PD (Includes Part D) Wellcare Emerald Value AR Lonoke STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance AR Lonoke STANDARD

H5698128 Dual Special Needs Plans WellCare Comp Access AR Lonoke STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance AR Marion STANDARD

H5698128 Dual Special Needs Plans WellCare Comp Access AR Marion STANDARD

H5698063 MA-PD (Includes Part D) Wellcare Emerald Value AR Marion STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance AR MS STANDARD

H5698128 Dual Special Needs Plans WellCare Comp Access AR MS STANDARD

H5698063 MA-PD (Includes Part D) Wellcare Emerald Value AR Monroe STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance AR Monroe STANDARD

H5698128 Dual Special Needs Plans WellCare Comp Access AR Monroe STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance AR Montgomery STANDARD

H5698128 Dual Special Needs Plans WellCare Comp Access AR Montgomery STANDARD

H5698063 MA-PD (Includes Part D) Wellcare Emerald Value AR Montgomery STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance AR Nevada STANDARD

Page 3: Final 12/31/2014 Plan ID LOB Plan Name Region County Name Tierdqkjwx3xr6pzf.cloudfront.net/c111495/2015_County... · H5698128 Dual Special Needs Plans WellCare Comp Access AR Desha

Plan ID LOB Plan Name Region County Name TierH5698063 MA-PD (Includes Part D) Wellcare Emerald Value AR Nevada STANDARD

H5698128 Dual Special Needs Plans WellCare Comp Access AR Nevada STANDARD

H5698063 MA-PD (Includes Part D) Wellcare Emerald Value AR Newton STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance AR Newton STANDARD

H5698128 Dual Special Needs Plans WellCare Comp Access AR Newton STANDARD

H5698063 MA-PD (Includes Part D) Wellcare Emerald Value AR Ouachita STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance AR Ouachita STANDARD

H5698128 Dual Special Needs Plans WellCare Comp Access AR Ouachita STANDARD

H5698063 MA-PD (Includes Part D) Wellcare Emerald Value AR Perry STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance AR Perry STANDARD

H5698128 Dual Special Needs Plans WellCare Comp Access AR Perry STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance AR Phillips STANDARD

H5698128 Dual Special Needs Plans WellCare Comp Access AR Phillips STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance AR Pike STANDARD

H5698128 Dual Special Needs Plans WellCare Comp Access AR Pike STANDARD

H5698063 MA-PD (Includes Part D) Wellcare Emerald Value AR Pike STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance AR Poinsett STANDARD

H5698128 Dual Special Needs Plans WellCare Comp Access AR Poinsett STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance AR Prairie STANDARD

H5698128 Dual Special Needs Plans WellCare Comp Access AR Prairie STANDARD

H5698063 MA-PD (Includes Part D) Wellcare Emerald Value AR Prairie STANDARD

H5698063 MA-PD (Includes Part D) Wellcare Emerald Value AR Pulaski STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance AR Pulaski STANDARD

H5698128 Dual Special Needs Plans WellCare Comp Access AR Pulaski STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance AR Randolph STANDARD

H5698128 Dual Special Needs Plans WellCare Comp Access AR Randolph STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance AR St Francis STANDARD

H5698128 Dual Special Needs Plans WellCare Comp Access AR St Francis STANDARD

H5698063 MA-PD (Includes Part D) Wellcare Emerald Value AR Saline STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance AR Saline STANDARD

H5698128 Dual Special Needs Plans WellCare Comp Access AR Saline STANDARD

H5698063 MA-PD (Includes Part D) Wellcare Emerald Value AR Searcy STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance AR Searcy STANDARD

H5698128 Dual Special Needs Plans WellCare Comp Access AR Searcy STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance AR Sharp STANDARD

H5698128 Dual Special Needs Plans WellCare Comp Access AR Sharp STANDARD

H5698063 MA-PD (Includes Part D) Wellcare Emerald Value AR Stone STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance AR Stone STANDARD

H5698128 Dual Special Needs Plans WellCare Comp Access AR Stone STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance AR Union STANDARD

H5698128 Dual Special Needs Plans WellCare Comp Access AR Union STANDARD

H5698063 MA-PD (Includes Part D) Wellcare Emerald Value AR Van Buren STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance AR Van Buren STANDARD

H5698128 Dual Special Needs Plans WellCare Comp Access AR Van Buren STANDARD

H5698063 MA-PD (Includes Part D) Wellcare Emerald Value AR White STANDARD

Page 4: Final 12/31/2014 Plan ID LOB Plan Name Region County Name Tierdqkjwx3xr6pzf.cloudfront.net/c111495/2015_County... · H5698128 Dual Special Needs Plans WellCare Comp Access AR Desha

Plan ID LOB Plan Name Region County Name TierH5698035 MA Only (No Part D) WellCare Silver Advance AR White STANDARD

H5698128 Dual Special Needs Plans WellCare Comp Access AR White STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance AR Woodruff STANDARD

H5698128 Dual Special Needs Plans WellCare Comp Access AR Woodruff STANDARD

H5698063 MA-PD (Includes Part D) Wellcare Emerald Value AR Woodruff STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance AR Yell STANDARD

H5698063 MA-PD (Includes Part D) Wellcare Emerald Value AR Yell STANDARD

H5698128 Dual Special Needs Plans WellCare Comp Access AR Yell STANDARD

H1032037 MA Only (No Part D) WellCare Advance FL Alachua STANDARD

H1032124 Dual Special Needs Plans WellCare Access FL Alachua STANDARD

H1032133 MA-PD (Includes Part D) WellCare Essential FL Alachua STANDARD

H1032175 Dual Special Needs Plans WellCare Liberty FL Alachua STANDARD

H1032180 Part B Premium Reduction WellCare Dividend FL Alachua STANDARD

H1032037 MA Only (No Part D) WellCare Advance FL Bradford STANDARD

H1032124 Dual Special Needs Plans WellCare Access FL Bradford STANDARD

H1032133 MA-PD (Includes Part D) WellCare Essential FL Bradford STANDARD

H1032175 Dual Special Needs Plans WellCare Liberty FL Bradford STANDARD

H1032002 MA-PD (Includes Part D) WellCare Choice FL Brevard $0

H1032037 MA Only (No Part D) WellCare Advance FL Brevard $0

H1032061 Dual Special Needs Plans WellCare Select FL Brevard $0

H1032124 Dual Special Needs Plans WellCare Access FL Brevard STANDARD

H1032133 MA-PD (Includes Part D) WellCare Essential FL Brevard $0

H1032175 Dual Special Needs Plans WellCare Liberty FL Brevard STANDARD

H1032180 Part B Premium Reduction WellCare Dividend FL Brevard STANDARD

H1032037 MA Only (No Part D) WellCare Advance FL Broward STANDARD

H1032061 Dual Special Needs Plans WellCare Select FL Broward STANDARD

H1032073 MA-PD (Includes Part D) WellCare Value FL Broward STANDARD

H1032124 Dual Special Needs Plans WellCare Access FL Broward STANDARD

H1032133 MA-PD (Includes Part D) WellCare Essential FL Broward STANDARD

H1032175 Dual Special Needs Plans WellCare Liberty FL Broward STANDARD

H1032179 Part B Premium Reduction WellCare Dividend FL Broward STANDARD

H1032073 MA-PD (Includes Part D) WellCare Value FL Clay $0

H1032002 MA-PD (Includes Part D) WellCare Choice FL Clay STANDARD

H1032037 MA Only (No Part D) WellCare Advance FL Clay STANDARD

H1032061 Dual Special Needs Plans WellCare Select FL Clay STANDARD

H1032124 Dual Special Needs Plans WellCare Access FL Clay STANDARD

H1032175 Dual Special Needs Plans WellCare Liberty FL Clay STANDARD

H1032040 Part B Premium Reduction WellCare Dividend FL Dade STANDARD

H1032176 Dual Special Needs Plans WellCare Liberty FL Dade STANDARD

H1032061 Dual Special Needs Plans WellCare Select FL Dade STANDARD

H1032170 Dual Special Needs Plans WellCare Access FL Dade STANDARD

H1032174 MA-PD (Includes Part D) WellCare Essential FL Dade STANDARD

H1032002 MA-PD (Includes Part D) WellCare Choice FL Duval $0

H1032037 MA Only (No Part D) WellCare Advance FL Duval STANDARD

H1032073 MA-PD (Includes Part D) WellCare Value FL Duval STANDARD

Page 5: Final 12/31/2014 Plan ID LOB Plan Name Region County Name Tierdqkjwx3xr6pzf.cloudfront.net/c111495/2015_County... · H5698128 Dual Special Needs Plans WellCare Comp Access AR Desha

Plan ID LOB Plan Name Region County Name TierH1032124 Dual Special Needs Plans WellCare Access FL Duval STANDARD

H1032175 Dual Special Needs Plans WellCare Liberty FL Duval STANDARD

H1032180 Part B Premium Reduction WellCare Dividend FL Duval STANDARD

H1032181 SPAP / 100% Low Income Subsidy WellCare Rx FL Duval STANDARD

H1032179 Part B Premium Reduction WellCare Dividend FL Indian River $0

H1032002 MA-PD (Includes Part D) WellCare Choice FL Indian River STANDARD

H1032037 MA Only (No Part D) WellCare Advance FL Indian River STANDARD

H1032061 Dual Special Needs Plans WellCare Select FL Indian River STANDARD

H1032124 Dual Special Needs Plans WellCare Access FL Indian River STANDARD

H1032133 MA-PD (Includes Part D) WellCare Essential FL Indian River STANDARD

H1032175 Dual Special Needs Plans WellCare Liberty FL Indian River STANDARD

H1032179 Part B Premium Reduction WellCare Dividend FL Lake $0

H1032037 MA Only (No Part D) WellCare Advance FL Lake STANDARD

H1032061 Dual Special Needs Plans WellCare Select FL Lake STANDARD

H1032091 MA-PD (Includes Part D) WellCare Value FL Lake STANDARD

H1032124 Dual Special Needs Plans WellCare Access FL Lake STANDARD

H1032133 MA-PD (Includes Part D) WellCare Essential FL Lake STANDARD

H1032175 Dual Special Needs Plans WellCare Liberty FL Lake STANDARD

H1032037 MA Only (No Part D) WellCare Advance FL Marion $0

H1032061 Dual Special Needs Plans WellCare Select FL Marion $0

H1032091 MA-PD (Includes Part D) WellCare Value FL Marion $0

H1032124 Dual Special Needs Plans WellCare Access FL Marion $0

H1032133 MA-PD (Includes Part D) WellCare Essential FL Marion $0

H1032175 Dual Special Needs Plans WellCare Liberty FL Marion $0

H1032179 Part B Premium Reduction WellCare Dividend FL Marion $0

H1032032 Part B Premium Reduction WellCare Dividend FL Martin STANDARD

H1032037 MA Only (No Part D) WellCare Advance FL Martin STANDARD

H1032061 Dual Special Needs Plans WellCare Select FL Martin STANDARD

H1032091 MA-PD (Includes Part D) WellCare Value FL Martin STANDARD

H1032124 Dual Special Needs Plans WellCare Access FL Martin STANDARD

H1032175 Dual Special Needs Plans WellCare Liberty FL Martin STANDARD

H1032032 Part B Premium Reduction WellCare Dividend FL Okeechobee STANDARD

H1032037 MA Only (No Part D) WellCare Advance FL Okeechobee STANDARD

H1032061 Dual Special Needs Plans WellCare Select FL Okeechobee STANDARD

H1032091 MA-PD (Includes Part D) WellCare Value FL Okeechobee STANDARD

H1032124 Dual Special Needs Plans WellCare Access FL Okeechobee STANDARD

H1032175 Dual Special Needs Plans WellCare Liberty FL Okeechobee STANDARD

H1032179 Part B Premium Reduction WellCare Dividend FL Orange $0

H1032002 MA-PD (Includes Part D) WellCare Choice FL Orange STANDARD

H1032091 MA-PD (Includes Part D) WellCare Value FL Orange STANDARD

H1032175 Dual Special Needs Plans WellCare Liberty FL Orange STANDARD

H1032037 MA Only (No Part D) WellCare Advance FL Orange STANDARD

H1032061 Dual Special Needs Plans WellCare Select FL Orange STANDARD

H1032124 Dual Special Needs Plans WellCare Access FL Orange STANDARD

H1032173 MA-PD (Includes Part D) WellCare Essential FL Orange STANDARD

Page 6: Final 12/31/2014 Plan ID LOB Plan Name Region County Name Tierdqkjwx3xr6pzf.cloudfront.net/c111495/2015_County... · H5698128 Dual Special Needs Plans WellCare Comp Access AR Desha

Plan ID LOB Plan Name Region County Name TierH1032091 MA-PD (Includes Part D) WellCare Value FL Osceola STANDARD

H1032175 Dual Special Needs Plans WellCare Liberty FL Osceola STANDARD

H1032002 MA-PD (Includes Part D) WellCare Choice FL Osceola STANDARD

H1032037 MA Only (No Part D) WellCare Advance FL Osceola STANDARD

H1032061 Dual Special Needs Plans WellCare Select FL Osceola STANDARD

H1032124 Dual Special Needs Plans WellCare Access FL Osceola STANDARD

H1032173 MA-PD (Includes Part D) WellCare Essential FL Osceola STANDARD

H1032179 Part B Premium Reduction WellCare Dividend FL Osceola STANDARD

H1032179 Part B Premium Reduction WellCare Dividend FL Palm Beach $0

H1032037 MA Only (No Part D) WellCare Advance FL Palm Beach STANDARD

H1032061 Dual Special Needs Plans WellCare Select FL Palm Beach STANDARD

H1032091 MA-PD (Includes Part D) WellCare Value FL Palm Beach STANDARD

H1032124 Dual Special Needs Plans WellCare Access FL Palm Beach STANDARD

H1032175 Dual Special Needs Plans WellCare Liberty FL Palm Beach STANDARD

H1032124 Dual Special Needs Plans WellCare Access FL St Lucie STANDARD

H1032032 Part B Premium Reduction WellCare Dividend FL St Lucie STANDARD

H1032037 MA Only (No Part D) WellCare Advance FL St Lucie STANDARD

H1032061 Dual Special Needs Plans WellCare Select FL St Lucie STANDARD

H1032091 MA-PD (Includes Part D) WellCare Value FL St Lucie STANDARD

H1032175 Dual Special Needs Plans WellCare Liberty FL St Lucie STANDARD

H1032061 Dual Special Needs Plans WellCare Select FL Seminole STANDARD

H1032091 MA-PD (Includes Part D) WellCare Value FL Seminole STANDARD

H1032124 Dual Special Needs Plans WellCare Access FL Seminole STANDARD

H1032173 MA-PD (Includes Part D) WellCare Essential FL Seminole STANDARD

H1032175 Dual Special Needs Plans WellCare Liberty FL Seminole STANDARD

H1032002 MA-PD (Includes Part D) WellCare Choice FL Seminole STANDARD

H1032037 MA Only (No Part D) WellCare Advance FL Seminole STANDARD

H1032179 Part B Premium Reduction WellCare Dividend FL Seminole STANDARD

H1032037 MA Only (No Part D) WellCare Advance FL Sumter STANDARD

H1032061 Dual Special Needs Plans WellCare Select FL Sumter STANDARD

H1032091 MA-PD (Includes Part D) WellCare Value FL Sumter STANDARD

H1032124 Dual Special Needs Plans WellCare Access FL Sumter STANDARD

H1032175 Dual Special Needs Plans WellCare Liberty FL Sumter STANDARD

H1032037 MA Only (No Part D) WellCare Advance FL Union STANDARD

H1032124 Dual Special Needs Plans WellCare Access FL Union STANDARD

H1032133 MA-PD (Includes Part D) WellCare Essential FL Union STANDARD

H1032175 Dual Special Needs Plans WellCare Liberty FL Union STANDARD

H1032002 MA-PD (Includes Part D) WellCare Choice FL Volusia STANDARD

H1032037 MA Only (No Part D) WellCare Advance FL Volusia STANDARD

H1032061 Dual Special Needs Plans WellCare Select FL Volusia STANDARD

H1032124 Dual Special Needs Plans WellCare Access FL Volusia STANDARD

H1032175 Dual Special Needs Plans WellCare Liberty FL Volusia STANDARD

H1032177 MA-PD (Includes Part D) WellCare Value FL Volusia STANDARD

H1032179 Part B Premium Reduction WellCare Dividend FL Volusia STANDARD

H1032037 MA Only (No Part D) WellCare Advance FL Bay STANDARD

Page 7: Final 12/31/2014 Plan ID LOB Plan Name Region County Name Tierdqkjwx3xr6pzf.cloudfront.net/c111495/2015_County... · H5698128 Dual Special Needs Plans WellCare Comp Access AR Desha

Plan ID LOB Plan Name Region County Name TierH1032079 MA-PD (Includes Part D) WellCare Value FL Bay STANDARD

H1032124 Dual Special Needs Plans WellCare Access FL Bay STANDARD

H1032175 Dual Special Needs Plans WellCare Liberty FL Bay STANDARD

H1032181 SPAP / 100% Low Income Subsidy WellCare Rx FL Bay STANDARD

H1032037 MA Only (No Part D) WellCare Advance FL Calhoun STANDARD

H1032079 MA-PD (Includes Part D) WellCare Value FL Calhoun STANDARD

H1032124 Dual Special Needs Plans WellCare Access FL Calhoun STANDARD

H1032175 Dual Special Needs Plans WellCare Liberty FL Calhoun STANDARD

H1032037 MA Only (No Part D) WellCare Advance FL Charlotte STANDARD

H1032124 Dual Special Needs Plans WellCare Access FL Charlotte STANDARD

H1032133 MA-PD (Includes Part D) WellCare Essential FL Charlotte STANDARD

H1032175 Dual Special Needs Plans WellCare Liberty FL Charlotte STANDARD

H1032180 Part B Premium Reduction WellCare Dividend FL Charlotte STANDARD

H1032174 MA-PD (Includes Part D) WellCare Essential FL Citrus $0

H1032037 MA Only (No Part D) WellCare Advance FL Citrus STANDARD

H1032124 Dual Special Needs Plans WellCare Access FL Citrus STANDARD

H1032175 Dual Special Needs Plans WellCare Liberty FL Citrus STANDARD

H1032037 MA Only (No Part D) WellCare Advance FL De Soto STANDARD

H1032124 Dual Special Needs Plans WellCare Access FL De Soto STANDARD

H1032133 MA-PD (Includes Part D) WellCare Essential FL De Soto STANDARD

H1032175 Dual Special Needs Plans WellCare Liberty FL De Soto STANDARD

H1032025 MA-PD (Includes Part D) WellCare Choice FL Escambia $0

H1032124 Dual Special Needs Plans WellCare Access FL Escambia $0

H1032175 Dual Special Needs Plans WellCare Liberty FL Escambia STANDARD

H1032037 MA Only (No Part D) WellCare Advance FL Escambia STANDARD

H1032079 MA-PD (Includes Part D) WellCare Value FL Escambia STANDARD

H1032180 Part B Premium Reduction WellCare Dividend FL Escambia STANDARD

H1032037 MA Only (No Part D) WellCare Advance FL Franklin STANDARD

H1032079 MA-PD (Includes Part D) WellCare Value FL Franklin STANDARD

H1032124 Dual Special Needs Plans WellCare Access FL Franklin STANDARD

H1032175 Dual Special Needs Plans WellCare Liberty FL Franklin STANDARD

H1032037 MA Only (No Part D) WellCare Advance FL Gadsden STANDARD

H1032079 MA-PD (Includes Part D) WellCare Value FL Gadsden STANDARD

H1032124 Dual Special Needs Plans WellCare Access FL Gadsden STANDARD

H1032175 Dual Special Needs Plans WellCare Liberty FL Gadsden STANDARD

H1032180 Part B Premium Reduction WellCare Dividend FL Gadsden STANDARD

H1032037 MA Only (No Part D) WellCare Advance FL Glades STANDARD

H1032124 Dual Special Needs Plans WellCare Access FL Glades STANDARD

H1032133 MA-PD (Includes Part D) WellCare Essential FL Glades STANDARD

H1032175 Dual Special Needs Plans WellCare Liberty FL Glades STANDARD

H1032037 MA Only (No Part D) WellCare Advance FL Gulf STANDARD

H1032079 MA-PD (Includes Part D) WellCare Value FL Gulf STANDARD

H1032124 Dual Special Needs Plans WellCare Access FL Gulf STANDARD

H1032175 Dual Special Needs Plans WellCare Liberty FL Gulf STANDARD

H1032037 MA Only (No Part D) WellCare Advance FL Hardee STANDARD

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Plan ID LOB Plan Name Region County Name TierH1032124 Dual Special Needs Plans WellCare Access FL Hardee STANDARD

H1032133 MA-PD (Includes Part D) WellCare Essential FL Hardee STANDARD

H1032175 Dual Special Needs Plans WellCare Liberty FL Hardee STANDARD

H1032037 MA Only (No Part D) WellCare Advance FL Hendry STANDARD

H1032124 Dual Special Needs Plans WellCare Access FL Hendry STANDARD

H1032133 MA-PD (Includes Part D) WellCare Essential FL Hendry STANDARD

H1032175 Dual Special Needs Plans WellCare Liberty FL Hendry STANDARD

H1032035 MA-PD (Includes Part D) WellCare Value FL Hernando STANDARD

H1032174 MA-PD (Includes Part D) WellCare Essential FL Hernando STANDARD

H1032032 Part B Premium Reduction WellCare Dividend FL Hernando STANDARD

H1032037 MA Only (No Part D) WellCare Advance FL Hernando STANDARD

H1032061 Dual Special Needs Plans WellCare Select FL Hernando STANDARD

H1032124 Dual Special Needs Plans WellCare Access FL Hernando STANDARD

H1032175 Dual Special Needs Plans WellCare Liberty FL Hernando STANDARD

H1032037 MA Only (No Part D) WellCare Advance FL Highlands STANDARD

H1032061 Dual Special Needs Plans WellCare Select FL Highlands STANDARD

H1032091 MA-PD (Includes Part D) WellCare Value FL Highlands STANDARD

H1032124 Dual Special Needs Plans WellCare Access FL Highlands STANDARD

H1032175 Dual Special Needs Plans WellCare Liberty FL Highlands STANDARD

H1032180 Part B Premium Reduction WellCare Dividend FL Highlands STANDARD

H1032035 MA-PD (Includes Part D) WellCare Value FL Hillsborough STANDARD

H1032175 Dual Special Needs Plans WellCare Liberty FL Hillsborough STANDARD

H1032032 Part B Premium Reduction WellCare Dividend FL Hillsborough STANDARD

H1032037 MA Only (No Part D) WellCare Advance FL Hillsborough STANDARD

H1032061 Dual Special Needs Plans WellCare Select FL Hillsborough STANDARD

H1032124 Dual Special Needs Plans WellCare Access FL Hillsborough STANDARD

H1032174 MA-PD (Includes Part D) WellCare Essential FL Hillsborough STANDARD

H1032037 MA Only (No Part D) WellCare Advance FL Holmes STANDARD

H1032079 MA-PD (Includes Part D) WellCare Value FL Holmes STANDARD

H1032124 Dual Special Needs Plans WellCare Access FL Holmes STANDARD

H1032175 Dual Special Needs Plans WellCare Liberty FL Holmes STANDARD

H1032037 MA Only (No Part D) WellCare Advance FL Jefferson STANDARD

H1032079 MA-PD (Includes Part D) WellCare Value FL Jefferson STANDARD

H1032124 Dual Special Needs Plans WellCare Access FL Jefferson STANDARD

H1032175 Dual Special Needs Plans WellCare Liberty FL Jefferson STANDARD

H1032180 Part B Premium Reduction WellCare Dividend FL Jefferson STANDARD

H1032037 MA Only (No Part D) WellCare Advance FL Lee STANDARD

H1032124 Dual Special Needs Plans WellCare Access FL Lee STANDARD

H1032133 MA-PD (Includes Part D) WellCare Essential FL Lee STANDARD

H1032175 Dual Special Needs Plans WellCare Liberty FL Lee STANDARD

H1032180 Part B Premium Reduction WellCare Dividend FL Lee STANDARD

H1032037 MA Only (No Part D) WellCare Advance FL Leon STANDARD

H1032079 MA-PD (Includes Part D) WellCare Value FL Leon STANDARD

H1032124 Dual Special Needs Plans WellCare Access FL Leon STANDARD

H1032175 Dual Special Needs Plans WellCare Liberty FL Leon STANDARD

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Plan ID LOB Plan Name Region County Name TierH1032180 Part B Premium Reduction WellCare Dividend FL Leon STANDARD

H1032181 SPAP / 100% Low Income Subsidy WellCare Rx FL Leon STANDARD

H1032037 MA Only (No Part D) WellCare Advance FL Levy STANDARD

H1032124 Dual Special Needs Plans WellCare Access FL Levy STANDARD

H1032133 MA-PD (Includes Part D) WellCare Essential FL Levy STANDARD

H1032175 Dual Special Needs Plans WellCare Liberty FL Levy STANDARD

H1032037 MA Only (No Part D) WellCare Advance FL Liberty STANDARD

H1032079 MA-PD (Includes Part D) WellCare Value FL Liberty STANDARD

H1032124 Dual Special Needs Plans WellCare Access FL Liberty STANDARD

H1032175 Dual Special Needs Plans WellCare Liberty FL Liberty STANDARD

H1032037 MA Only (No Part D) WellCare Advance FL Madison STANDARD

H1032079 MA-PD (Includes Part D) WellCare Value FL Madison STANDARD

H1032124 Dual Special Needs Plans WellCare Access FL Madison STANDARD

H1032175 Dual Special Needs Plans WellCare Liberty FL Madison STANDARD

H1032179 Part B Premium Reduction WellCare Dividend FL Manatee $0

H1032037 MA Only (No Part D) WellCare Advance FL Manatee STANDARD

H1032061 Dual Special Needs Plans WellCare Select FL Manatee STANDARD

H1032073 MA-PD (Includes Part D) WellCare Value FL Manatee STANDARD

H1032124 Dual Special Needs Plans WellCare Access FL Manatee STANDARD

H1032133 MA-PD (Includes Part D) WellCare Essential FL Manatee STANDARD

H1032175 Dual Special Needs Plans WellCare Liberty FL Manatee STANDARD

H1032025 MA-PD (Includes Part D) WellCare Choice FL Okaloosa STANDARD

H1032037 MA Only (No Part D) WellCare Advance FL Okaloosa STANDARD

H1032079 MA-PD (Includes Part D) WellCare Value FL Okaloosa STANDARD

H1032124 Dual Special Needs Plans WellCare Access FL Okaloosa STANDARD

H1032175 Dual Special Needs Plans WellCare Liberty FL Okaloosa STANDARD

H1032035 MA-PD (Includes Part D) WellCare Value FL Pasco STANDARD

H1032174 MA-PD (Includes Part D) WellCare Essential FL Pasco STANDARD

H1032175 Dual Special Needs Plans WellCare Liberty FL Pasco STANDARD

H1032037 MA Only (No Part D) WellCare Advance FL Pasco STANDARD

H1032061 Dual Special Needs Plans WellCare Select FL Pasco STANDARD

H1032124 Dual Special Needs Plans WellCare Access FL Pasco STANDARD

H1032179 Part B Premium Reduction WellCare Dividend FL Pasco STANDARD

H1032035 MA-PD (Includes Part D) WellCare Value FL Pinellas STANDARD

H1032032 Part B Premium Reduction WellCare Dividend FL Pinellas STANDARD

H1032037 MA Only (No Part D) WellCare Advance FL Pinellas STANDARD

H1032061 Dual Special Needs Plans WellCare Select FL Pinellas STANDARD

H1032124 Dual Special Needs Plans WellCare Access FL Pinellas STANDARD

H1032174 MA-PD (Includes Part D) WellCare Essential FL Pinellas STANDARD

H1032175 Dual Special Needs Plans WellCare Liberty FL Pinellas STANDARD

H1032061 Dual Special Needs Plans WellCare Select FL Polk STANDARD

H1032091 MA-PD (Includes Part D) WellCare Value FL Polk STANDARD

H1032175 Dual Special Needs Plans WellCare Liberty FL Polk STANDARD

H1032037 MA Only (No Part D) WellCare Advance FL Polk STANDARD

H1032124 Dual Special Needs Plans WellCare Access FL Polk STANDARD

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Plan ID LOB Plan Name Region County Name TierH1032133 MA-PD (Includes Part D) WellCare Essential FL Polk STANDARD

H1032179 Part B Premium Reduction WellCare Dividend FL Polk STANDARD

H1032025 MA-PD (Includes Part D) WellCare Choice FL Santa Rosa STANDARD

H1032037 MA Only (No Part D) WellCare Advance FL Santa Rosa STANDARD

H1032079 MA-PD (Includes Part D) WellCare Value FL Santa Rosa STANDARD

H1032124 Dual Special Needs Plans WellCare Access FL Santa Rosa STANDARD

H1032175 Dual Special Needs Plans WellCare Liberty FL Santa Rosa STANDARD

H1032037 MA Only (No Part D) WellCare Advance FL Sarasota STANDARD

H1032124 Dual Special Needs Plans WellCare Access FL Sarasota STANDARD

H1032133 MA-PD (Includes Part D) WellCare Essential FL Sarasota STANDARD

H1032175 Dual Special Needs Plans WellCare Liberty FL Sarasota STANDARD

H1032180 Part B Premium Reduction WellCare Dividend FL Sarasota STANDARD

H1032037 MA Only (No Part D) WellCare Advance FL Wakulla STANDARD

H1032079 MA-PD (Includes Part D) WellCare Value FL Wakulla STANDARD

H1032124 Dual Special Needs Plans WellCare Access FL Wakulla STANDARD

H1032175 Dual Special Needs Plans WellCare Liberty FL Wakulla STANDARD

H1032037 MA Only (No Part D) WellCare Advance FL Walton STANDARD

H1032124 Dual Special Needs Plans WellCare Access FL Walton STANDARD

H1032133 MA-PD (Includes Part D) WellCare Essential FL Walton STANDARD

H1032175 Dual Special Needs Plans WellCare Liberty FL Walton STANDARD

H1032180 Part B Premium Reduction WellCare Dividend FL Walton STANDARD

H1032037 MA Only (No Part D) WellCare Advance FL Washington STANDARD

H1032079 MA-PD (Includes Part D) WellCare Value FL Washington STANDARD

H1032124 Dual Special Needs Plans WellCare Access FL Washington STANDARD

H1032175 Dual Special Needs Plans WellCare Liberty FL Washington STANDARD

H1903011 Dual Special Needs Plans WellCare Access LA Acadia STANDARD

H1903022 MA-PD (Includes Part D) WellCare Value LA Acadia STANDARD

H1903022 MA-PD (Includes Part D) WellCare Value LA Ascension STANDARD

H1903011 Dual Special Needs Plans WellCare Access LA Ascension STANDARD

H1903011 Dual Special Needs Plans WellCare Access LA East Baton Rouge STANDARD

H1903022 MA-PD (Includes Part D) WellCare Value LA East Baton Rouge STANDARD

H1903011 Dual Special Needs Plans WellCare Access LA East Feliciana STANDARD

H1903022 MA-PD (Includes Part D) WellCare Value LA East Feliciana $0

H1903022 MA-PD (Includes Part D) WellCare Value LA Grant $0

H1903011 Dual Special Needs Plans WellCare Access LA Grant STANDARD

H1903022 MA-PD (Includes Part D) WellCare Value LA Iberville STANDARD

H1903011 Dual Special Needs Plans WellCare Access LA Iberville STANDARD

H1903022 MA-PD (Includes Part D) WellCare Value LA Jefferson STANDARD

H1903011 Dual Special Needs Plans WellCare Access LA Jefferson STANDARD

H1903022 MA-PD (Includes Part D) WellCare Value LA Jefferson Davis STANDARD

H1903011 Dual Special Needs Plans WellCare Access LA Jefferson Davis STANDARD

H1903022 MA-PD (Includes Part D) WellCare Value LA Lafayette STANDARD

H1903011 Dual Special Needs Plans WellCare Access LA Lafayette STANDARD

H1903011 Dual Special Needs Plans WellCare Access LA Livingston STANDARD

H1903022 MA-PD (Includes Part D) WellCare Value LA Livingston STANDARD

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Plan ID LOB Plan Name Region County Name TierH1903011 Dual Special Needs Plans WellCare Access LA Orleans STANDARD

H1903022 MA-PD (Includes Part D) WellCare Value LA Orleans STANDARD

H1903022 MA-PD (Includes Part D) WellCare Value LA Pointe Coupee STANDARD

H1903011 Dual Special Needs Plans WellCare Access LA Pointe Coupee STANDARD

H1903022 MA-PD (Includes Part D) WellCare Value LA Rapides STANDARD

H1903011 Dual Special Needs Plans WellCare Access LA Rapides STANDARD

H1903022 MA-PD (Includes Part D) WellCare Value LA St Bernard STANDARD

H1903011 Dual Special Needs Plans WellCare Access LA St Bernard STANDARD

H1903011 Dual Special Needs Plans WellCare Access LA St Landry STANDARD

H1903022 MA-PD (Includes Part D) WellCare Value LA St Landry STANDARD

H1903022 MA-PD (Includes Part D) WellCare Value LA St Martin $0

H1903011 Dual Special Needs Plans WellCare Access LA St Martin STANDARD

H1903022 MA-PD (Includes Part D) WellCare Value LA St Tammany $0

H1903011 Dual Special Needs Plans WellCare Access LA St Tammany $0

H1903011 Dual Special Needs Plans WellCare Access LA Washington STANDARD

H1903022 MA-PD (Includes Part D) WellCare Value LA Washington STANDARD

H1903022 MA-PD (Includes Part D) WellCare Value LA West Baton Rouge STANDARD

H1903011 Dual Special Needs Plans WellCare Access LA West Baton Rouge STANDARD

H1903011 Dual Special Needs Plans WellCare Access LA West Feliciana STANDARD

H1903022 MA-PD (Includes Part D) WellCare Value LA West Feliciana STANDARD

H5698028 MA-PD (Includes Part D) WellCare Gold Essential MS Desoto STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance MS Adams STANDARD

H5698028 MA-PD (Includes Part D) WellCare Gold Essential MS Adams STANDARD

H5698134 Dual Special Needs Plans WellCare Comp Access MS Adams STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance MS Attala STANDARD

H5698134 Dual Special Needs Plans WellCare Comp Access MS Attala STANDARD

H5698028 MA-PD (Includes Part D) WellCare Gold Essential MS Attala STANDARD

H5698134 Dual Special Needs Plans WellCare Comp Access MS Bolivar STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance MS Bolivar STANDARD

H5698028 MA-PD (Includes Part D) WellCare Gold Essential MS Bolivar STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance MS Carroll STANDARD

H5698028 MA-PD (Includes Part D) WellCare Gold Essential MS Carroll STANDARD

H5698134 Dual Special Needs Plans WellCare Comp Access MS Carroll STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance MS Claiborne STANDARD

H5698134 Dual Special Needs Plans WellCare Comp Access MS Claiborne STANDARD

H5698028 MA-PD (Includes Part D) WellCare Gold Essential MS Claiborne STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance MS Clarke STANDARD

H5698028 MA-PD (Includes Part D) WellCare Gold Essential MS Clarke STANDARD

H5698200 Dual Special Needs Plans WellCare Access MS Clarke STANDARD

H5698134 Dual Special Needs Plans WellCare Comp Access MS Coahoma STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance MS Coahoma STANDARD

H5698028 MA-PD (Includes Part D) WellCare Gold Essential MS Coahoma STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance MS Copiah STANDARD

H5698028 MA-PD (Includes Part D) WellCare Gold Essential MS Copiah STANDARD

H5698134 Dual Special Needs Plans WellCare Comp Access MS Copiah STANDARD

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Plan ID LOB Plan Name Region County Name TierH5698035 MA Only (No Part D) WellCare Silver Advance MS Covington STANDARD

H5698200 Dual Special Needs Plans WellCare Access MS Covington STANDARD

H5698134 Dual Special Needs Plans WellCare Comp Access MS Desoto STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance MS Desoto STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance MS Forrest STANDARD

H5698200 Dual Special Needs Plans WellCare Access MS Forrest STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance MS Grenada STANDARD

H5698028 MA-PD (Includes Part D) WellCare Gold Essential MS Grenada STANDARD

H5698134 Dual Special Needs Plans WellCare Comp Access MS Grenada STANDARD

H5698198 MA-PD (Includes Part D) WellCare Value MS Hinds STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance MS Hinds STANDARD

H5698134 Dual Special Needs Plans WellCare Comp Access MS Hinds STANDARD

H5698028 MA-PD (Includes Part D) WellCare Gold Essential MS Hinds STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance MS Holmes STANDARD

H5698028 MA-PD (Includes Part D) WellCare Gold Essential MS Holmes STANDARD

H5698134 Dual Special Needs Plans WellCare Comp Access MS Holmes STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance MS Humphreys STANDARD

H5698028 MA-PD (Includes Part D) WellCare Gold Essential MS Humphreys STANDARD

H5698134 Dual Special Needs Plans WellCare Comp Access MS Humphreys STANDARD

H5698028 MA-PD (Includes Part D) WellCare Gold Essential MS Issaquena STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance MS Issaquena STANDARD

H5698134 Dual Special Needs Plans WellCare Comp Access MS Issaquena STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance MS Jasper STANDARD

H5698200 Dual Special Needs Plans WellCare Access MS Jasper STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance MS Jefferson STANDARD

H5698028 MA-PD (Includes Part D) WellCare Gold Essential MS Jefferson STANDARD

H5698134 Dual Special Needs Plans WellCare Comp Access MS Jefferson STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance MS Jefferson Davis STANDARD

H5698134 Dual Special Needs Plans WellCare Comp Access MS Jefferson Davis STANDARD

H5698028 MA-PD (Includes Part D) WellCare Gold Essential MS Jefferson Davis STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance MS Jones STANDARD

H5698200 Dual Special Needs Plans WellCare Access MS Jones STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance MS Kemper STANDARD

H5698028 MA-PD (Includes Part D) WellCare Gold Essential MS Kemper STANDARD

H5698200 Dual Special Needs Plans WellCare Access MS Kemper STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance MS Lafayette STANDARD

H5698134 Dual Special Needs Plans WellCare Comp Access MS Lafayette STANDARD

H5698028 MA-PD (Includes Part D) WellCare Gold Essential MS Lafayette STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance MS Lamar STANDARD

H5698200 Dual Special Needs Plans WellCare Access MS Lamar STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance MS Lauderdale STANDARD

H5698028 MA-PD (Includes Part D) WellCare Gold Essential MS Lauderdale STANDARD

H5698134 Dual Special Needs Plans WellCare Comp Access MS Lauderdale STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance MS Lawrence STANDARD

H5698134 Dual Special Needs Plans WellCare Comp Access MS Lawrence STANDARD

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Plan ID LOB Plan Name Region County Name TierH5698028 MA-PD (Includes Part D) WellCare Gold Essential MS Lawrence STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance MS Leake STANDARD

H5698134 Dual Special Needs Plans WellCare Comp Access MS Leake STANDARD

H5698028 MA-PD (Includes Part D) WellCare Gold Essential MS Leake STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance MS Lincoln STANDARD

H5698028 MA-PD (Includes Part D) WellCare Gold Essential MS Lincoln STANDARD

H5698134 Dual Special Needs Plans WellCare Comp Access MS Lincoln STANDARD

H5698134 Dual Special Needs Plans WellCare Comp Access MS Madison STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance MS Madison STANDARD

H5698198 MA-PD (Includes Part D) WellCare Value MS Madison STANDARD

H5698028 MA-PD (Includes Part D) WellCare Gold Essential MS Madison STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance MS Marion STANDARD

H5698200 Dual Special Needs Plans WellCare Access MS Marion STANDARD

H5698028 MA-PD (Includes Part D) WellCare Gold Essential MS Marshall STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance MS Marshall STANDARD

H5698134 Dual Special Needs Plans WellCare Comp Access MS Marshall STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance MS Neshoba STANDARD

H5698028 MA-PD (Includes Part D) WellCare Gold Essential MS Neshoba STANDARD

H5698200 Dual Special Needs Plans WellCare Access MS Neshoba STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance MS Newton STANDARD

H5698200 Dual Special Needs Plans WellCare Access MS Newton STANDARD

H5698028 MA-PD (Includes Part D) WellCare Gold Essential MS Newton STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance MS Panola STANDARD

H5698028 MA-PD (Includes Part D) WellCare Gold Essential MS Panola STANDARD

H5698134 Dual Special Needs Plans WellCare Comp Access MS Panola STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance MS Pike STANDARD

H5698134 Dual Special Needs Plans WellCare Comp Access MS Pike STANDARD

H5698028 MA-PD (Includes Part D) WellCare Gold Essential MS Pike STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance MS Quitman STANDARD

H5698028 MA-PD (Includes Part D) WellCare Gold Essential MS Quitman STANDARD

H5698134 Dual Special Needs Plans WellCare Comp Access MS Quitman STANDARD

H5698198 MA-PD (Includes Part D) WellCare Value MS Rankin STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance MS Rankin STANDARD

H5698134 Dual Special Needs Plans WellCare Comp Access MS Rankin STANDARD

H5698028 MA-PD (Includes Part D) WellCare Gold Essential MS Rankin STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance MS Scott STANDARD

H5698134 Dual Special Needs Plans WellCare Comp Access MS Scott STANDARD

H5698028 MA-PD (Includes Part D) WellCare Gold Essential MS Scott STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance MS Sharkey STANDARD

H5698028 MA-PD (Includes Part D) WellCare Gold Essential MS Sharkey STANDARD

H5698134 Dual Special Needs Plans WellCare Comp Access MS Sharkey STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance MS Simpson STANDARD

H5698134 Dual Special Needs Plans WellCare Comp Access MS Simpson STANDARD

H5698028 MA-PD (Includes Part D) WellCare Gold Essential MS Simpson STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance MS Smith STANDARD

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Plan ID LOB Plan Name Region County Name TierH5698134 Dual Special Needs Plans WellCare Comp Access MS Smith STANDARD

H5698028 MA-PD (Includes Part D) WellCare Gold Essential MS Smith STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance MS Sunflower STANDARD

H5698028 MA-PD (Includes Part D) WellCare Gold Essential MS Sunflower STANDARD

H5698134 Dual Special Needs Plans WellCare Comp Access MS Sunflower STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance MS Tallahatchie STANDARD

H5698028 MA-PD (Includes Part D) WellCare Gold Essential MS Tallahatchie STANDARD

H5698134 Dual Special Needs Plans WellCare Comp Access MS Tallahatchie STANDARD

H5698134 Dual Special Needs Plans WellCare Comp Access MS Tate STANDARD

H5698028 MA-PD (Includes Part D) WellCare Gold Essential MS Tate STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance MS Tate STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance MS Tunica STANDARD

H5698028 MA-PD (Includes Part D) WellCare Gold Essential MS Tunica STANDARD

H5698134 Dual Special Needs Plans WellCare Comp Access MS Tunica STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance MS Walthall STANDARD

H5698134 Dual Special Needs Plans WellCare Comp Access MS Walthall STANDARD

H5698028 MA-PD (Includes Part D) WellCare Gold Essential MS Walthall STANDARD

H5698134 Dual Special Needs Plans WellCare Comp Access MS Warren STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance MS Warren STANDARD

H5698198 MA-PD (Includes Part D) WellCare Value MS Warren STANDARD

H5698028 MA-PD (Includes Part D) WellCare Gold Essential MS Warren STANDARD

H5698028 MA-PD (Includes Part D) WellCare Gold Essential MS Washington STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance MS Washington STANDARD

H5698134 Dual Special Needs Plans WellCare Comp Access MS Washington STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance MS Wayne STANDARD

H5698200 Dual Special Needs Plans WellCare Access MS Wayne STANDARD

H5698134 Dual Special Needs Plans WellCare Comp Access MS Yazoo STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance MS Yazoo STANDARD

H5698028 MA-PD (Includes Part D) WellCare Gold Essential MS Yazoo STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Anderson STANDARD

H5698062 MA-PD (Includes Part D) Wellcare Emerald Value TN Anderson STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Anderson STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Bedford STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Bedford STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Benton STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Benton STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Bledsoe STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Bledsoe STANDARD

H5698062 MA-PD (Includes Part D) Wellcare Emerald Value TN Bledsoe STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Blount STANDARD

H5698062 MA-PD (Includes Part D) Wellcare Emerald Value TN Blount STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Blount STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Bradley STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Bradley STANDARD

H5698062 MA-PD (Includes Part D) Wellcare Emerald Value TN Bradley STANDARD

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Plan ID LOB Plan Name Region County Name TierH5698035 MA Only (No Part D) WellCare Silver Advance TN Campbell STANDARD

H5698062 MA-PD (Includes Part D) Wellcare Emerald Value TN Campbell STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Campbell STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Cannon STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Cannon STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Carroll STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Carroll STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Carter STANDARD

H5698062 MA-PD (Includes Part D) Wellcare Emerald Value TN Carter STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Carter STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Cheatham STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Cheatham STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Chester STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Chester STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Claiborne STANDARD

H5698062 MA-PD (Includes Part D) Wellcare Emerald Value TN Claiborne STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Claiborne STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Cocke STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Cocke STANDARD

H5698062 MA-PD (Includes Part D) Wellcare Emerald Value TN Cocke STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Coffee STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Coffee STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Crockett STANDARD

H5698062 MA-PD (Includes Part D) Wellcare Emerald Value TN Crockett STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Crockett STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Davidson STANDARD

H5698199 Part B Premium Reduction WellCare Dividend TN Davidson STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Davidson STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Decatur STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Decatur STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Dyer STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Dyer STANDARD

H5698062 MA-PD (Includes Part D) Wellcare Emerald Value TN Dyer STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Fayette STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Fayette STANDARD

H5698199 Part B Premium Reduction WellCare Dividend TN Fayette STANDARD

H5698062 MA-PD (Includes Part D) Wellcare Emerald Value TN Fayette STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Franklin STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Franklin STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Giles STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Giles STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Grainger STANDARD

H5698062 MA-PD (Includes Part D) Wellcare Emerald Value TN Grainger STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Grainger STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Greene STANDARD

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Plan ID LOB Plan Name Region County Name TierH5698062 MA-PD (Includes Part D) Wellcare Emerald Value TN Greene STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Greene STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Grundy STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Grundy STANDARD

H5698062 MA-PD (Includes Part D) Wellcare Emerald Value TN Grundy STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Hamblen STANDARD

H5698062 MA-PD (Includes Part D) Wellcare Emerald Value TN Hamblen STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Hamblen STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Hamilton STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Hamilton STANDARD

H5698199 Part B Premium Reduction WellCare Dividend TN Hamilton STANDARD

H5698062 MA-PD (Includes Part D) Wellcare Emerald Value TN Hamilton STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Hancock STANDARD

H5698062 MA-PD (Includes Part D) Wellcare Emerald Value TN Hancock STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Hancock STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Hardeman STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Hardeman STANDARD

H5698062 MA-PD (Includes Part D) Wellcare Emerald Value TN Hardeman STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Hardin STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Hardin STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Hawkins STANDARD

H5698062 MA-PD (Includes Part D) Wellcare Emerald Value TN Hawkins STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Hawkins STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Haywood STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Haywood STANDARD

H5698062 MA-PD (Includes Part D) Wellcare Emerald Value TN Haywood STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Henderson STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Henderson STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Henry STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Henry STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Hickman STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Hickman STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Houston STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Houston STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Humphreys STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Humphreys STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Jefferson STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Jefferson STANDARD

H5698062 MA-PD (Includes Part D) Wellcare Emerald Value TN Jefferson STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Johnson STANDARD

H5698062 MA-PD (Includes Part D) Wellcare Emerald Value TN Johnson STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Johnson STANDARD

H5698062 MA-PD (Includes Part D) Wellcare Emerald Value TN Knox STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Knox STANDARD

H5698199 Part B Premium Reduction WellCare Dividend TN Knox STANDARD

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Plan ID LOB Plan Name Region County Name TierH5698140 Dual Special Needs Plans WellCare Comp Access TN Knox STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Lake STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Lake STANDARD

H5698062 MA-PD (Includes Part D) Wellcare Emerald Value TN Lake STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Lauderdale STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Lauderdale STANDARD

H5698062 MA-PD (Includes Part D) Wellcare Emerald Value TN Lauderdale STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Lawrence STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Lawrence STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Lewis STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Lewis STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Loudon STANDARD

H5698062 MA-PD (Includes Part D) Wellcare Emerald Value TN Loudon STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Loudon STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Mc Minn STANDARD

H5698062 MA-PD (Includes Part D) Wellcare Emerald Value TN Mc Minn STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Mc Minn STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Mc Nairy STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Mc Nairy STANDARD

H5698062 MA-PD (Includes Part D) Wellcare Emerald Value TN Mc Nairy STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Macon STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Macon STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Madison STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Madison STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Marion STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Marion STANDARD

H5698062 MA-PD (Includes Part D) Wellcare Emerald Value TN Marion STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Marshall STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Marshall STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Maury STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Maury STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Meigs STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Meigs STANDARD

H5698062 MA-PD (Includes Part D) Wellcare Emerald Value TN Meigs STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Monroe STANDARD

H5698062 MA-PD (Includes Part D) Wellcare Emerald Value TN Monroe STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Monroe STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Montgomery STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Montgomery STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Moore STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Moore STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Morgan STANDARD

H5698062 MA-PD (Includes Part D) Wellcare Emerald Value TN Morgan STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Morgan STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Obion STANDARD

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Plan ID LOB Plan Name Region County Name TierH5698140 Dual Special Needs Plans WellCare Comp Access TN Obion STANDARD

H5698062 MA-PD (Includes Part D) Wellcare Emerald Value TN Obion STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Perry STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Perry STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Polk STANDARD

H5698062 MA-PD (Includes Part D) Wellcare Emerald Value TN Polk STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Polk STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Rhea STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Rhea STANDARD

H5698062 MA-PD (Includes Part D) Wellcare Emerald Value TN Rhea STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Roane STANDARD

H5698062 MA-PD (Includes Part D) Wellcare Emerald Value TN Roane STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Roane STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Robertson STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Robertson STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Rutherford STANDARD

H5698199 Part B Premium Reduction WellCare Dividend TN Rutherford STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Rutherford STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Scott STANDARD

H5698062 MA-PD (Includes Part D) Wellcare Emerald Value TN Scott STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Scott STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Sequatchie STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Sequatchie STANDARD

H5698062 MA-PD (Includes Part D) Wellcare Emerald Value TN Sequatchie STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Sevier STANDARD

H5698062 MA-PD (Includes Part D) Wellcare Emerald Value TN Sevier STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Sevier STANDARD

H5698062 MA-PD (Includes Part D) Wellcare Emerald Value TN Shelby STANDARD

H5698199 Part B Premium Reduction WellCare Dividend TN Shelby STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Shelby STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Shelby STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Stewart STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Stewart STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Sullivan STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Sullivan STANDARD

H5698062 MA-PD (Includes Part D) Wellcare Emerald Value TN Sullivan STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Sumner STANDARD

H5698199 Part B Premium Reduction WellCare Dividend TN Sumner STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Sumner STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Tipton STANDARD

H5698199 Part B Premium Reduction WellCare Dividend TN Tipton STANDARD

H5698062 MA-PD (Includes Part D) Wellcare Emerald Value TN Tipton STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Tipton STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Trousdale STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Trousdale STANDARD

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Plan ID LOB Plan Name Region County Name TierH5698035 MA Only (No Part D) WellCare Silver Advance TN Unicoi STANDARD

H5698062 MA-PD (Includes Part D) Wellcare Emerald Value TN Unicoi STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Unicoi STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Union STANDARD

H5698062 MA-PD (Includes Part D) Wellcare Emerald Value TN Union STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Union STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Washington STANDARD

H5698062 MA-PD (Includes Part D) Wellcare Emerald Value TN Washington STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Washington STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Wayne STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Wayne STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Weakley STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Weakley STANDARD

H5698062 MA-PD (Includes Part D) Wellcare Emerald Value TN Weakley STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Williamson STANDARD

H5698199 Part B Premium Reduction WellCare Dividend TN Williamson STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Williamson STANDARD

H5698035 MA Only (No Part D) WellCare Silver Advance TN Wilson STANDARD

H5698140 Dual Special Needs Plans WellCare Comp Access TN Wilson STANDARD