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H9730 004 - 2021 WellCare Liberty (HMO D-SNP) - H9730-004- in KY Plan Benefits Details

Get 2024 Medicare Advantage Part C/Part D Health and Prescription plan bene

2019 WellCare Liberty (HMO SNP) - H9730-004- in KY Plan Benefits DetailsThis document provides information about the benefits, costs, and rights of members of Wellcare Dual Liberty (HMO D-SNP), a Medicare Advantage plan for people who are eligible for both Medicare and Medicaid. It covers topics such as medical and prescription drug coverage, network providers, appeals, and complaints.Services with an asterisk (*) may require prior authorization. Wellcare Dual Access Medicare (HMO D-SNP) H7173, Plan 001. Hearing aid allowance. All types. Up to a $2,000 allowance for both ears combined every year for hearing aids. $0 copay. Limited to 2 hearing aid(s) every year. Additional Hearing Information.4 out of 5 stars* for plan year 2022. Wellcare Dual Liberty (HMO D-SNP) is a HMO D-SNP Medicare Advantage (Medicare Part C) plan offered by WellCare Health Plans, Inc. Plan ID: H0562-121-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium.40% per day for days 1 to 90. Urgent care. Urgent Care: Copayment for Urgent Care $0.00. Copayment for Medicare Covered Urgent Care waived if you are admitted to hospital within 24 hours. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $100.00. Maximum Plan Benefit of $50,000. Emergency room visit.Gap Coverage Phase. After the total drug costs paid by you and the plan reach $5,030, up to the out-of-pocket threshold of $6,350. Prescription Drug Tier Name. Generic drugs. 25% coinsurance ...2021 WellCare Liberty (HMO D-SNP) - H9730-004- in KY Plan Benefits Details2021 WellCare Liberty (HMO D-SNP) - H9730-004- in KY Plan Benefits DetailsIn-Network: Doctor Specialty Visit: Copayment for Physician Specialist Office Visit $45.00. Prior Authorization Required for Doctor Specialty Visit. Inpatient hospital care. In-Network: Acute Hospital Services: $450.00 per day for days 1 to 5. $0.00 per day for days 6 to 90.Get 2023 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLCServices with a square ( ) means a referral may be required. Wellcare No Premium Essential (HMO-POS) H9730, Plan 005. Skilled nursing facility (SNF) In-Network. For each benefit period, you pay: $0 copay per day for days 1 through 20. $203 copay per day for days 21 through 50. $0 copay per day for days 51 through 100.Get 2022 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLCWellcare Dual Liberty (HMO D-SNP) covers additional benefits and services, some of which may not be covered by Original Medicare (Medicare Part A and Part B). Coverage. Cost. Chiropractic Services. In-Network: Copayment for Medicare-covered Chiropractic Services $0.00. Copayment for Routine Care $0.00. Maximum 24 Routine Care every year.2021 WellCare Liberty (HMO D-SNP) - H9730-004- in KY Plan Benefits DetailsWellcare Dual Liberty Nurture (HMO D-SNP) is a HMO D-SNP Medicare Advantage (Medicare Part C) plan offered by WellCare Health Plans, Inc. Plan ID: H5294-010-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium.Medicare Plan Name: Wellcare Dual Liberty (HMO D-SNP) Location: Grayson, Kentucky Click to see other locations. Plan ID: H9730 - 004 - 0 Click to see other plans. Member Services: 1-833-444-9089 TTY users 711. — This plan information is for research purposes only.Additional Benefits. Wellcare 'Ohana Dual Liberty (HMO D-SNP) H2491, Plan 026. Wellcare SpendablesTM. You will receive $85 monthly ($1,020 per year) preloaded on your Wellcare SpendablesTM card. Your monthly allowance rolls over to the following month if unused and expires at end of the plan year.H9730, Plan 007 Wellcare Assist (HMO) H9730, Plan 010 Outpatient hospital observation services $95 copay for outpatient observation services when you enter observation status through an emergency room. $350 copay for outpatient observation services when you enter observation status through an outpatient facility. * $110 copay for outpatientH9730 - 004 - 0 Click to see other plans: Member Services: 1-833-444-9089 TTY users 711 — This plan information is for research purposes only. — Click here to see plans for the current plan year: Medicare Contact Information: Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options.What a set of woodcuts from 1887 reveals about Japan's obsession with English. Japanese speakers use a lot of English words. There is baa, meaning “bar,” hoteru for “hotel,” and hu...On April 22, 2024, UnitedHealth Group issued a press release, providing an update on the Change Healthcare cybersecurity incident that occurred on Feb. 21, 2024.Given the size of the data impacted, the investigation to determine whose data is impacted is expected to take several months.Services with a square ( ) means a referral may be required. Wellcare No Premium (HMO) H9730, Plan 009. Wellcare No Premium Essential (HMO-POS) H9730, Plan 005. Inpatient Hospital coverage. In-Network. For each admission, you pay: $325 copay per day for days 1 through 6. $0 copay per day for days 7 through 90.H9730, Plan 004 Wellcare Dual Access (HMO D-SNP) H9730, Plan 003 Service Area Our plans and service areas: H9730004000 Wellcare Dual Liberty (HMO D-SNP) includes these counties in Kentucky: Adair, Allen, Anderson, Ballard, Barren, Bath, Bell, Boone, Bourbon, Boyd, Boyle, Bracken,On April 22, 2024, UnitedHealth Group issued a press release, providing an update on the Change Healthcare cybersecurity incident that occurred on Feb. 21, 2024.Given the size of the data impacted, the investigation to determine whose data is impacted is expected to take several months.The 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 www.wellcare. com/medicare or call 1-844-917-0175 (TTY: 711) to view a copy of the EOC. Hours are Monday - Sunday, 8 am - 8 pm (all time zones).Get 2022 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLCStep 2: Change your coverage. To change to a different Medicare health plan, enroll in the new plan. You will automatically be disenrolled from Wellcare Dual Liberty (HMO D-SNP). To change to Original Medicare with a prescription drug plan, enroll in the new drug plan.Get 2024 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLCIf you have questions, call Wellcare Dual Liberty (HMO D-SNP) Member Services at 1-866-892-8340, TTY 711, between October 1 and. March 31, representatives are available Monday-Sunday, 8 a.m. to 8 p.m. Between April 1 and September 30, representatives are available. Monday-Friday, 8 a.m. to 8 p.m. The call is free.2021-2023 Kia Rio - 86110h9730. MSRP: $660.22. Discount: $221.31 (33.5% off) Sale Price: $438.91. OR. Make sure this part fits your Car. Add to Cart. Manufacturer Warranty Minimum of 12 Months. Guaranteed Fitment Always the correct parts.Get 2024 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLC2023 Wellcare (H9730) Star Rating Details; Wellcare Dual Liberty (HMO D-SNP) (H9730-004-0) Benefit Details The Wellcare Dual Liberty (HMO D-SNP) (H9730-004-0) in Boone, KY: CMS MA Region 13 which includes: KY: Star Rating Category & Measures: 2023: 2022: Overall Star Rating: 3.5 : 4: Summary Rating of Prescription Drug Plan Quality: 3 : 4As a part of your plan, you have an Over-the-Counter (OTC) benefit. We give you a fixed dollar amount to buy the OTC medications and products you need to stay well. These are everyday things like bandages, pain relievers, cold remedies, toothpaste and much more. You have the flexibility of purchasing items at a participating retail location or ...To apply for a Dual Eligible Special Needs Plan (D-SNP), you must qualify for both Medicare and Medicaid. You need to meet the federal government’s requirements for Medicare eligibility, and your state’s specific requirements for Medicaid Eligibility. To qualify for Medicare, you likely need to be: Age 65 or older, or; Under 65 with a ...The Wellcare Dual Liberty (HMO D-SNP) (H9730 - 004) currently has 9,818 members. There are 14 members enrolled in this plan in Webster, Kentucky, and 9,769 members in Kentucky. The Centers for Medicare and Medicaid Services (CMS) has given this plan carrier a summary rating of 4 stars. The detail CMS plan carrier ratings are as follows:Wellcare Dual Liberty Nurture (HMO D-SNP) is a HMO D-SNP Medicare Advantage (Medicare Part C) plan offered by WellCare Health Plans, Inc. Plan ID: H5294-010-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium.2019 WellCare Liberty (HMO SNP) - H9730-004- in KY Plan Benefits DetailsOn February 13, Medpace is reporting earnings from Q4.Wall Street analysts expect Medpace will release earnings per share of $1.79.Go here to trac... On February 13, Medpace will p...View the coverage and benefits provided in the Wellcare Assist (HMO) plan from Wellcare. Alight Retiree Health Solutions represents Medicare plans from 59 insurers nationwide.2 out of 5 stars* for plan year 2024. Wellcare Dual Liberty (HMO D-SNP) is a HMO D-SNP Medicare Advantage (Medicare Part C) plan offered by WellCare Health Plans, Inc. Plan ID: H9900-003-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium.h5995-001 : or . health plan of careoregon, inc. h5859-001 . pa : pennsylvania health & wellness, inc. h2915-001 : pa . pennsylvania health & wellness, inc.On April 22, 2024, UnitedHealth Group issued a press release, providing an update on the Change Healthcare cybersecurity incident that occurred on Feb. 21, 2024.Given the size of the data impacted, the investigation to determine whose data is impacted is expected to take several months.Gap Coverage Phase. After the total drug costs paid by you and the plan reach $5,030, up to the out-of-pocket threshold of $6,350. Prescription Drug Tier Name. Generic drugs. 25% coinsurance ...H4847 - 004 - 0 Click to see other plans: Member Services: 1-866-892-8340 TTY users 711 — This plan information is for research purposes only. — Click here to see plans for the current plan year: Medicare Contact Information: Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options.H9730 - 005 - 0 Click to see other plans: Member Services: 1-833-444-9088 TTY users 711 — This plan information is for research purposes only. — Click here to see plans for the current plan year: Medicare Contact Information: Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options.Services with a square ( ) means a referral may be required. Wellcare Dual Liberty (HMO D-SNP) H0174, Plan 006. Wellcare Dual Access (HMO D-SNP) H0174, Plan 004. Worldwide urgent care coverage. $95 copay Worldwide emergency and worldwide urgently needed services are subject to a $50,000 maximum plan coverage.Wellcare Dual Liberty (HMO D-SNP) covers additional benefits and services, some of which may not be covered by Original Medicare (Medicare Part A and Part B). Coverage. Cost. Chiropractic Services. In-Network: Copayment for Medicare-covered Chiropractic Services $0.00. Copayment for Routine Care $0.00. Maximum 24 Routine Care every year.Wellcare Dual Pinnacle Liberty (HMO D-SNP) covers additional benefits and services, some of which may not be covered by Original Medicare (Medicare Part A and Part B). Coverage. Cost. Chiropractic Services. In-Network: Copayment for Medicare-covered Chiropractic Services $0.00. Copayment for Routine Care $0.00. Maximum 12 Routine Care every year.Benefits. Wellcare Dual Liberty (HMO D-SNP) H1353, Plan 004 Wellcare Dual Access (HMO D-SNP) H1353, Plan 002 Dental services Preventive services $0 copay *. Cleanings 2 every year Dental x-rays 1 every 12 to 36 months depending on type of service Oral exams 2 every year $0 copay *.TTY users 1-877-486-2048. or contact your local SHIP for assistance. Email a copy of the Wellcare Dual Liberty (HMO D-SNP) benefit details. — Medicare Plan Features —. Monthly Premium: $0.00 for people who qualify for both Medicare and Medicaid. (see Plan Premium Details below) Annual Deductible: $0 for people who qualify for both Medicare ...2019 WellCare Liberty (HMO SNP) - H9730-004-0 in KY Plan Benefits DetailsGet 2022 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLCH9730-004. Wellcare No Premium Value (HMO-POS) 2024. H1416-082. Wellcare All Dual Assure (HMO D-SNP) 2024. H9730-011. Discover Medicare insurance plans accepted by Kalpana Rangaswamy, APN and find primary care doctors accepting Medicare near you.Get 2022 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLCH1416_2023_MS_SB_DSNP_104572E_M ©Wellcare 2023 MS3IMRSOB04572E_0175 2023 Summary of Benefits Mississippi Wellcare Dual Liberty (HMO D-SNP) H1416 | 0443 H0251-004 . 2 Effective June 1, 2023, an enrollment moratorium imposed by the state precluded this plan from accepting new enrollments as described in 42 CFR 422.66(c)(2)(i)(B). 3. This plan was prohibited from accepting any MA-PD plan enrollments for 2023 as described in Section 1857(e)(4) of theUrgent Care. Copayment for Urgent Care $25.00. Copayment for Medicare Covered Urgent Care waived if you are admitted to hospital within 24 hours. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $120.00. Maximum Plan Benefit of $50,000. Emergency Room Visit. Copayment for Emergency Care $120.00.Prescription Drug Costs and Coverage. The Wellcare No Premium Ruby (HMO) offers prescription drug coverage, with an annual drug deductible of $300.00 (excludes Tiers 1, 2 and 6) Coverage. Cost. 30 day supply. 60 day supply. 90 day supply. Annual drug deductible.Get 2024 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLC2021 WellCare Liberty (HMO D-SNP) - H9730-004-0 in KY Plan Benefits Details3 out of 5 stars* for plan year 2024. Wellcare Dual Liberty (HMO D-SNP) is a HMO D-SNP Medicare Advantage (Medicare Part C) plan offered by WellCare Health Plans, Inc. Plan ID: H4847-004-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium.Get 2023 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLCGet 2024 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLCWellCare Liberty (HMO D-SNP) – H9730-004-0: $0.00 for people who qualify for both Medicare and Medicaid. $0 for people who qualify for both Medicare and Medicaid. No additional gap coverage, only the Donut Hole Discount: Preferred Generic: $0.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: 43%, Specialty Tier: …2022 Summary of Benefits Louisiana Wellcare Dual Liberty (HMO D-SNP) H2491 | 008 H2491_WCM_78671E_M ©Wellcare 2022 LA2ZMRSOB78671E_01252021 WellCare Liberty (HMO D-SNP) - H9730-004- in KY Plan Benefits DetailsServices with a square ( ) means a referral may be required. Wellcare No Premium Essential (HMO-POS) H9730, Plan 005. Skilled nursing facility (SNF) In-Network. For each benefit period, you pay: $0 copay per day for days 1 through 20. $203 copay per day for days 21 through 50. $0 copay per day for days 51 through 100.Your Summary of Benefits9. Benefits. Wellcare Giveback (HMO) H9730, Plan 007 Wellcare No Premium (HMO) H9730, Plan 009 Wellcare Assist (HMO) H9730, Plan 010 …3.5 out of 5 stars* for plan year 2022. Wellcare Dual Liberty (HMO D-SNP) is a HMO D-SNP Medicare Advantage (Medicare Part C) plan offered by WellCare Health Plans, Inc. Plan ID: H0913-013-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium.Part #: HEDS-9730. Download. File Size: 213Kbytes. Page: 6 Pages. Description: Small Optical Encoder Modules 480lpi Digital Output. Manufacturer: AVAGO TECHNOLOGIES ...3.5 out of 5 stars* for plan year 2024. Wellcare Dual Liberty (HMO D-SNP) is a HMO D-SNP Medicare Advantage (Medicare Part C) plan offered by WellCare Health Plans, Inc. Plan ID: H9630-011-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium.Arizona D-SNP plans: Contract services are funded in part under contract with the State of Arizona. The plan also has a written agreement with the Arizona Medicaid program to coordinate your Medicaid benefits. When this document says "we," "us," or "our," it means Bridgeway Health Solutions Of Arizona, Inc. When it says "plan ...Get 2024 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLCSummary of Benefits January 1, 2019 - December 31, 2019. Mississippi Division of Medicaid WellCare Liberty (HMO SNP) Plan Basics $0.00 Monthly Plan Premium What You Should Know: Your monthly plan premium may be as low as $0, depending on your level of " Extra Help.2023 Summary of Benefits. H9730_2023_KY_SB_DSNP_104563E_M ©Wellcare 2023 KY3KMRSOB04563E_0137. 2023 Summary of Benefits. Kentucky. Wellcare Dual Liberty …Initial Coverage Phase. After you pay your deductible, if applicable, up to the initial coverage limit of $5,030. Prescription Drug Tier Name. Standard Retail. Cost-Sharing 30 days. Standard ...Wellcare Dual Liberty (HMO D-SNP) is a Medicare Advantage (Part C) Special Needs Plan by Wellcare. This page features plan details for 2024 Wellcare Dual Liberty (HMO D-SNP) H9730 – 004 – 0 available in All counties in KY. IMPORTANT: This page has been updated with plan and premium data for 2024.3 out of 5 stars* for plan year 2024. Wellcare Dual Liberty (HMO D-SNP) is a HMO D-SNP Medicare Advantage (Medicare Part C) plan offered by WellCare Health Plans, Inc. Plan ID: H4847-004-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium.Services with a square ( ) means a referral may be required. Wellcare Dual Liberty (HMO D-SNP) H0174, Plan 006. Wellcare Dual Access (HMO D-SNP) H0174, Plan 004. Worldwide urgent care coverage. $120 copay Worldwide Emergency and worldwide urgently needed services are subject to a $50,000 maximum plan coverage.Get 2024 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLCMar 7, 2024 · HMO plans from Wellcare. Our Wellcare Advantage HMO plans focus on care access and affordability. It starts with access to our wide network of doctors and hospitals, plus more benefits than Original Medicare. Staying in-network for care can give you greater cost savings throughout the year. Wellcare offers a variety of Wellcare HMO plan options.Get 2022 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLCGet 2024 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLCView the coverage and benefits provided in the Wellcare No Premium (HMO) plan from Wellcare. Alight Retiree Health Solutions represents Medicare plans from 59 insurers nationwide.3.5 out of 5 stars* for plan year 2022. Wellcare Dual Liberty (HMO D-SNP) is a HMO D-SNP Medicare Advant, 2019 WellCare Liberty (HMO SNP) - H9730-004-0 in KY Plan Benefits Details, H9730_009_2024_KY_ANOC_HMAPD_126817E_M. 3 Wellcare No Premium (HMO) Annual Notice of Changes for , Object moved to here., Wellcare Dual Liberty (HMO D-SNP) covers additional benefits and services, some of which may, Get 2022 Medicare Advantage Part C/Part D Health a, 2020 WellCare Liberty (HMO D-SNP) - H9730-004- in KY Plan Benefits Details, Get 2022 Medicare Advantage Part C/Part D Health and Prescri, H9730_004_2024_KY_EOC_DSNP_126972E_C OMB Approval 0938-, H9630 - 011 - 0. (3.5 / 5) Wellcare Dual Liberty (HMO D-SNP) is a Medi, H9730 - 003 - 0 Click to see other plans: Member Serv, Prescription Drug Costs and Coverage. The Wellcare, Get 2024 Medicare Advantage Part C/Part D Health and Prescription pl, On April 22, 2024, UnitedHealth Group issued a press re, H0174, Plan 004 Ambulatory surgical center (ASC) services $0 , 2021 WellCare Liberty (HMO D-SNP) - H9730-004- in KY Plan Benefits D, 2020 WellCare Liberty (HMO D-SNP) - H9730-004- in KY Plan Benefits , You have multiple reasons to create spreadsheets to track.