Saturday, October 1, 2022

What Is Wellcare Health Insurance

Don't Miss

How Can You Find A Directory Of Wellcare Network Pharmacies

A Mission To Serve – WellCare Health Plans

WellCare has over 68,000 pharmacies in its network. In order to find a pharmacy that accepts your WellCare plan, visit the WellCare website and search itsPharmacy Directory. The directory includes a number of well-known, nationwide pharmacies that offer preferred cost-sharing including Rite Aid, CVS, Walmart and Walgreens. In order to search, youll need to input your current plan and the state where you reside.

Filling Your Prescription

Filling your prescription is as easy as visiting a participating network pharmacy and presenting your WellCare ID card. You will be responsible for any out-of-pocket expenses as stipulated in your insurance benefits.

Requesting Drug Coverage

If your medication isn’t covered, you can fill out a Prescription Drug Coverage Request form found on the WellCare website. Your prescriber or another approved individual may also fill out this form on your behalf. This request can also be made via phone, at 1-866-800-6111. If the request is time-sensitive and waiting for a decision may seriously harm your health, your life or impact your ability to regain maximum function, you can request an expedited decision. Otherwise, the standard response time is 72 hours.

CVS Caremark Mail Service

Pharmacy Care for Chronic or Complex Conditions

Understanding WellCare

Prescription Drug Plans Available Through Wellcare

Many WellCare Medicare Advantage plans offer prescription drug coverage, but you can often purchase a stand-alone drug plan if you have Original Medicare and simply want or need this type of coverage, which is generally referred to as Medicare Part D. The three prescription drug plans offered by WellCare are:

WellCare Classic

This PDP is designed for those who only need prescriptions occasionally or for those who only take a few scripts per month. With the WellCare Classic PDP, your premiums for 2019 will range from $23.80 to $39.60 per month and the annual deductible is $415.

WellCare Extra

The WellCare Extra PDP is perfect for you if you take a lot of medications each month because this particular plan has no deductible. The premiums for 2019 range from $60.90 to $81.50 per month.

WellCare Value Script

MORE ADVICE Discover more tips for comfortably aging in place

Wellcare And Oscar Mobile Apps Options

The MyWellCare app allows you to keep track of your benefits, look for providers, and use it as a digital ID Card.

The Oscar app allows you to access your health information anytime you need it. It allows you to search for doctors & drugs and even have virtual visits with a doctor.

WellCare Mobile App

Also Check: Does Parking Ticket Affect Insurance

Common Questions About Oscar And Wellcare Insurance


Is WellCare good insurance?

WellCare received 3.57 stars out of 5 by Medicares rating system. It has an A+ rating with the Better Business Bureau .

Who takes WellCare insurance?

Wellcare has a network of providers. To find a WellCare provider or to see if your doctor accepts Wellcare, visit;here.

Are Wellcare and Centene the same?

Centene acquired Wellcare in January 2020.

What coverage do WellCare plans offer?

WellCare offers Medicaid and Medicare plans.

Does WellCare cover dental implants?

Healthplex is WellCare’s dental network provider. They do not cover dental implants.

Check out our full list of common questions about WellCare.


What lab does Oscar insurance cover?

Quest Diagnostics is Oscars preferred lab so your preventive labs will be free if they are processed there. Not all labs participate with your health plan so make sure youre going to a preferred lab.

Where is Oscar insurance available?

Oscar Insurance is available in New York, California, Texas, New Jersey, Ohio, Tennessee, Arizona, Florida, and Michigan.

What do Oscar’s health insurance plans cover?

Oscar’s health insurance plans cover a wide range of medical services and drugs. You have the option of selecting from different tiers, based on the coverage you anticipate needing. Theres an Oscar health insurance plan for every budget. Oscar also offers Medicare Advantage and Medicare Supplements.

Does CVS take Oscar insurance?

CVS pharmacy is Oscars preferred pharmacy in New York.

Finding The Best Wellcare Medicare Plan For You

WellCare rolls out plan to help

To find the WellCare Medicare options available to you, simply visit WellCares website and select state reside in. Next, pick the type of plan you want and enter your zip code.

Youll then see a list of the options available to you. You can click on each one to be taken to a page where you can download the documents related to that specific plan. For instance, if you download its Summary of Benefits, you are provided more information about the plans premium, deductible, copays, and your maximum out-of-pocket responsibility.

The Summary of Benefits also shares what is covered under that plan in relation to preventive care, emergency care, diagnostic services, mental health, physical therapy, and more. If the plan offers coverage for dental, vision, and/or hearing, that information is provided here as well.

WellCares website also lets you compare the WellCare Medicare plans available in your area. Its all presented in an easy-to-read chart that helps you understand how the plans are similar to and different from one another.

Plus, each WellCare plan is shown with a Medicare star rating, which is based on 53 criteria Medicare uses to evaluate all individual plans on a yearly basis. This rating is also based on both quality of the plan and its performance, which gives you an idea of how it compares to all other Medicare plans on the market.

You May Like: Best Homeowners Insurance 2019

What Is Wellcare Medicare Advantage

Our sample California ZIP code returned four Medicare Advantage plans. All of the healthcare plans include hearing, vision, and dental.

There are three health plans that have no additional monthly premium beyond the Original Medicare premium. These are Dividend, Best, and Freedom. All of these are HMO plans with no deductible and $0 copays across the board for office visits and specialists. Freedom is an HMO-SNP plan. The Dividend plan is the only one of the three that has an inpatient hospital copay of $125 a day for the first five days.

Each plan also includes some form of prescription drug coverage. There is no prescription deductible and drugs start at $0 for Tier 1 generic drugs, except for the Freedom plan which has a $445 deductible, leaving you responsible for your prescription drug costs until that deductible is met, excluding Tier 1.

The Plus plan is also an HMO, and again has no deductible and no copays for office visits, although there is an $800 a day copay for the first three days of an inpatient hospital stay. There is a prescription deductible of $445 excluding the covered drugs in Tier 1 and prescription coverage copays after that start at $0.

It can be assumed that these different drugs plans require you to use network pharmacies otherwise you could be subject to an additional cost.

Wellcares Prescription Delivery Options

With WellCare prescription drug coverage, you can often elect to receive your medication by mail. This service is provided by CVS Caremark and you can , by printing and completing a Mail Service Order Form and mailing it in, or by calling FastStart at 875-0867.

If you choose to sign up by phone, you will need your WellCare benefit ID number, your doctors name and phone number, and your payment information. Sign up with the mail-in form and youll need all of this information as well as your complete mailing address, any allergies or other health conditions you may have, and a 90-day original prescription for the medication you want.

If the medication is approved for mail delivery, CVS Caremark will contact your doctor and request a 90-day prescription . Once this is received, the script will be filled and mailed to you at no charge if you choose regular delivery. If you need it quicker, you can always pay for overnight or second-day delivery.

Refills can also be processed online, by phone, or via mail.

If you purchase a Medicare plan from WellCare, you also have the benefit of using its Nurse Advice Line.

Recommended Reading: How Does Social Security Disability Insurance Influence Staffing

What Is Wellcare Medicare Part D

There are a number of WellCare Medicare Rx Part D prescription drug coverage plans available from WellCare in our sample area.

One example, Classic, has a drug plan with a $405 deductible that applies to all tiers of coverage. After that, Tier 1 has a $0 copay; Tier 2, $1 and; Tier 3, $32. Tier 4 has a coinsurance amount of 44%, and Tier 5 a coinsurance of 25%.

Extra has no copay or deductible for Tiers 1 and 2. Tier 3 has a copay of $36 and Tiers 4 and 5 have coinsurance amounts of 40% and 33%, respectively.

Your one-stop online insurance guide. Get free quotes now!

;Secured with SHA-256 Encryption

What Are The Member Benefits From Wellcare

Are WellCare Medicare Advantage Plans Free?

Benefits for WellCares Medicare Advantage plans can be attractive because many include some coverage for vision, dental and transportation to care. Drugs delivered via mail is an option, but there is limited telehealth, probably because government reimbursement for it is low or non-existent.;

The company also offers something that many other insurance providers dont flexible coverage that you can use to pay for out-of-network coverage as well as dental, hearing or other healthcare for which it otherwise offers no coverage.;

This benefit comes in the form of a credit card loaded with a predetermined spending amount that ranges from $200 to $2,500, depending on where you live and what your circumstances are. You use the card to pay for what you need.5

Flexible Coverage Offered

This benefit comes in the form of a credit card loaded with a predetermined spending amount that ranges from $200 to $2,500 and can be used to pay for out-of-network coverage as well as dental, hearing, or other healthcare for which it otherwise offers no coverage.

Also Check: Does Dental Insurance Cover Veneers

Engagement Ring Warranty Vs Insurance

Category: Insurance 1. Warranty Vs. Insurance Community Diamond Review 16 May 2013 I recently purchased an engagement ring from Blue Nile. It comes with a lifetime warranty and I purchased insurance through Jewelers Mutual.5 posts; · ;Im not sure I understand, so pardon me if Im answering/commenting

Wellcare Vs Unitedhealthcare: What You Need To Know

In 1985, Wellcare began as a Medicaid provider for the state of Florida, with operations in Tampa, Florida. After the Balanced Budget Act of 1997 was passed, WellCare began offering Medicare Part C, now called Medicare Advantage. In 2003, it offered Medicare Advantage plans with prescription drug coverage. In 2004, Wellcare went public. In November 2013, WellCare appointed Chairman David Gallitano to serve as interim CEO. He increased spending on technology and famously dorned the walls with photographs and portraits of health plan members, including people who suffer from chronic conditions like cancer, homelessness and hunger. In 2014, WellCare hired Kenneth Burdick as the new CEO and board member. Hed originally joined the company as the president of national health plans but was promoted first to president and COO and eventually CEO. In September 2017, Wellcare announced a rebrand with a focus on holistic health: Beyond Healthcare: A Better You. In October 2017, Wellcare announced the UNC Health Alliance primary care physicians and specialists into its Medicare Advantage network. Wellcare operates in 20 states and was recognized by Fortune magazine as One of the Worlds Most Admired Companies in January 2018. In January 2020, Wellcare was acquired by Centene Corporation.

To learn more about each company, you can check out;Wellcare Overview;and;UnitedHealthcare Overview.

Recommended Reading: Do Parking Tickets Affect Car Insurance

What Is Medicare Part D

Medicare Part D is prescription drug coverage, which can be combined with other Medicare health insurance. Part D plans are offered by health insurance companies which are approved by the federal government.

It is optional to add a Part D plan to Original Medicare Part A and B, Medicare Supplement Insurance plans, or Part C – Medicare Advantage plans .

Additional Wellcare Medicare Plan Benefits

Wellcare Logos

If you purchase a Medicare plan from WellCare, you also have the benefit of using its Nurse Advice Line thats available 24 hours a day, 7 days a week. If you have questions regarding a specific medical condition, you can call 581-9952 for advice.

WellCare also offers a Medication Therapy Management Program that was designed to help reduce your drug-related risks, increase your prescription awareness, and support healthy prescription drug habits. With this program, you get a comprehensive medication review, which is a one-on-one discussion with a pharmacist to discuss all of your prescription medications, over-the-counter medicines, herbal treatments, and dietary supplements to ensure they all work well together.

You also receive a targeted medication review, which consists of WellCare contacting your doctor to talk about medications that may be more effective or safer for you to take.

To qualify, you must be on at least eight maintenance drugsthey all must be covered by Medicare Part Dand reach yearly prescription drug costs of $4,044 paid by both you and your prescription drug plan. You must also have at least three of the following health conditions:

  • Asthma

Read Also: Does Travel Insurance Cover If Company Goes Bust

Competition: Wellcare Vs Unitedhealthcare

WellCare ranks 10th out of the top-10 Medicare Advantage plans by J.D. Power with a score of 773 out of 1,000. UnitedHealthcare ranks fourth with a score of 800, the industry average. WellCare is now part of Centene which extends its geographical reach; UnitedHealthcare has a broader footprint. UnitedHealthcare offers Medicare Supplement Insurance plans, which WellCare does not. UnitedHealthcare also benefits from its exclusive affiliation with AARP.;

UnitedHealthcare has higher average Star Ratings from CMS than WellCare and more plans that rate highly. UnitedHealthcare has four 5.0-Star plans and seven 4.5-Star plans; WellCare has one 4.5-Star plan. Those higher-quality UnitedHealthcare plans may cost more; WellCare has more $0-premium plans and lower average costs in many areas. Depending on your priorities, the choice may be clear: UnitedHealthcare wins on quality, WellCare wins on price. But always check the specifics of the plans available in your area. Cost and quality can vary locally.


Common Questions About Wellcare And Molina Insurance


Does Walgreens accept Molinas insurance?

As of January 1, 2017, Molinas Medicaid pharmacy network no longer accepts Walgreens. Molina Medicare members, however, may continue using Walgreens. Walgreens does not participate in the Molina Marketplace pharmacy network.

Which dentists take Molina insurance?

Molina Healthcare covers dental services including oral surgery, x-rays, sealants, fillings, crowns , root canals, dentures and extractions. It also covers a dental exam and one cleaning every six months. To find a provider, visit;here;and at the top of the page pick your state. At the bottom of the page youll be directed to an online provider directory.

How to renew Molina Healthcare?

You need to renew your Medicaid eligibility and your childs Medicaid eligibility with your local County Department of Social Services every 12 months. This is called Medicaid Re-determination. Your Medicaid does not automatically renew. If you miss the deadline you may lose benefits for a whole year. You can renew either by phone using the Medicaid Renewal Hotline in your state or your local County Department of Social Services .

What is Molinas healthcare coverage?

Molina Healthcare is a managed care company headquartered in Long Beach, Ca. The company provides health insurance to lower-income people through government programs like Medicaid and Medicare as well as the State Childrens Health Insurance Program also called CHIP in some states.


Recommended Reading: Is Trustage Life Insurance Any Good

What Is Wellcare Health Plan

Based in Tampa, Florida, Well Care Health Plans Inc. was established in 1985 with the aim of providing Medicaid managed care and Medicare to all people. It is a holding company for several subsidiaries including Harmony, Wellcare Health Plan, HealthEase, and Staywell. It has over 3.9 million members countrywide, over 9,100 partners, and 6,000 associates. The company also has many regional offices in Miami, Manhattan, Florida, Baton Rouge, Connecticut, New York, Chicago, Illinois, Texas, Houston, Georgia, Louisiana, and Marietta.

WellCare Health Plan is just one of the many different insurances Medico MD accepts. Please continue reading to see how WellCare could benefit you!

Are The Wellcare Medicare Reviews And Ratings Positive

WellCare Healthplans| Morning Blend

WellCare has an A+ rating with the Better Business Bureau and has 51 complaints on file in the past three years. There are ten customer reviews, most of which complain of poor customer service, with some citing denial of coverage for medications and services.

There are 54 reviews on Consumer Affairs, the majority of which are negative. The complaints are similar to those found on the BBB site poor customer service claims not being paid.

The National Committee for Quality Assurance ranks each of the WellCare companies independently, and the ratings range from 2.5 stars to 3.5 stars overall. That puts some of them in the below-average range and others a little above average, but none of the companies has a particularly impressive rating.

Finally, the Medicare Ratings for the Easy Choice plans returned on our search were both 3.5 stars. Again, not poor ratings, but not stellar either.

Overall the impression is of a company that has some work to do on customer service and on improving the customer experience to bring up their ratings.

Your one-stop online insurance guide. Get free quotes now!

;Secured with SHA-256 Encryption

You May Like: Who Is The Best Home Insurance Company

What Are Medicare Supplement Insurance Plans

Medicare Supplement Insurance Plans cover costs not included in Original Medicare Part A and Part B, including deductibles, copays, and coinsurance. Medicare Supplement Insurance Plans are also known as Medigap, because they cover the gaps in Part A and B. Although Original Medicare is administered by the federal government, Medigap plans are offered by health insurance companies approved by the federal government.

Choosing A Provider Or Pharmacy

WellCare of North Carolina is a managed care plan. This means that you will need to use doctors and other providers that are part of the plan’s network.

We regularly add new providers to our network. You can download a copy of our latest Provider Directory from this web page. Or, you can use our online tool for the most up-to-date listings.

We look forward to serving you!

Don’t Miss: Does State Farm Carry Pet Insurance

More articles

Popular Articles