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Non-Wellcare Provider Resources

Not part of Wellcare's Provider Network yet?

We understand that our Members may elect to visit providers that are not part of Wellcare's Provider Network. If you are not in-network, you'll still need to know how to file claims and understand any policies and procedures that may affect you and your Wellcare-member patients.

The resources found on this page contain useful information to help you interact with Wellcare.

Interested in joining our Network?

We're always looking for high-quality providers to help care for our members.

Provider Documents

Get detailed health plan information on important topics such as coverage procedures and policies.

Contains key phone numbers and information on claims, appeals and more.

As a leading carrier of Medicare Advantage plans, Wellcare supports providers with dynamic resources that engage with Medicare beneficiaries in meaningful ways.

Claims Payment Policies

WellCare allows members to receive medically necessary services and treatment by a provider not in our network (non-participating provider) when the care cannot be provided by a network provider (participating provider).

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Last Updated On: 11/4/2021
Medicare Members: Protect yourself against Medicare fraud and Identify theft! The U.S. Department of Health and Human Services Office of Inspector General is alerting the public about a fraud scheme involving genetic testing. Learn how to protect yourself.
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