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Non-Covered Services

Receiving Non-Covered Services

You can still get a service that is not covered by WellCare of Nebraska. However, you will have to pay for it yourself. We suggest that you talk to your provider and you both agree to it in writing.

Call us toll-free 1-855-599-3811 (TTY 1-877-247-6272) if you are not sure whether the health plan pays for a service. We’re here to help Monday–Friday, 8 a.m.–5 p.m. Central time.

Under most circumstances, you can choose your doctor, pharmacist or other health care provider. However, health care providers choose whether to participate in the program.

This means you should always ask your provider if he or she participates in Medicaid and if he or she will accept WellCare of Nebraska payments before you get care. You should always show your WellCare of Nebraska member identification card when you get care. If a provider does not know you are eligible for Medicaid before services are provided,  you may have to pay for them. If you have questions about what services are covered by WellCare of Nebraska, please call us toll-free at 1-855-599-3811 (TTY 1-877-247-6272).

A health care provider who participates in the Medicaid program must accept the payments that Medicaid makes. If you receive services not covered by WellCare of Nebraska or Medicaid, the provider may bill you. You are responsible for paying for services you receive that are not covered by WellCare of Nebraska or Medicaid.

WellCare of Nebraska Plan Documents

A preferred drug list is a list of drugs covered by your plan.

Supplemental Drug List information

NE Family Planning Drug List Information

Fill out and submit this form for prior authorization (PA) for your Medicaid prescriptions.

Downloadable copy of the Lock-In Provider Choice Form.

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Last Updated On: 3/2/2018