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New York Essential Plans for 2017

With WellCare, you can choose from a large network of doctors and hospitals.

You also have a choice of plans to be sure your coverage is a great fit for you and your family.

We give you benefits that get you the right care at the right time. WellCare's got you covered - from wellness to emergencies:

  • Preventive and wellness services
  • Outpatient (ambulatory) care
  • Emergency services, like going to the ER or urgent care center
  • Inpatient care (where you stay overnight in a hospital)
  • Laboratory services
  • Prescription drugs
  • Rehabilitative and habilitative services (Habilitative services help a person learn, keep or improve skills that may not be developing normally)
  • Mental health and substance abuse services

And much more!

Essential Plan Documents

Use this document to compare plan benefits and out-of-pocket costs.

A Comprehensive Formulary is simply a list of covered drugs. It contains information about the drugs covered in a specific plan. The list contains the prescription and over-the-counter (OTC) medications we believe are a necessary part of a quality treatment program.

This flyer includes important information on the Healthy Rewards Program, available for New York Essential Plan members.

Staying healthy starts with prevention! WellCare wants to help you live a healthier life. One way we do this is by covering preventive services such as screening tests and shots. These services can help you stay healthy or find issues while they’re easier to treat. You can get them at no cost when you use a network provider.

Use this form if you receive a surprise bill for health care services and want the services to be treated as in network.

Use this form to request coverage for prior authorizations, non-formulary medications, and medications with utilization management rules.

You can use this form to request an appeal when a medication coverage determination request has been denied.

Your gym reimbursement benefit can save you money.

Essential Plan Summary of Benefits

This document provides some of the features of this plan. For a complete list of benefits, see your member policy.

This document provides some of the features of this plan. For a complete list of benefits, see your member policy.

This document provides some of the features of this plan. For a complete list of benefits, see your member policy.

This document provides some of the features of this plan. For a complete list of benefits, see your member policy.

This document provides some of the features of this plan. For a complete list of benefits, see your member policy.

This document provides some of the features of this plan. For a complete list of benefits, see your member policy.

This document provides some of the features of this plan. For a complete list of benefits, see your member policy.

This document provides some of the features of this plan. For a complete list of benefits, see your member policy.

Helpful Information

Speak with a Representative

We Are Available to Help You When You Need Us

We can explain your options in detail and help you find the coverage that's right for you.

Member Services/Customer Service 

  • Call 1-855-582-6172 (TTY 1-855-582-6171).
  • Member Services representatives are available Monday-Friday, 8 a.m.-8 p.m.

Address:
WellCare Health Plans, Inc.
P.O. Box 31370
Tampa, FL 33631
Fax: 1-855-573-2341

Register Your Secure Account

It is easy. Register a secure online account now if you have not already. 

You can do so much more with your secure online account, like:

  • Pay your monthly premiums
  • Change your PCP
  • Order a replacement ID card
  • Order member materials
  • Ask a nurse a question
Register today!

Find a Provider

Our Find a Provider tool gives you information on participating providers in your area.

Get Procedure Estimates in New York

Use our cost calculator tool to search procedures in New York. You'll get simple, easy-to-understand estimates of your out-of-pocket costs.

  • Contact Us

    Speak with a Representative

    We Are Available to Help You When You Need Us

    We can explain your options in detail and help you find the coverage that's right for you.

    Member Services/Customer Service 

    • Call 1-855-582-6172 (TTY 1-855-582-6171).
    • Member Services representatives are available Monday-Friday, 8 a.m.-8 p.m.

    Address:
    WellCare Health Plans, Inc.
    P.O. Box 31370
    Tampa, FL 33631
    Fax: 1-855-573-2341

  • Register

    Register Your Secure Account

    It is easy. Register a secure online account now if you have not already. 

    You can do so much more with your secure online account, like:

    • Pay your monthly premiums
    • Change your PCP
    • Order a replacement ID card
    • Order member materials
    • Ask a nurse a question
    Register today!
  • Find a Provider

    Find a Provider

    Our Find a Provider tool gives you information on participating providers in your area.

  • Cost Calculator Tool

    Get Procedure Estimates in New York

    Use our cost calculator tool to search procedures in New York. You'll get simple, easy-to-understand estimates of your out-of-pocket costs.

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Last Updated On: 12/30/2016