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Medicare Prescription Drug Plans (PDPs) are also known as Medicare Part D. Medicare Part D is a government program that offers prescription drug insurance to everyone who is entitled to Medicare Part A and/or enrolled in Medicare Part B.
When you are ready to decide on a plan, take the time to understand how the plans work. That way, you can make an informed decision and choose the plan that's right for you.
Different PDPs Cover Different Drugs
The federal government has specific guidelines for the types of medications we must cover as well as a minimum standard of benefits we must follow.
Each plan has a formulary (a list of covered drugs) that meets these requirements as required by law. Keep in mind, not all plans are the same. They may vary in cost or specific drugs covered.
If you enroll in a Medicare Part D plan, please review the plan's formulary to ensure it will meet your prescription drug coverage needs.
If You Have a Current Medicare Advantage PlanIf your Medicare Advantage Plan includes prescription drug coverage and you join a Medicare PDP, you will be disenrolled from your Medicare Advantage Plan and returned to Original Medicare with your Medicare PDP.
Late Enrollment Penalty (LEP)
The late enrollment penalty is an amount added to your monthly Medicare drug plan (Part D) premium for as long as you have Medicare prescription drug coverage. You may owe a late enrollment penalty if you didn’t join a Medicare drug plan when you were first eligible for Medicare Part A and/or Part B, and:
- You didn’t have other prescription drug coverage that met Medicare’s minimum standards; OR
- You had a break in coverage of at least 63 days
When It Comes to Coverage, You Have Options:
- You can get Medicare prescription drug coverage through a Medicare PDP (Part D).
- You can sign up for a Medicare Advantage plan (HMO or PPO) or other Medicare health plan that offers Medicare prescription drug coverage.
For descriptions of a variety of Medicare terms, view our glossary of terms.
More Savings. More Coverage. Caring Service.
- WellCare offers plans designed to help those eligible for Extra Help (Low Income Subsidy) where members may pay no or low premiums and copays if enrolled.
- Low premium plans are available in all states with copays starting as low as $0 when filled at preferred pharmacies
- WellCare also offers plans with no deductible which means the plan begins covering prescription drug costs on day one
- All plan’s include additional savings when member’s use our convenient medication home delivery service through CVS Caremark which includes $0 co-payments for Tier 1 drugs and savings discounts on other Tiers for a 90 day supply*
- More than 60,000 network pharmacies are available nationwide including national, regional and local chains, and independent neighborhood pharmacies
- We partner with preferred pharmacies to help save member’s money. Preferred pharmacies vary by plan, but include well known retailers such as CVS, Walgreens, Walmart, and many grocery chains. To find a preferred pharmacy closest to you please visit www.wellcare.com/fap
- Customer Service representatives are ready to help you with any questions about your coverage or medications.
For a complete list of drugs covered by our plan, please call Customer Service.
* You can fill your prescription at any network pharmacy. These savings occur when you fill your prescription at our network mail service pharmacy that offers preferred cost-sharing. Your co-pay at a network pharmacy that offers standard cost sharing may be higher.