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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 Plan

If 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)

If you decide not to join a Medicare PDP when you are first eligible, and you don't have other creditable prescription drug coverage (at least as good as Medicare's), for 63 days or more, or you do not get Extra Help, you will likely pay a late enrollment penalty. The Late Enrollment Penalty (LEP) amount will be added to your premium and sent to Medicare.

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.

  • Low premiums and no or low copays on Tier 1 drugs on our Classic plan to stretch your health care dollar.
  • No deductible and $0 co-payments on Tier 1 drugs on our Extra Plan beginning day one.
  • $0 co-payments for Tier 1 drugs and significant savings on other Tiers when using our mail service pharmacy that offers preferred cost sharing.*
  • $0 or low co-payments for Tier 1 drugs at network retail pharmacies.**
  • More than 60,000 network pharmacies nationwide.
  • 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.
** See the Summary of Benefits.

    Important Information

    For important information about WellCare's prescription drug coverage, including eligibility, benefits and more, please see our Conditions and Limitations page.

    WellCare (PDP) is a Medicare-approved Part D sponsor. Enrollment in WellCare (PDP) depends on contract renewal.

    You have the right to file a grievance or provide feedback directly to Medicare about our plan. Complete and submit the Medicare Feedback and Complaint Form

    Medicare has an Office of the Medicare Ombudsman (OMO) that can help you with complaints, grievances and information requests. Visit Medicare.gov for more information about Medicare and/or assistance with complaints and grievances.  

    • Disclaimers

      For important information about WellCare's prescription drug coverage, including eligibility, benefits and more, please see our Conditions and Limitations page.

      WellCare (PDP) is a Medicare-approved Part D sponsor. Enrollment in WellCare (PDP) depends on contract renewal.

    • Grievances

      You have the right to file a grievance or provide feedback directly to Medicare about our plan. Complete and submit the Medicare Feedback and Complaint Form

      Medicare has an Office of the Medicare Ombudsman (OMO) that can help you with complaints, grievances and information requests. Visit Medicare.gov for more information about Medicare and/or assistance with complaints and grievances.  

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    Y0070_NA035556_WCM_WEB_ENG CMS Approved 10/04/2016 Last Updated On: 9/30/2016