Terms And Conditions

Find a Provider Application Terms and Conditions

Effective Date: January 21, 2012

Thank you for accessing this online Find a Provider Application (the “Application”). The Application as well as the information contained within the Application (the “Application Information”) is provided solely for the convenience of, and non-commercial use by, members and potential members of the health plans offered by WellCare Health Plans, Inc. and its direct and indirect subsidiaries (collectively “WellCare,” “we” or “us”), providers and potential providers in WellCare’s networks and other interested individuals accessing the Application for a legitimate non-commercial purpose.

By using this Application you are agreeing to the Terms of Use (the “Terms”) set forth below.

1. Changes to these Terms
We reserve the right to change these Terms at any time and without notice. We encourage you to return to these Terms whenever you use this Find a Provider Application in the event they have been revised since your last visit. Your use of the Application constitutes your acceptance of the Terms in effect at that time.

2. Site Usage
The data contained in this Application is proprietary to WellCare and any attempt to download or otherwise access it for a commercial or other pecuniary purpose is strictly prohibited. You are authorized to access and use the Application and Application Information as set forth in these Terms, provided that: (i) your use of Application and information as permitted hereunder is solely for your personal, non-commercial use; (ii) you will not copy, distribute or transfer any portion of the Application or Application information on any media without WellCare’s prior written approval; (iii) you will not alter, adapt or otherwise modify any part of the Application or Application Information other than as may be reasonably necessary to use that part of this website for its intended purpose; and (iv) you will otherwise comply in full with these Terms.

3. No Guarantee of Accuracy
While we take efforts to ensure that the information contained in this Application is accurate, we do not guarantee or warrant that the Application Information contained herein is complete, accurate, up-to-date or error-free. WellCare updates the information contained in this Application on a regular basis. However, updates are not immediate. In addition, providers in our networks are independent contractors. Therefore, the timeliness and accuracy of the information contained in this Application is dependent, in part, on the timeliness and accuracy of the information WellCare receives from its providers. The search functionality also depends on our internal systems and third party technology vendors; system errors or other technological problems can generate erroneous results. In addition, typographical and similar errors can occur from time to time.

Once you have identified a provider through this Application we recommend that you contact the provider directly to verify that the provider accepts your insurance, the provider’s office hours, languages spoken by the provider and any other details about the provider that you may need.

4. Referrals
Many of WellCare’s plans require a member to obtain a referral to see a specialist or similar provider other than the member’s primary care provider (except in the case of emergencies and certain other circumstances). The Find a Provider Application simply provides results based on search criteria; the inclusion of a provider in a list of search results does not mean that services from that provider would be covered by your plan without a referral. Please refer to your plan documents to determine whether you will need a referral to see a specialist or other particular provider.

5. No Endorsement
WellCare does not endorse or recommend the services of any particular provider contained in this Find a Provider Application.

6. Not Medical Advice
WellCare is not licensed as a physician or to otherwise render medical advice. The providers in our network are independent contractors and each is responsible for the services he or she provides to you.

7. Availability
Our systems are shut down from time to time for routine maintenance and for system upgrades. In addition, our systems may go down unexpectedly due to weather conditions, problems with telecommunications or similar circumstances. There will therefore be times at which the Find a Provider Application is not available.

8. Improper Use of the Application
You agree that you will not do any of the following:

• Introduce or attempt to introduce a Trojan horse, worm, virus, spider, robot, files, programs, or other malicious and/or foreign code into this Application designed to interrupt, destroy, or limit the functionality of any computer software or hardware or telecommunications equipment.
• Forge headers or otherwise manipulate identifiers in order to disguise the origin of any content transmitted to or through the Application.
• Use the Application to collect or store personal data about others.
• Use the Application in a manner that intentionally or unintentionally violates any applicable local, state, national or international law.
• Use the Application or Application Information for any commercial or pecuniary purpose.
• Use the Application in any manner that is harmful to others.

9. Security
You shall not violate or attempt to violate the security of the Application or any websites operated by WellCare. Violations of system or network security may result in civil or criminal liability. WellCare reserves the right to investigate occurrences which may involve such violations and may involve, and cooperate with, law enforcement authorities in prosecuting users who have participated in such violations.

10. Cookies
Certain functionality of the Find a Provider Application relies on “cookies.” Cookies are small pieces of code placed on your computer system by the Application. For example, you will not be able to save a search performed in the Application unless cookies are enabled on your system.

11. Third-Party Links
The Application may provide, or third parties may provide, links to other websites or resources. Because WellCare has no control over such sites or resources, you acknowledge and agree that WellCare is not responsible for the availability of such external sites or resources, and does not endorse and is not responsible or liable for any content, advertising, products or other materials on or available from such sites or resources. WellCare assumes no responsibility for the content, privacy policies or practices by such third-party websites. By using this Application, you expressly waive any rights, claims or liability against WellCare from your use of any third-party website.

12. Indemnity
You agree to indemnify and hold WellCare and its agents and licensors harmless from any claim or demand, including reasonable attorneys fees, made by any third party due to or arising out of your use of the Application and/or the Application Information, your violation of these Terms, or your violation of any rights of another.