Thank you for being a Wellcare member! We want to help you get the most from your plan.
Use our website to explore plan information and benefits and review helpful plan documents such as the Evidence of Coverage, Summary of Benefits, and Annual Notice of Change.
This document includes any changes in coverage, costs or service area between your previous and current plan year.
This document provides some of the features of this plan. For a complete list of benefits, see your Evidence of Coverage
This document provides additional details about the dental benefits, including a list of services and benefit limits.
This document provides additional details about the dental benefits, including a list of services and benefit limits.
Use this form to enroll in a Medicare Advantage Plan
Star Ratings judge how well Medicare health and drug plans perform in different categories. They are distributed by Medicare. Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next.
This document includes information about multi-language interpreter services for speakers of Arabic, Chinese Cantonese, Chinese Mandarin, French Creole, French, German, Hindi, Italian, Japanese, Korean, Polish, Portuguese, Russian, Spanish, Tagalog, and Vietnamese.
You can use one of the determination forms to complete a Medicare drug coverage request:
Electronic: Complete this electronic form via our website.
Drug Coverage Determination Request – Online Form
Printable: Complete and fax or mail the form to us.
Drug Coverage Determination Request Form (PDF)
You can use one of the redetermination forms to complete a request for redetermination of Medicare prescription drug denial:
Electronic: Complete this electronic form via our website.
Redetermination Request for Part D Denials – Online Form
Printable: Complete and fax or mail the form to us.
Redetermination Request Form for Part D Denials (PDF)
Learn more about Medicare coverage determinations (exceptions) and redeterminations (appeals) on the Centers for Medicare & Medicaid Services website.
When you fill your prescription at a participating pharmacy, you will simply need to present your Wellcare Member ID card. You will be responsible for any necessary out-of-pocket expense, if any, according to your Part D benefit.
Learn more about receiving your prescriptions through mail service delivery on the following page:
Did you fill a prescription at a pharmacy outside our network?
Learn more about our out-of-network coverage.
For more information about filling your prescription, please refer to your Evidence of Coverage.
You can fill your prescription at any network pharmacy. You also can fill your prescription through our preferred mail order service. This can save you time, money, and trips to the pharmacy.
Learn more about receiving your prescriptions through mail service delivery on the following page:
Our specialty pharmacies are available at no extra cost to members taking drugs used to treat long-term, complex, or rare chronic conditions such as cancer, rheumatoid arthritis, H.I.V. or hemophilia. We can help you to manage side effects and symptoms, ensure you take drugs timely and as prescribed, and guide you through order refills.
For all specialty pharmacies, TTY/TTD users should call: 711
For more information on our specialty pharmacies, please refer to your Evidence of Coverage or, Contact Us.
You can use one of the determination forms to complete a Medicare drug coverage request:
Electronic: Complete this electronic form via our website.
Drug Coverage Determination Request – Online Form
Printable: Complete and fax or mail the form to us.
Drug Coverage Determination Request Form (PDF)
You can use one of the redetermination forms to complete a request for redetermination of Medicare prescription drug denial:
Electronic: Complete this electronic form via our website.
Redetermination Request for Part D Denials – Online Form
Printable: Complete and fax or mail the form to us.
Redetermination Request Form for Part D Denials (PDF)
Learn more about Medicare coverage determinations (exceptions) and redeterminations (appeals) on the Centers for Medicare & Medicaid Services website.
When you fill your prescription at a participating pharmacy, you will simply need to present your Wellcare Member ID card. You will be responsible for any necessary out-of-pocket expense, if any, according to your Part D benefit.
Learn more about receiving your prescriptions through mail service delivery on the following page:
Did you fill a prescription at a pharmacy outside our network?
Learn more about our out-of-network coverage.
For more information about filling your prescription, please refer to your Evidence of Coverage.
You can fill your prescription at any network pharmacy. You also can fill your prescription through our preferred mail order service. This can save you time, money, and trips to the pharmacy.
Learn more about receiving your prescriptions through mail service delivery on the following page:
Our specialty pharmacies are available at no extra cost to members taking drugs used to treat long-term, complex, or rare chronic conditions such as cancer, rheumatoid arthritis, H.I.V. or hemophilia. We can help you to manage side effects and symptoms, ensure you take drugs timely and as prescribed, and guide you through order refills.
For all specialty pharmacies, TTY/TTD users should call: 711
For more information on our specialty pharmacies, please refer to your Evidence of Coverage or, Contact Us.
Wellcare will be performing maintenance on Saturday, June 21, from 6 P.M. EDT to 8 A.M. EDT the next day. You might not be able to access systems or fax during this time. We are sorry for any issues this may cause. Thank you for your patience. If you need assistance, contact us.
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