Medicare Blog

what is the difference between wellcare classic and wellcare medicare rx select

by Cecil Pfeffer Published 1 year ago Updated 1 year ago

The WellCare Medicare Rx Select plan has a $15 co-pay on generic drugs, and a $385 in-network deductible. The monthly premium quoted was $21.40. The WellCare Classic Rx plan has a $1 co-pay on generic drugs, and a $435 in-network deductible.

Full Answer

Which WellCare Medicare Rx value plus plan is best for me?

WellCare Medicare Rx Value Plus (PDP) plan typically works best for members who take several prescriptions each month and are looking for no deductible.

Which WellCare Medicare plan is right for me?

WellCare Classic (PDP) and WellCare Medicare Rx Saver (PDP) plans typically work best for members who take prescriptions occasionally or only a few each month and who are also looking for a plan with a low premium. These plans also works well for members that have Extra Help.

What is the cost of WellCare prescription drug plan?

The WellCare Wellness Rx plan has an $8 co-pay on generic drugs, and a $435 in-network deductible. The monthly premium quoted was $15.70. The WellCare Value Script Rx plan has a $5 co-pay on generic drugs, and a $435 in-network deductible. The monthly premium quoted was $18.00.

What is the WellCare classic network?

It features a nationwide network of pharmacies which includes pharmacies with preferred cost-sharing, which may offer lower cost-sharing than standard network pharmacies. WellCare Classic is best suited to those who take only a few medications and seek a low monthly premium.

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What is the difference between Wellcare Medicare Rx Value Plus and Wellcare value script?

WellCare's Value Script plan has the lowest monthly premium and no deductible for drugs in tiers one and two. It may be best for you if you don't need prescription drugs but need prescription drug coverage to avoid paying late penalties. The Value Plus plan has a higher monthly premium but no annual deductible.

Is wellcare classic PDP?

Prescription Drug Plan You are covered by Original Medicare for your health care coverage, and you have chosen to get your Medicare prescription drug coverage through our plan, Wellcare Classic (PDP). There are different types of Medicare plans. Wellcare Classic (PDP) is a Medicare prescription drug plan (PDP).

What is wellcare Wellness Rx Changing to for 2022?

We Are Changing the Plan's Name On January 1, 2022, our plan name will change from WellCare Access (HMO D-SNP) to Wellcare Dual Access (HMO D-SNP).

What is the deductible for Wellcare prescription drug Plan?

wellcare.com/pdp. You may also call Member Services to ask us to mail you an Evidence of Coverage.) During this stage, you pay the full cost of your Tier 3 (Preferred Brand Drugs), Tier 4 (Non-Preferred Drugs), and Tier 5 (Specialty Tier) drugs until you have reached the yearly deductible. The deductible is $445.

What is the classic PDP?

This plan provides coverage for outpatient prescription drugs covered under Medicare Part D. It features a nationwide network of pharmacies which includes pharmacies with preferred cost-sharing, which may offer lower cost-sharing than standard network pharmacies.

Is wellcare value script a good prescription plan?

Wellcare Value Script: Wellcare describes this plan as having “a low premium and $0 copays for Tier 1 prescriptions when filled at a preferred cost share pharmacy.” Wellcare Classic: Wellcare describes this plan as “best suited to those who take only a few medications and seek a low monthly premium.”

Is Wellcare a good part D plan?

Wellcare's Medicare Part D Plans have an overall average quality rating of 3.7 stars from the Centers for Medicare & Medicaid Services.

Why did Wellcare make changes in the plans for 2022?

WellCare PDP is consolidating from 6 plan offerings down to 3 plan offerings in 2022. They are reducing the number of plans due to CMS limits on the number of PDPs a plan sponsor is allowed to offer.

What is the difference between Wellcare and Medicare?

Wellcare offers plans with more coverage than Original Medicare, but without the cost of a Medicare Supplement plan. Our plans also include an extensive network of quality health care providers and some of our plans include prescription drug coverage.

What is the best Medicare Part D plan for 2022?

The 5 Best Medicare Part D Providers for 2022Best in Ease of Use: Humana.Best in Broad Information: Blue Cross Blue Shield.Best for Simplicity: Aetna.Best in Number of Medications Covered: Cigna.Best in Education: AARP.

What is a Tier 6 drug?

The prescription drug tier which consists of some of the highest-cost prescription drugs, most are specialty drugs. Tier 6. The prescription drug tier which consists of the highest-cost prescription drugs, most are specialty drugs.

Who owns Wellcare Health Plans?

Centene CorporationWellCare of New York / Parent organizationCentene Corporation is a publicly traded managed care company based in St. Louis, Missouri. It serves as an intermediary for government-sponsored and privately insured health care programs. Centene ranked No. 24 on the 2021 Fortune 500. Wikipedia

Annual Notice of Change (ANOC)

This document (the “Annual Notice of Change”) includes any changes in coverage, costs, or service area between plan years.

Plan Specific Documents

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

Annual Notice of Change (ANOC)

This document (the “Annual Notice of Change”) includes any changes in coverage, costs, or service area between plan years.

Plan Specific Documents

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

How many Medicare Part D plans does Wellcare have?

WellCare Health Plans has six Medicare Part D plans that are available to potential customers, each with a premium option, varying levels of benefits, deductibles and coverage to appeal to a wide range of potential customers.

How many Part D plans does Wellcare offer?

There are six Part D plans offered by WellCare Health, a higher number than most of their peers and an excellent range offering everything from a basic, entry-level plan to a comprehensive plan with panoramic coverage.

How many members does Wellcare have?

WellCare provides managed care health plans primarily through Medicaid, Medicare Advantage and Medicare Prescription Drug plans, and they service more than 4.4 million members across the United States. The company partners with more than 407,000 contracted pharmacies, healthcare institutions and vendors, and it employs more than 8,900 employees.

Where is Wellcare Health located?

We check over 250 million products every day for the best prices. WellCare Health began operations in 1985 in Tampa, Florida as a Medicaid provider for the State of Florida. They have since grown to become a company with a $17 billion turnover, and now have one of the best Medicare Part D plans currently available.

Is Wellcare a government sponsored plan?

As WellCare Health Plans Medicare focuses on government-sponsored health plans, customer support is well-versed in the program, so their advisors can offer very detailed, specialist advice. The range of plan options is high, relative to the industry.

Does Wellcare have a pharmacy?

WellCare Health Plans has more than 60,000 in-network pharmacy partners across all 50 states, meaning that they offer excellent nationwide coverage. Large companies such as Walmart are part of their preferred providers.

Does Wellcare offer Medicare?

Since WellCare Health Plans focus almost exclusively on government-sponsored healthcare plans such as Medicare and Medicaid, their customer service agents are very well versed in these plans and can offer specialist advice that not all Part D vendors can.

Annual Notice of Change (ANOC)

This document (the “Annual Notice of Change”) includes any changes in coverage, costs, or service area between plan years.

Plan Specific Documents

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

Prescription Drug Plans Available Through WellCare

Many WellCare Medicare Advantage plans offer prescription drug coverage, but you can often purchase a stand-alone drug plan if you have Original Medicare and simply want or need this type of coverage, which is generally referred to as Medicare Part D. The three prescription drug plans (PDPs) offered by WellCare are:

Additional WellCare Medicare Plan Benefits

If you purchase a Medicare plan from WellCare, you also have the benefit of using its Nurse Advice Line that’s available 24 hours a day, 7 days a week. If you have questions regarding a specific medical condition, you can call (800) 581-9952 (TTY: 711) for advice.

Finding the Best WellCare Medicare Plan for You

To find the WellCare Medicare options available to you, simply visit WellCare’s website and select state reside in. Next, pick the type of plan you want (whether Medicare or a Prescription Drug Plan) and enter your zip code.

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.

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.

Medicare Drug Coverage (Part D) Late Enrollment Penalty

The late enrollment penalty is an amount that's added to your monthly Medicare drug plan (Part D) premium. You may owe a late enrollment penalty if at any time after your Initial Enrollment Period is over, there’s a period of 63 or more days in a row when you don’t have Medicare drug coverage or other credible prescription drug coverage.

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.

Important Information

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

What is the lowest cost Wellcare?

WellCare’s lowest premium plan is the Value Script, which has a $14.50 monthly premium in Decatur, IL. It also has a $415 drug deductible. If you don't take any drugs and are trying to avoid the penalty for not choosing a drug plan, a low-premium plan like this can be a great option.

When will Wellcare be available for 2020?

2019 WellCare Value Script. Medicare Part D plans do change every single year, and the 2020 plan details won’t be available to the public until October 1, 2019. After that date, the new plan details can be viewed on WellCare’s website. When looking at these 3 plan options, ...

How many members does Wellcare have?

WellCare serves over 6 million members nationwide as of mid-2019!

What is a formulary in Medicare?

A formulary is a list of drugs the Part D company chooses to cover. Within that formulary, you have drug tiers . Here's an example of a Medicare drug plan's tiers (your plan’s tiers may be different): Tier 1: lowest copayment: most generic prescription drugs. Tier 2: medium copayment: preferred, brand-name prescription drugs.

Why do Medicare companies use star ratings?

Medicare uses a Star Rating System to help consumers understand how well different companies perform. Every Medicare Prescription Drug Plan company is going to have one of these Star Ratings, which range from 1 (worst) to 5 (best). The Star Rating is a reflection of how well these plans perform in many different areas, including: Customer service. ...

What are the elements of Medicare Part D?

All Medicare Part D drug plans follow an outline: Premium. Yearly deductible. Copayments or coinsurance (one or the other) Every plan is going to have all three of these elements – it’s just a matter of what they are, and what drugs you’re taking. That will determine your annual price.

Does Wellcare Extra have a deductible?

WellCare Extra has no deductible, which means the plan starts paying much sooner. In addition, the WellCare Extra plan has slightly lower copays, but really not by much. For example, at CVS, Lyrica is $40 on the Extra plan. The same drug is $43 (after deductible) on the lowest premium plan, Value Script.

What is the phone number for Wellcare?

711. We’re Always Just a Phone Call Away! If you’re ready to enroll or have enrollment questions, call 1-888-293-5151.

What is the number to call for RX Saver?

For up-to-date information about our . network pharmacies, including whether there are any lower-cost preferred pharmacies in your area, please call 1-833-207-4241 (TTY 711) for Rx Saver, Rx Select and Rx Value Plus plans, and 1-888-550-5252 (TTY 711) for .

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