- How do I know if a WellCare Plan is right for me?
The typical senior with Medicare will see significant savings in 2008 with any WellCare Plan. Both of our plans offer attractive benefits. For more detail, see an overview of our plans .
Review savings example .
- How much will it cost me?
Costs vary by plan and by where you live. See an overview of our plans .
Review the savings example .
- Should I still keep my Medicare Card?
Definitely. You'll still need to use it for all your doctors' appointments, hospital visits, medical tests— anything that has to do with healthcare.
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- What prescriptions are covered by WellCare?
Read the full list of our covered prescription drugs (also called a formulary).
- What if I don't see my prescription listed in the WellCare Formulary?
Don't worry. It is likely that we cover your drug or have an alternative for you. Just call Customer Service at 1-888-547-5252, Monday - Sunday, 7:00 a.m. - 2:00 a.m. Eastern. (TTY/TDD users should call 1-888-816-5252). When you call, the pharmacy representative may also suggest a preferred brand or generic equivalent of your prescription. By using these, you can save substantially. If your doctor feels that you need to take a certain brand name prescription drug, we have a review process in place that may allow you to do this. Need time to consult your doctor? Read our Transition Policy .
- Can I use my WellCare card at a lot of different pharmacies?
You may use your WellCare card at any of over 60,000 pharmacies in our network. Find a pharmacy .
- May I change plans if I want to?
Of course you can. WellCare wants you to be completely satisfied, and if you find a plan that better meets your needs, you may switch. However, government rules require you to make the switch during the annual enrollment period between November 15 and December 31. Also, you may only switch plans once during the year. There are a few exceptions to this rule. For example, if you move out of the plan service area, you may choose another plan that serves your area. Also, if you are on a limited income and are eligible for extra help from the government, you may be allowed an additional opportunity to change plans. Learn more about enrollment periods .
- Why wouldn't I need a PDP?
If you are enrolled in a Medicare Advantage HMO and want to stay in that HMO, you should not enroll in a PDP—the government will automatically disenroll you from your HMO plan!
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- Can I get prescriptions through the mail with WellCare?
Yes. Learn more .
- I'd like to get 90-day refills of my drugs. Is that possible?
Of course. The cost for a 90-day supply is three times the cost of a 30-day supply at pharmacies contracted to dispense a 90-day supply. To find out if your pharmacy is contracted to dispense a 90-day supply, please contact Customer Service.
- Can I get drugs from another country through WellCare?
No PDP plan is allowed to offer coverage on drugs outside the United States, including U.S. Territories.
- Can a PDP refuse me coverage if I take a lot of prescriptions?
As long as you are eligible, no PDP can refuse to offer you coverage. But you should be careful in your choice of plans to make sure you're saving as much as possible. You should also consider using generic drugs, which are less expensive than brand drugs.
Review the savings example .
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- What if I don't understand something on this site?
At WellCare, we're committed to making this program truly easy. Just contact us by phone or e-mail. We'll take as much time as you need to answer any questions you have.
- I get some of my prescriptions through Medicare Part B. Now what?
You'll continue to receive them through Part B. And, as always, prescriptions received as part of a physician's services or because of surgery (as well as certain prescription drugs used in nebulizers and external infusion pumps) are covered through Part B.
- Can my Medicare-eligible spouse also join WellCare?
Of course. Download an extra enrollment form .
- What if I'm on a limited income?
You may qualify for extra help from the government—and if you're eligible, this assistance could really reduce the cost of your premiums and/or co-pays. Learn more .
- How do I join?
Join online or download an application and instructions or call us at 1-888-547-5252 (TTY/TDD users call 1-888-816-5252) to enroll.
- What if I want to call Medicare directly to ask them questions?
You can call toll-free at 1-800-MEDICARE (TTY/TDD users, call 1-877-486-2048), 24 hours a day, 7 days a week. You can also visit the Medicare website at www.Medicare.gov.
- What if I have to pay cash for my prescription because I do not have my WellCare insurance card?
You will need to complete a Direct Member Reimbursement (DMR) Form.
Download a Direct Member Reimbursement form
When completing the form, you will need to provide your information or the member’s information if you are filling it out for someone else. This information includes the member’s information such as Name, Birthdate, ID Number, and current Address. Also, the form includes a section for the pharmacy that dispensed the prescription and the specific prescription information that you (or the member) paid cash for. The DMR form provides helpful information on where to locate the necessary information on the prescription label when you are completing the DMR form. Please be sure to include a detailed prescription receipt or pharmacy printout. The prescription receipt or pharmacy printout must include the member’s name, pharmacy name, physician name, drug name, drug strength, quantity, NDC number, days supply and the amount paid by the patient. Handwritten receipts will not be accepted. If you have questions about the prescription or pharmacy information, please contact the pharmacy that dispensed your medication. Or, you can call the Customer Service Phone number listed on the back of your WellCare membership card. It is extremely important to completely fill out the DMR form. Also, make sure that you keep a copy of the form and the receipts for your records.
- How will I know if WellCare is going to pay me for the prescriptions when I did not have my WellCare insurance card?
WellCare will send you a letter that informs you of our decision concerning the request for payment of your the prescriptions. You should expect to receive this letter within 7 - 10 business days.
- What if I mailed my request for WellCare to pay for my prescriptions four weeks ago, but I have not received any information?
Please contact the Customer Service Phone number listed on the back of your WellCare membership card. They will be able to provide you information including whether or not WellCare has received your request.
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