Who Can Enroll

To be eligible to join a WellCare PDP, you must be eligible for Medicare Part A and/or enrolled in Medicare Part B. You must also live in the WellCare service area.

There are certain cases in which you would not need to enroll in a PDP:

• Example 1:  If you are enrolled in an MA PFFS plan that includes Medicare prescription drugs or any MA coordinated care (HMO or PPO) plan, you will be automatically disenrolled from the HMO, PPO or MA PFFS plan if you enroll in a PDP.
• Example 2:  If you have medical coverage through the VA or TriCare, your plan probably already offers drug savings, so you may not benefit from a PDP.
• Example 3:  If you are enrolled in an employer plan with comparable benefits or a Medicare supplement plan with drug coverage, your coverage under those plans could change if you join a PDP. Please contact your benefits administrator or plan representative for coverage details.

What if you belong to another plan?

If you are a member of a Medicare Advantage Plan (like an HMO or PPO), you may already have prescription drug coverage from your Medicare Advantage Plan that will meet your needs. By joining WellCare, your membership in your Medicare Advantage Plan may end. This will affect your doctor and hospital coverage as well as your prescription drug coverage.

If you are enrolled in a private-fee-for-service plan (PFFS) that does not include Medicare prescription drug coverage, an MA Medicare Savings Account (MSA) plan or an 1876 Cost plan, you may enroll in a PDP and will not be automatically disenrolled from the PFFS, MSA or 1876 Cost plan.

If you have any questions, please call Customer Service at 1-866-765-4390 (TTY users call 1-888-816-5252), Monday-Sunday, 8am to 2am Eastern.

S5967_NA016406_PDP_WEB_ENG CMS Approved 10272011