Wellcare is informing providers of an important plan availability change in Tennessee for the 2027 plan year as part of its ongoing evaluation of business and market needs.
Effective January 1, 2027 Wellcare will no longer offer its Tennessee Medicare Advantage Prescription Drug (MAPD), Medicare Advantage (MA), and Dual Eligible Special Needs Plan (D-SNP) products.
This change applies only to Wellcare Tennessee's MAPD, MA, and D-SNP plans. Ambetter Health (Marketplace), Ambetter Health Solutions (ICHRA), and Wellcare's Prescription Drug Plan (PDP) will continue into the 2027 plan year.
What Providers Need to Know
- Wellcare will continue operating the impacted Medicare plans through December 31, 2026.
- Participating Provider Agreements will not change as a result of this announcement.
- Wellcare will notify impacted members and provide information about their available options. Providers should be prepared to answer member questions but should not proactively contact members regarding this change.
Member Transition Information
Impacted members will continue to have access to covered services through December 31, 2026. Members can enroll in a new Medicare plan during the Medicare Annual Election Period, which runs from October 15 through December 7, 2026. Members must enroll by December 7, 2026, to ensure coverage beginning January 1, 2027.
Claims and Administrative Support
Wellcare remains responsible for claims for covered dates of service on or before December 31, 2026. Wellcare will also assist with continuity of care, claims, eligibility, and administrative questions during the run-out period. Providers should continue to submit claims according to the timely filing requirements in their Participating Provider Agreement.
Questions?
Contact your Provider Engagement representative, call Provider Services at 1-855-538-0454, or email providerrelationstn@centene.com.
Additional updates and resources will be posted on the Wellcare Tennessee provider website as they become available.
Wellcare will support impacted providers and members throughout the transition and will share updates and resources as they become available.
