‘Ohana Health Plan, a plan offered by WellCare Health Insurance of Arizona, Inc.
Ang Wellcare ang brand ng Medicare para sa Centene Corporation, isang HMO, PPO, PFFS, PDP na plano na may kontrata sa Medicare at isang aprubadong Sponsor ng Part D. Ang aming mga D-SNP na plano ay may kontrata sa programang Medicaid sa estado. Ang pagpapatala sa aming mga plano ay nakadepende sa pag-renew ng kontrata.
Washington residents: “Wellcare” is issued by Coordinated Care of Washington, Inc., a subsidiary of Centene Corporation.
Washington residents: “Wellcare” is issued by WellCare Health Insurance Company of Washington, Inc., a subsidiary of Centene Corporation.
Bawat taon, sinusuri ng Medicare ang mga plano batay sa 5-star na sistema sa pag-rate.
Out-of-network/non-contracted providers are under no obligation to treat Plan members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.
Value-Added Items and Services (VAIS) are not plan benefits and are not covered by the plan. Plan enrollees are responsible for all costs.
Paunawa: Hindi pananagutan ng TennCare ang pagbabayad para sa mga benepisyong ito, maliban para sa mga naaangkop na halaga ng bahagi sa gastos. Hindi pananagutan ng TennCare ang paggarantiya sa pagiging available o sa kalidad ng mga benepisyong ito. Ang anumang benepisyong hindi kasama sa mga karaniwang benepisyo ng Medicare ay nalalapat lang sa Wellcare Medicare Advantage at hindi ito nagsasaad ng mas pinaraming benepisyo sa Medicaid.
Texas D-SNP members: As a Wellcare HMO D-SNP member, you have coverage from both Medicare and Medicaid. You receive your Medicare health care and prescription drug coverage through Wellcare and are also eligible to receive additional health care services and coverage through Texas Medicaid. Learn more about providers who participate in Texas Medicaid by visiting www.wellcarefindaprovider.com/navigate-a-network.html. For detailed information about Texas Medicaid benefits, please visit the Texas Medicaid website at www.hhs.texas.gov/services/health/medicaid-chip/medicaid-chip-members/starplus. To request a written copy of our Medicaid Provider Directory, please contact us.
Texas D-SNP prospective enrollees: For detailed information about Texas Medicaid benefits, please visit the Texas Medicaid website at www.hhs.texas.gov/services/health/medicaid-chip/medicaid-chip-members/starplus. To request a written copy of our Medicaid Provider Directory, please contact us.
2025 Plan:
For Wellcare Simple Value (HMO-POS): Wellcare’s pharmacy network includes limited lower-cost, preferred pharmacies in rural areas of Texas. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use. For up-to-date information about our network pharmacies, including whether there are any lower-cost preferred pharmacies in your area, please call 1-833-444-9088 (TTY: 711) or consult the online pharmacy directory at www.wellcare.com/Medicare.
2026 Plans:
For Wellcare Dual Liberty Sync (HMO D-SNP): Wellcare’s pharmacy network includes limited lower-cost, preferred pharmacies in rural areas of Texas. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use. For up-to-date information about our network pharmacies, including whether there are any lower-cost preferred pharmacies in your area, please call 1-833-444-9089 (TTY: 711) or consult the online pharmacy directory at go.wellcare.com/Medicare.
For Wellcare Simple Value (HMO-POS): Wellcare’s pharmacy network includes limited lower-cost, preferred pharmacies in rural areas of Texas. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use. For up-to-date information about our network pharmacies, including whether there are any lower-cost preferred pharmacies in your area, please call 1-833-444-9088 (TTY: 711) or consult the online pharmacy directory at go.wellcare.com/Medicare.
Louisiana D-SNP members: As a Wellcare HMO D-SNP member, you have coverage from both Medicare and Medicaid. You receive your Medicare health care and prescription drug coverage through Wellcare and are also eligible to receive additional health care services and coverage through Louisiana Medicaid. Learn more about providers who participate in Louisiana Medicaid by visiting www.myplan.healthy.la.gov/en/find-provider or www.louisianahealthconnect.com. For detailed information about Louisiana Medicaid benefits, please visit the Medicaid website at https://ldh.la.gov/medicaid and select the “Learn about Medicaid Services” link. To request a written copy of our Medicaid Provider Directory, please contact us.
Louisiana D-SNP prospective enrollees: For detailed information about Louisiana Medicaid benefits, please visit the Medicaid website at https://ldh.la.gov/medicaid or www.louisianahealthconnect.com. To request a written copy of our Medicaid Provider Directory, please contact us.
Wellcare By Fidelis Care
Wellcare (HMO and HMO SNP) includes products that are underwritten by WellCare of Texas, Inc., WellCare National Health Insurance Company, and SelectCare of Texas, Inc.
Wellcare (HMO, HMO SNP, and PPO) includes products that are underwritten by WellCare of Texas, Inc., WellCare National Health Insurance Company, Superior HealthPlan, Inc., and SelectCare of Texas, Inc.
Wellcare Dual Liberty (HMO D-SNP) is a Fully Integrated Dual Eligible Special Needs Plan with a Medicare contract and a contract with the New Jersey Medicaid program. Enrollment in Wellcare Dual Liberty depends on contract renewal.
Wellcare Fidelis Dual Align (HMO D-SNP) is a Fully Integrated Dual Eligible Special Needs Plan with a Medicare contract and a contract with the New Jersey Medicaid program. Enrollment in Wellcare Fidelis Dual Align depends on contract renewal. This information is not a complete description of benefits. Contact the plan for more information. Limitations and restrictions may apply. Benefits may change on January 1 of each year. Your Part B premium is covered by Medicaid. This plan is available to those who have both Medicare and full Medicaid benefits. Wellcare uses a formulary. Please contact Wellcare for details.
When joining this plan:
1.) You must use in-network providers, DME (durable medical equipment) suppliers, and pharmacies.
2.) You will be enrolled automatically into Medicaid (NJ FamilyCare) coverage under our plan and disenrolled from any Medicaid (NJ FamilyCare) plan you are currently enrolled in. All of your Medicaid-covered services, items, and medications will then be covered under our plan, and you must get them from in-network providers.
3.) You will be enrolled automatically into Part D coverage under our plan, and you will be automatically disenrolled from any other Medicare Part D or creditable coverage plan in which you are currently enrolled.
4.) You must understand and follow our plan’s rules on referrals.
