Thank you for being a Wellcare member! We want to help you get the most from your plan.
Use our website to explore plan information and benefits and review helpful plan documents such as the Evidence of Coverage, Summary of Benefits, and Annual Notice of Change.
Kabilang sa dokumentong ito ang anumang pagkakaiba sa saklaw, gastos, o sineserbisyuhang lugar sa pagitan ng dati at kasalukuyang taon ng plano.
This document provides some of the features of this plan. For a complete list of benefits, see your Evidence of Coverage
This document provides additional details about the dental benefits, including a list of services and benefit limits.
This document provides additional details about the dental benefits, including a list of services and benefit limits.
Gamitin ang form na ito para makapagpatala sa isang Medicare Advantage na Plano
Sinusukat ng mga Star Rating kung gaano kahusay ang mga planong pangkalusugan at plano sa gamot ng Medicare sa iba't ibang kategorya. Ipinapamahagi ito ng Medicare. Sinusuri ng Medicare ang mga plano batay sa 5-Star rating na sistema. Kinakalkula ang Mga Star Rating bawat taon, at puwede itong mabago taon-taon.
If you speak a language other than English, free language assistance services are available to you. Appropriate auxiliary aids and services to provide information in accessible formats are also available free of charge. Call 1-877-374-4056 (TTY: 711).
Kabilang sa dokumentong ito ang impormasyon tungkol sa mga serbisyo sa pagsasalin sa maraming wika para sa mga nagsasalita ng Arabic, Chinese Cantonese, Chinese Mandarin, French Creole, French, German, Hindi, Italian, Japanese, Korean, Polish, Portuguese, Russian, Spanish, Tagalog, at Vietnamese.
Kumpletuhin ang form na ito para humiling ng reimbursement para sa mga saklaw na inireresetang gamot na binayaran mo nang buo.
Complete this form to request reimbursement/refund for covered prescription drugs that you paid full price for.
Gamitin ang form na ito para payagan kaming i-withdraw ang iyong mga buwanang premium mula sa iyong bangko.
Kinukumpirma ng form na ito ang kahilingan mo para gawing kinatawan mo ang isang partikular na tao kaugnay ng isang claim.
Dapat kumpletuhin ng bawat miyembro na humihiling na maalis sa pagkakatala ang kanilang sariling form.
Form ng Kahilingan ng Part D sa Muling Pagsasaalang-alang ng Penalty para sa Huling Pagpapatala (LEP).
Please complete this form with your provider if you want to change your PCP. Your provider will then send this form to your health plan, letting them know about the change.
Effective 07/01/2025: The drugs on this list require step therapy. Step therapy means you must try one drug before we will cover another drug.
Medicare Parts A & B Premiums and Deductibles
Wellcare Preventive Health Screenings Flyer: Vaccinations, disease screenings and cancer screenings, by age and frequency to administer.
You can use one of the determination forms to complete a Medicare drug coverage request:
Electronic: Complete this electronic form via our website.
Drug Coverage Determination Request – Online Form
Printable: Complete and fax or mail the form to us.
Drug Coverage Determination Request Form (PDF)
You can use one of the redetermination forms to complete a request for redetermination of Medicare prescription drug denial:
Electronic: Complete this electronic form via our website.
Redetermination Request for Part D Denials – Online Form
Printable: Complete and fax or mail the form to us.
Redetermination Request Form for Part D Denials (PDF)
Learn more about Medicare coverage determinations (exceptions) and redeterminations (appeals) on the Centers for Medicare & Medicaid Services website.
When you fill your prescription at a participating pharmacy, you will simply need to present your Wellcare Member ID card. You will be responsible for any necessary out-of-pocket expense, if any, according to your Part D benefit.
Learn more about receiving your prescriptions through mail service delivery on the following page:
Did you fill a prescription at a pharmacy outside our network?
Learn more about our out-of-network coverage.
For more information about filling your prescription, please refer to your Evidence of Coverage.
You can fill your prescription at any network pharmacy. You also can fill your prescription through our preferred mail order service. This can save you time, money, and trips to the pharmacy.
Learn more about receiving your prescriptions through mail service delivery on the following page:
Our specialty pharmacies are available at no extra cost to members taking drugs used to treat long-term, complex, or rare chronic conditions such as cancer, rheumatoid arthritis, H.I.V. or hemophilia. We can help you to manage side effects and symptoms, ensure you take drugs timely and as prescribed, and guide you through order refills.
For all specialty pharmacies, TTY/TTD users should call: 711
For more information on our specialty pharmacies, please refer to your Evidence of Coverage or, Contact Us.
You can use one of the determination forms to complete a Medicare drug coverage request:
Electronic: Complete this electronic form via our website.
Drug Coverage Determination Request – Online Form
Printable: Complete and fax or mail the form to us.
Drug Coverage Determination Request Form (PDF)
You can use one of the redetermination forms to complete a request for redetermination of Medicare prescription drug denial:
Electronic: Complete this electronic form via our website.
Redetermination Request for Part D Denials – Online Form
Printable: Complete and fax or mail the form to us.
Redetermination Request Form for Part D Denials (PDF)
Learn more about Medicare coverage determinations (exceptions) and redeterminations (appeals) on the Centers for Medicare & Medicaid Services website.
When you fill your prescription at a participating pharmacy, you will simply need to present your Wellcare Member ID card. You will be responsible for any necessary out-of-pocket expense, if any, according to your Part D benefit.
Learn more about receiving your prescriptions through mail service delivery on the following page:
Did you fill a prescription at a pharmacy outside our network?
Learn more about our out-of-network coverage.
For more information about filling your prescription, please refer to your Evidence of Coverage.
You can fill your prescription at any network pharmacy. You also can fill your prescription through our preferred mail order service. This can save you time, money, and trips to the pharmacy.
Learn more about receiving your prescriptions through mail service delivery on the following page:
Our specialty pharmacies are available at no extra cost to members taking drugs used to treat long-term, complex, or rare chronic conditions such as cancer, rheumatoid arthritis, H.I.V. or hemophilia. We can help you to manage side effects and symptoms, ensure you take drugs timely and as prescribed, and guide you through order refills.
For all specialty pharmacies, TTY/TTD users should call: 711
For more information on our specialty pharmacies, please refer to your Evidence of Coverage or, Contact Us.
