A: Of course. These costs are things like premiums, deductibles and co-payments/co-insurance. A: Please complete ourBecome aProvider formor Contact Usfor more information on how to join our network. Use your member ID or payment coupon to pay with cash at CheckFreePay locations. If you need a refill for a prescription not listed on the form, write the prescription number in the space provided. However, WellCare plans do pay for additional benefits not covered by Original Medicare. 2. Using this no-cost service, providers can settle claims electronically, without making an investment in expensive EDI software. Click the link below and select your State to view the different methods for contacting us! Contact Usto find out more. Deduction from your Monthly Social Security or Railroad Retirement Board Check Call the toll-free Customer Care number on your prescription label for fully automated refill service. Please ensure you include your member ID on the check or money order. A: Initial Coverage Election Period Search for providers by name or specialty. Enroll online. near you, call 1-800-877-8021 or go to www.checkfreepay.com. Nurses are available 24 hours a day, 7 days a week. PO Box 75510 We are here for you! Becoming a member of our plan does not make you ineligible to receive these services. Reasons you could qualify include: A: Please check out our Plan Comparison tool. We are here to guide you on what to expect in the next few months. 3. Set up Auto Pay or make a one-time payment through our secure online member portal. 4. The secure portal is for participating Wellcare providers that are contracted through Medicaid or Medicare lines of business. Send the form to CVS Caremark along with your payment. Wellcare is now part of Centene creating a premier healthcare enterprise focused on government-sponsored healthcare programs. An email address in not required. Make sure to sign up for your Wellcare Member Account and download your Wellcare+ App, available now in the App Store and Google Play . ByPhone Contact a licensed Medicare Sales Broker. Regular delivery is at no cost to you. However, there are limits on when and how often you can change your Medicare Advantage plan. Notice of Non-Discrimination. Care is coordinated through the primary care physician (PCP), who may refer people to specialists as needed. When you join a Wellcare plan, you must continue to pay your Medicare Part B premium unless it's paid for you by Medicaid or another third party. Our Customer Service representatives are ready to answer questions. The member number and the Rx Information will be the same. Even if a Medicare Advantage Plan is discontinued at the end of a benefit year, you will not lose Medicare coverage. Online. Chicago, IL 60675-5510 However, if you move out of our service area or commit fraud, Wellcare reserves the right to disenroll you. Depending on your income and resources, you may qualify for Extra Help. However, you will receive a full credit. Wellcare Health Plans, Inc. Depending on how you pay your Medicare Part B premium, your reduction may be credited to your Social Security check or credited on your Medicare Part B premium statement. The reduction is set up by Medicare and administered through the Social Security Administration (SSA). Call Customer Service (1-888-550-5252) to get more information and set up these deductions. You will receive an order form with every mail service order. If you receive a service that is not covered by our plan, you are responsible for the cost of that service. Make sure to sign up for your Wellcare Member Account and download your Wellcare+ App, available now in the App Store and Google Play. The effective date for the Medicare Advantage Open Enrollment Period election is the first day of the month after we receive the enrollment request. A: Yes. If you want to joinour Medicaid provider network, please be sure to visit yourstate-specific Medicaid websiteto submit a request. Brokers interested in partnering with Wellcare, may contact Broker Support Call Center at, learn more about our combined product offering, whats new and market-specific benefits, please visit. Call 1-888-550-5252 and select the billing option. You can also find the formulary online at Wellcare.com/PDP, or request a copy by calling the number on the back of your ID card. A: A networkis a group ofdoctors and other health care professionals, medical groups, hospitals and other health care facilities that have an agreement with us todeliver covered services to members in our plan. Have your benefit ID number (BIN) ready. 3. Medicare Advantage Open Enrollment Period (MA OEP) A: To search for your medications in our online formulary: A: A formulary lists the drugs your plan covers. A: There are five easy ways to enroll. Copyright 2022 Wellcare Health Plans, Inc. Enroll in a Medicare Part D or Medicare Advantage plan from Original Medicare, Enroll from one Medicare Part D or Medicare Advantage plan to another, Enroll in original Medicare from a Medicare Advantage Plan, Medicare Advantage Open Enrollment Period (MA OEP), If youre in a Medicare Advantage Plan (with or without drug coverage), you can switch to another Medicare Advantage Plan (with or without drug coverage). brokers can contact our Agent Support Call Center, submit an Agent Support Ticket via the Agent Connect Portal, or reach out to dedicated local support. Explore member resources and get information about whats available to you with your Medicare Advantage plan. Access information on the go, make premium payments, view your ID card, and more! Register online to receive refill reminders and other important updates. The Medicare Advantage Open Enrollment Period starts January 1 and ends on March 31. 1. Wellcare uses cookies. Nurses are available 24 hours a day, 7 days a week. By Phone. 1. Keep WellCare Member ID Medicare card in a safe place in case you need it later. Please note that, as a member of our plan, your use/participation in a limited number of services, such as clinical research studies and hospice services, will be paid for directly by Medicare. Check or Money Order Overnight or second-day delivery is available for an additional charge. Are you ready to start your journey with us? English Spanish. Online Guest Pay Our local offices have Account Executives, Sales Assistants, and Marketing Outreach Specialists available to offer you real-time support! You can also find the formulary online at, Find out if you qualify for Extra Help. A: To check claim status, log into the secure provider portal. Offered in partnership withPaySpan Health, you now have access to a secure, quick way to electronically settle claims. Enter your member ID and email address if you would like a confirmation email. Each year, WellCare decides whether to continue a plan for another year. Thats why we created a glossarylocated in your state's Medicare Basics page. A: Brokers interested in partnering with Wellcaremay contact Broker Support Call Center at866-822-1339for further details. However, it includes a point of service (POS) feature, which allows members to receive health care services outside of the network with authorization from the plan, although use of providers within the network is encouraged. 5. Our representatives can enroll you right over the phone. Call Customer Service (1-888-550-5252) to get more information and set up these deductions. Enroll over the phone. You could qualify for a Special Enrollment Period during any month when certain events happen in your life. Find out if you qualify for Extra Help. A: We want you to make an informed decision about your Medicare health plan. The new layout will utilize a larger font, making it easier for our members to read. A: A Medicare Advantage HMO plan is offered by a private company that contracts with Medicare to provide you with all your Medicare Part A (hospital) and Part B (medical) benefits. Review our helpful Medicare frequently asked questions and answers. Call 1-888-550-5252 and select the billing option. A: You can get service authorizations from you primary care provider (PCP) or from specialists you're referred to. If you are working with a licensed sales representative, he or she will have a copy of the formulary and can help you look up the medications you take. By Mail. All Medicare Advantage plans commit to their members for a full year. We have answers right at your fingertips! 5. Wellcare uses cookies. By continuing to use our site, you agree to our Privacy Policy and Terms of Use. Search for the claim in a variety of ways including: WCN Number, Claim Number, Member ID, Provider ID, Member Name and DOB, Medicare ID, Medicaid ID or DCN. . Enroll by mail or fax. A: Once you are enrolled, you cannot be disqualified for any medical condition. When you see a network provider, you usually pay only your share of the cost for their services. 6. The letter will explain your other options for Medicare coverage in your area. Members can continue to use their existing ID cards until the new one is received, or they can visit Wellcare's secure portal to obtain a digital copy. Explore member resources and get information about what's available to you with your Medicare Advantage plan. A: If your doctor or health care provider would like more information about Wellcare, ask him or her to contact us. WellCare will be changing our Medicare Member ID cards for the 2020 plan year. An email address in not required. If you meet certain eligibility requirements for both Medicare and Medicaid, your Part B premium may be covered in full. To find a CheckFreePay location. Video: A Mission To Serve - Wellcare Health Plans. However, as long as you are a member of our plan you must useyour WellCare Member ID Medicare card to get covered medical services (with the exception of clinical research studies and hospice services). 1. Welcome to Wellcare! For our local support contacts, contact ourLeadership Points of Contact. Download, print and complete our enrollment form. View our plans and complete your application online. Wellcare Health Plans, Inc., complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. A: There are many ways you can make your premium payment with us. A: Please check your Wellcare welcome letter. They will be able to walk you through different plans and help you select the one that is best for you. You can also use theContact Us formfor additional help. If you are working with a licensed sales representative, he or she will have a copy of the formulary and can help you look up the medications you take. A: Our plans work just like a traditional health insurance. Pay with Cash (TTY users dial 711)Our nurses will give you answers to your medical questions and help you decide whether or not to see your doctor or go to the emergency room. Or apply online at Ssa.gov/Extrahelp, call Social Security at 1-800-772-1213 (TTY 1-800-325-0778), or contact your state Medicaid Office. You can drop your Medicare Advantage Plan and return to Original Medicare. MAPD: 01/08/2022. Welcome to Wellcare! Call 1-800-MEDICARE (1-800-633-4227) 24 hours a day, 7 days a week; TTY users may call 1-877-486-2048. 3. However, our plans also offer extra benefits not covered by Original Medicare, which may include routine dental, routine hearing, routine vision and prescription drug coverage. Here are the steps to check aclaim status: By continuing to use our site, you agree to our Privacy Policy and Terms of Use. PDP: 01/10/2022. A: One of the perks of being a Wellcare member is our 24-hour Nurse Advice Line at 1-800-581-9952. Wellcare Health Plans, Inc.is pleased to offer providers electronic funds transfer (EFT) and electronic remittance advice (ERA) servicesat no charge. It is a health maintenance organization, or HMO. A: Wellcare is here for you! *Note: Certain items will require that you enter a date range under Service Date. If your plan is discontinued, Wellcare must notify you in writing at least 60 days before your coverage ends. A: Watch the videos and see why we are so passionate about serving our members and the communities in which they live! A: Visit ourCareers page to see current openings. 1. Find additional Wellcare contacts on theBroker Support Resources! Copyright 2022 Wellcare Health Plans, Inc. You can find additional helpful information in your quick-reference guide. Just show your Wellcare Member ID card (instead of your Medicare card) at the doctor's office. 3. That means it provides care through a network of providers. You could qualify for a Special Enrollment Period during any month when certain events happen in your life. If your WellCare ID card is damaged, lost or stolen, contact usright away and we will send you a new card. As a new member, we want to help you to get the most from your plan. Access your member resources! Activate your Member Account today! Return your completed and signed form to us by fax or mail using the contact information on the form. Allow up to 10 days from the day you submit your order for delivery of your medicine. This number can be found on your WellCare ID card. You may have a co-payment due at that time. By continuing to use our site, you agree to our Privacy Policy and Terms of Use. Some of WellCare's Plans help by reducing your Medicare Part B premium. Once you log into the secure provider portal, navigate to the Claims landing page. A: The Extra Help subsidy helps people who have limited income and resources to pay Medicare prescription drug program costs. Make your check or money order payable to Wellcare and send to: The Medicare Annual Enrollment Period is from October 15 to December 7, during this time you can: Changes made to coverage during this time would take effect January 1 of the new plan year. The secure portal is for participating Wellcare providers that are contracted through Medicaid or Medicare lines of business. Use the Find a Provider Tool to find a provider located near you. Enter your member ID and email address if you would like a confirmation email. 2. Select the Search button and the claim results will display below. A: There are three ways to refill: Use your member ID or payment coupon to pay with cash at CheckFreePay locations. Simply fill in the ovals for the refills you want to order. A: Yes. Make your check or money order payable to Wellcare and send to: Please ensure you include your member ID on the check or money order. A: You have the right to emergency care, when needed, anywhere in the United States and without pre-approval from us. Call 1-800-MEDICARE (1-800-633-4227) 24 hours a day, 7 days a week; TTY users may call 1-877-486-2048. A: To learn more about our combined product offering, whats new and market-specific benefits, please visit Centene First Look. 2. Have your WellCare ID card handy to register. Choose the one that works best for you. For our local support contacts, contact our. A: To see preferredand standard pharmacies for your PDP plan, please go to our Find a Provider tool. A: An HMO or HMO POS plan is not required to pay for services that are not medically necessary under Medicare. Annual Enrollment Period (AEP) Affected PDP members have been made aware of delays through several channels: Or apply online at, and standard pharmacies for your PDP plan, please go to our. You want to switch to a plan with a 5-star overall quality rating. 1-877-236-7162, during the hours of 8 am and 2 am EST. For support, brokers can contact our Agent Support Call Center, submit an Agent Support Ticket via the Agent Connect Portal, or reach out to dedicated local support.
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