What is Medicare WellCare?

Asked by: Reed Dietrich  |  Last update: February 11, 2022
Score: 4.9/5 (61 votes)

Wellcare is the Medicare brand for Centene Corporation, an HMO, PPO, PFFS, PDP plan with a Medicare contract and is an approved Part D Sponsor. Our D-SNP plans have a contract with the state Medicaid program. Enrollment in our plans depends on contract renewal.

What is the difference between WellCare and Medicare?

Wellcare offers plans with more coverage than Original Medicare, but without the cost of a Medicare Supplement plan. Our plans also include an extensive network of quality health care providers and some of our plans include prescription drug coverage. ... More benefits than Original Medicare.

How does WellCare work with Medicare?

WellCare offers Health Maintenance Organization (HMO) plans as part of their Medicare Advantage offerings. Typically, a WellCare HMO plan will involve selecting a primary care provider (PCP) who manages a person's care. This means the PCP will make referrals to healthcare specialists who are in-network for WellCare.

What kind of insurance is WellCare Medicare?

WellCare was founded in 1985 in Florida and offers Medicare, Medicaid, and individual Marketplace health insurance plans across the U.S. It was acquired by Centene in 2020, creating the largest Medicaid plan in the U.S.

What are the 4 types of Medicare?

There are four parts of Medicare: Part A, Part B, Part C, and Part D.
  • Part A provides inpatient/hospital coverage.
  • Part B provides outpatient/medical coverage.
  • Part C offers an alternate way to receive your Medicare benefits (see below for more information).
  • Part D provides prescription drug coverage.

Medicare Advantage benefits

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What Medicare is free?

A portion of Medicare coverage, Part A, is free for most Americans who worked in the U.S. and paid in payroll taxes for many years. Part A is called “hospital insurance.” You'll qualify for Part A if you qualify for Social Security. Part B is referred to as medical insurance, and it's not free.

Does everyone have to pay for Medicare Part A?

You are eligible for premium-free Part A if you are age 65 or older and you or your spouse worked and paid Medicare taxes for at least 10 years. You can get Part A at age 65 without having to pay premiums if: You are receiving retirement benefits from Social Security or the Railroad Retirement Board.

What are the benefits of Wellcare?

One of the benefits of being a Wellcare member is our 24-Hour Nurse Advice Line. Our nurses will give you answers to your medical questions and provide a clinical assessment to help you make the best choice for your health whether that is a doctor's appointment, referral to telehealth, or a trip to the emergency room.

Is Wellcare a good drug plan?

Wellcare's Medicare Part D Plans have an overall average quality rating of 3.7 stars from the Centers for Medicare & Medicaid Services.

What is the deductible for Wellcare?

You can view the Glossary at https://www.healthcare.gov/sbc-glossary/ or call 1-855-582-6172 to request a copy. What Is the Overall Deductible? $0 per person. See the chart starting on Page 2 to find out how much you pay for covered services.

Is WellCare the same as UnitedHealthcare?

Summary: WellCare vs. UnitedHealthcare. UnitedHealthcare is a large insurance company selling Medicare Advantage, Medicare Part D and Medigap plans all over the U.S. WellCare is a much smaller company with more limited options.

Who owns WellCare Medicare?

Wellcare operates in 20 states and was recognized by Fortune magazine as One of the World's Most Admired Companies in January 2018. In January 2020, Wellcare was acquired by Centene Corporation. UnitedHealth Group was founded in 1977 by Richard Burke and went public in 1984.

Is WellCare the same as Humana?

Wellcare offers Medicare Part D prescription drug plans and Medicare Advantage plans in certain parts of the country. Humana, on the other hand, sells Part D plans, Medicare Advantage plans and Medicare Supplement Insurance (Medigap) plans.

Is WellCare Medicaid?

WellCare Health Plans, Inc. is an American health insurance company that provides managed care services primarily through Medicaid, Medicare Advantage and Medicare Prescription Drug plans for members across the United States. WellCare began operations in 1985 and has its headquarters in Tampa, Florida.

How do I pay my WellCare premium?

Log in to your member portal at www.wellcare.com/PDP. In the Payments section, click on Pay your Premium. Payments using a credit card or bank account may also be made by mobile app and by calling the Customer Service number on your ID card.

Is Aetna and WellCare the same?

WellCare Health Plans has acquired Aetna's standalone Medicare Part D Prescription Drug Plans (PDP). This means that starting January 1, 2020, you are now a WellCare member. Now is a good time to take a few minutes to get to know WellCare and your new WellCare plan.

Is wellcare part of Medicare Part D?

Wellcare is the Medicare brand for Centene Corporation, an HMO, PPO, PFFS, PDP plan with a Medicare contract and is an approved Part D Sponsor.

Does wellcare prescription drug plan have a deductible?

The amount you pay before a plan covers your prescription drugs costs. Some Wellcare plans have no deductible. When your drug costs and plan payments for the year reach $4,430, you enter the Coverage Gap Stage, commonly known as the Donut Hole. You will pay 25% of the cost for formulary generic and brand-name drugs.

What are the best Medicare Part D plans?

The 5 Best Medicare Part D Providers for 2022
  • Best in Ease of Use: Humana.
  • Best in Broad Information: Blue Cross Blue Shield.
  • Best for Simplicity: Aetna.
  • Best in Number of Medications Covered: Cigna.
  • Best in Education: AARP.

How do I get free stuff from WellCare?

Free OTC (Over-The-Counter) Items

Get $10 a month in free items mailed to your home. Sign in to order online or by phone at 1-877-389-9457 (TTY 711).

Is WellCare a Chinese company?

Wellcare Co., LTD. ... Everyone at Wellcare has your best interest at heart to provide the best products to show we sincerely care. Headquartered in Taiwan, the two sisters established R&D, Marketing, QA departments in Taiwan and manufacturing facility in China, with markets all over Europe, America, and Asia.

What is the Medicare Part B deductible for 2020?

The Part B deductible increased again for 2017, to $183, and remained unchanged for 2018. For 2019, it increased slightly, to $185. And for 2020, it increased by another $13, to $198. The $5 increase in 2021 pushed it over $200 for the first time, with the 2021 Part B deductible reaching $203.

What does Medicare Part A cover 2021?

Medicare Part A covers inpatient hospital, skilled nursing facility, and some home health care services. About 99 percent of Medicare beneficiaries do not have a Part A premium since they have at least 40 quarters of Medicare-covered employment.

Does Medicare come out of Social Security?

Medicare Part B (medical insurance) premiums are normally deducted from any Social Security or RRB benefits you receive. Your Part B premiums will be automatically deducted from your total benefit check in this case. You'll typically pay the standard Part B premium, which is $170.10 in 2022.

Is Medicare Part B based on income?

Medicare premiums are based on your modified adjusted gross income, or MAGI. ... If your MAGI for 2020 was less than or equal to the “higher-income” threshold — $91,000 for an individual taxpayer, $182,000 for a married couple filing jointly — you pay the “standard” Medicare Part B rate for 2022, which is $170.10 a month.