What's the difference between WellCare and Medicare?

Asked by: Mrs. Amy Murazik Sr.  |  Last update: February 11, 2022
Score: 4.9/5 (12 votes)

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.

Is WellCare and Medicare the same?

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 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.

Who is WellCare owned by?

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.

2021 WellCare Medicare Advantage Plans

19 related questions found

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.

Is Wellcare a good prescription drug plan?

Based on the most recent year of data, Wellcare's 2022 Medicare Advantage plans (Part C) get an average rating of 3.4, and the company's prescription drug plans (Part D) get an average score of 3.7. The overall average score for Wellcare's plans is 3.6 [9].

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.

Which two Medicare plans Cannot be enrolled together?

You generally cannot enroll in both a Medicare Advantage plan and a Medigap plan at the same time.

Can you get Medicare Part B for free?

While Medicare Part A – which covers hospital care – is free for most enrollees, Part B – which covers doctor visits, diagnostics, and preventive care – charges participants a premium. Those premiums are a burden for many seniors, but here's how you can pay less for them.

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 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.

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.

Is WellCare a PPO?

WellCare has launched Preferred Provider Organization plans (local PPOs) in select counties in New York, Georgia, Florida and South Carolina. Like many Medicare Advantage plans, they give members Part A, B and D coverage, and cover ancillary benefits not covered by Original Medicare such as dental, vision and hearing.

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 Medicare Part A free at age 65?

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.

Can I have Original Medicare and Medicare Advantage at the same time?

People with Medicare can get their health coverage through either Original Medicare or a Medicare Advantage Plan (also known as a Medicare private health plan or Part C).

How much does the Medicare coach cost?

For $797.00, an unbiased party who has your best interests at heart, serves as your personal coach. They'll walk you through the ins and outs of Medicare – saving you tons of time and money.

Does Medicare cover 100 percent of hospital bills?

Most medically necessary inpatient care is covered by Medicare Part A. If you have a covered hospital stay, hospice stay, or short-term stay in a skilled nursing facility, Medicare Part A pays 100% of allowable charges for the first 60 days after you meet your Part A deductible.

Does Social Security automatically deduct Medicare?

Yes. In fact, if you are signed up for both Social Security and Medicare Part B — the portion of Medicare that provides standard health insurance — the Social Security Administration will automatically deduct the premium from your monthly benefit.

How much will I pay for Medicare when I turn 65?

Most people pay the standard premium amount of $144.60 (as of 2020) because their individual income is less than $87,000.00, or their joint income is less than $174,000.00 per year. Deductibles for Medicare Part B benefits are $198.00 as of 2020 and you pay this once a year.

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.

What is the deductible for Wellcare Part D?

$480 for all covered Part D prescription drugs. This plan has no deductible for Part D covered drugs, this payment stage doesn't apply. You pay the following until your total yearly drug costs reach $4,430.