Make your check or money order payable to Wellcare and send to: This number can be found on your WellCare ID card. By continuing to use our site, you agree to our Privacy Policy and Terms of Use. Wellcare uses cookies. A: A Medicare Advantage HMO POS also provides care through a network of providers. A: To search for your medications in our online formulary: A: A formulary lists the drugs your plan covers. Use your member ID or payment coupon to pay with cash at CheckFreePay locations. A: Yes. A: The Extra Help subsidy helps people who have limited income and resources to pay Medicare prescription drug program costs. Copyright 2022 Wellcare Health Plans, Inc. Some of WellCare's Plans help by reducing your Medicare Part B premium. Call 1-888-550-5252 and select the billing option. 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). The secure portal is for participating Wellcare providers that are contracted through Medicaid or Medicare lines of business. Enter your member ID and email address if you would like a confirmation email. 1-877-236-7162, during the hours of 8 am and 2 am EST. Access information on the go, make premium payments, view your ID card, and more! However, there are limits on when and how often you can change your Medicare Advantage plan. 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. Our Customer Service representatives are ready to answer questions. 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). A: To learn more about our combined product offering, whats new and market-specific benefits, please visit Centene First Look. near you, call 1-800-877-8021 or go to www.checkfreepay.com. Thats why we created a glossarylocated in your state's Medicare Basics page. However, you will receive a full credit. WellCare will be changing our Medicare Member ID cards for the 2020 plan year. ByPhone That means it provides care through a network of providers. Referrals are generally required to see specialists. Reasons you could qualify include: You have changed your permanent residence, You have recently moved to a new service area, You qualify for Extra Help with Medicare prescription drug costs, You moved to an institution like a skilled nursing facility or long-term care hospital. The letter will explain your other options for Medicare coverage in your area. Even if a Medicare Advantage Plan is discontinued at the end of a benefit year, you will not lose Medicare coverage. The reduction is set up by Medicare and administered through the Social Security Administration (SSA). The Medicare Initial Coverage Election Period is based on the month of your 65th birthday. A: Our plans are required to cover all services and procedures that are covered by Original Medicare. The member number and the Rx Information will be the same. Our local offices have Account Executives, Sales Assistants, and Marketing Outreach Specialists available to offer you real-time support! 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. PDP: 01/10/2022. Reasons you could qualify include: A: Please check out our Plan Comparison tool. Wellcare uses cookies. 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. A: Once you are enrolled, you cannot be disqualified for any medical condition. You can also use theContact Us formfor additional help. Enroll at Medicare.gov. 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. If you meet certain eligibility requirements for both Medicare and Medicaid, your Part B premium may be covered in full. Depending on your income and resources, you may qualify for Extra Help. 2. Call the toll-free Customer Care number on your prescription label for fully automated refill service. As a new member, we want to help you to get the most from your plan. Nurses are available 24 hours a day, 7 days a week. If you need a refill for a prescription not listed on the form, write the prescription number in the space provided. We are here to guide you on what to expect in the next few months. Please ensure you include your member ID on the check or money order. An email address in not required. You can enroll as early as three months before your birthday month or as late as three months after your birthday month. Make sure to sign up for your Wellcare Member Account and download your Wellcare+ App, available now in the App Store and Google Play. To allow space for the enlarged font, we will remove information found on the current ID cards that can be easily obtained through our secure Provider self-service portal . If your WellCare ID card is damaged, lost or stolen, contact usright away and we will send you a new card. 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. Online Guest Pay By Mail. If you want to joinour Medicaid provider network, please be sure to visit yourstate-specific Medicaid websiteto submit a request. . A: Yes. As a new member, we want to help you to get the most from your plan. Make sure to sign up for your Wellcare Member Account and download your Wellcare+ App, available now in the App Store and Google Play . 3. 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. By continuing to use our site, you agree to our Privacy Policy and Terms of Use. We have answers right at your fingertips! MAPD: 01/08/2022. You can drop your Medicare Advantage Plan and return to Original Medicare. Send the form to CVS Caremark along with your payment. Review our helpful Medicare frequently asked questions and answers. You could qualify for a Special Enrollment Period during any month when certain events happen in your life. Call 1-888-550-5252 and select the billing option. Offered in partnership withPaySpan Health, you now have access to a secure, quick way to electronically settle claims. Annual Enrollment Period (AEP) *Note: Certain items will require that you enter a date range under Service Date. When you see a network provider, you usually pay only your share of the cost for their services. If you receive a service that is not covered by our plan, you are responsible for the cost of that service. (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. Notice of Non-Discrimination. 2. A: Please complete ourBecome aProvider formor Contact Usfor more information on how to join our network. You can find additional helpful information in your quick-reference guide. 6. Call 1-800-MEDICARE (1-800-633-4227) 24 hours a day, 7 days a week; TTY users may call 1-877-486-2048. Using this no-cost service, providers can settle claims electronically, without making an investment in expensive EDI software. Special Enrollment Periods (SEP) It is a health maintenance organization, or HMO. 2. Access your member resources! Check or Money Order The secure portal is for participating Wellcare providers that are contracted through Medicaid or Medicare lines of business. A: You can get service authorizations from you primary care provider (PCP) or from specialists you're referred to. View our plans and complete your application online. A: Our plans work just like a traditional health insurance. Download, print and complete our enrollment form. Find additional Wellcare contacts on theBroker Support Resources! A: Of course. Copyright 2022 Wellcare Health Plans, Inc. Care is coordinated through the primary care physician (PCP), who may refer people to specialists as needed. Are you ready to start your journey with us? Nurses are available 24 hours a day, 7 days a week. You can also find the number on the back of your Member ID card. A: Yes. You may have a co-payment due at that time. Select the Search button and the claim results will display below. All Medicare Advantage plans commit to their members for a full year. Just show your Wellcare Member ID card (instead of your Medicare card) at the doctor's office. To find a CheckFreePay location Explore member resources and get information about whats available to you with your Medicare Advantage plan. A: There are three ways to refill: Return your completed and signed form to us by fax or mail using the contact information on the form. Register online to receive refill reminders and other important updates. The new layout will utilize a larger font, making it easier for our members to read. A: Wellcare is here for you! The effective date for the Medicare Advantage Open Enrollment Period election is the first day of the month after we receive the enrollment request. Explore member resources and get information about what's available to you with your Medicare Advantage plan. 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. Wellcare Health Plans, Inc.is pleased to offer providers electronic funds transfer (EFT) and electronic remittance advice (ERA) servicesat no charge. Wellcare is now part of Centene creating a premier healthcare enterprise focused on government-sponsored healthcare programs. A: An HMO or HMO POS plan is not required to pay for services that are not medically necessary under Medicare. 5. A: You have the right to emergency care, when needed, anywhere in the United States and without pre-approval from us. 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. Reductions may take several months to be issued. However, if you move out of our service area or commit fraud, Wellcare reserves the right to disenroll you. To find a CheckFreePay location. A: We want you to make an informed decision about your Medicare health plan. Ordering refills at CVS Caremark.com is convenient, fast and easy! Deduction from your Monthly Social Security or Railroad Retirement Board Check 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. 3. These costs are things like premiums, deductibles and co-payments/co-insurance. For our local support contacts, contact ourLeadership Points of Contact. Enroll by mail or fax. 1. We welcome Brokers who share our commitment to compliance and member satisfaction. 1. Call Customer Service (1-888-550-5252) to get more information and set up these deductions. A: Visit ourCareers page to see current openings. Simply fill in the ovals for the refills you want to order. (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. 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. Use the Find a Provider Tool to find a provider located near you. 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. Regular delivery is at no cost to you. Becoming a member of our plan does not make you ineligible to receive these services. Our representatives can enroll you right over the phone. Contact a licensed Medicare Sales Broker. Set up Auto Pay or make a one-time payment through our secure online member portal. Click the link below and select your State to view the different methods for contacting us! Chicago, IL 60675-5510 A: One of the perks of being a Wellcare member is our 24-hour Nurse Advice Line at 1-800-581-9952. A: There are five easy ways to enroll. However, WellCare plans do pay for additional benefits not covered by Original Medicare. 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. Medicare Advantage Open Enrollment Period (MA OEP) A: If your doctor or health care provider would like more information about Wellcare, ask him or her to contact us. Once you log into the secure provider portal, navigate to the Claims landing page. If you are not sure whether a service is covered, you have the right tocall usand ask for an advance decision. The Medicare Advantage Open Enrollment Period starts January 1 and ends on March 31. A: Initial Coverage Election Period You will receive an order form with every mail service order. English Spanish. Pay with Cash Contact Usto find out more. Overnight or second-day delivery is available for an additional charge. Welcome to Wellcare! Wellcare uses cookies. A: Watch the videos and see why we are so passionate about serving our members and the communities in which they live! lists the drugs your plan covers. Or apply online at, and standard pharmacies for your PDP plan, please go to our. 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. 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. By Phone. Enroll online. 5. Have your benefit ID number (BIN) ready. Medicare beneficiaries may also enroll in Wellcare through the CMS Medicare Online Enrollment Center located at Medicare.gov. 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