New to WellCare Medicare? Here’s What You Need to Know

Pamela Cannaday by Pamela Cannaday | Licensed since 2011
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This article was updated on: 10/21/2018

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If you’ve recently enrolled in a Wellcare Medicare Advantage or Wellcare Medicare stand-alone Part D Prescription Drug Plan, you may have questions about how to use your plan benefits and what you can expect. Here are some tips and answers to frequently asked questions to help you get started.

Do I still need to keep my red, white, and blue Medicare card if I’m enrolled in a Wellcare stand-alone Prescription Drug Plan or Medicare Advantage plan?

You should always hang on to your red, white, and blue Original Medicare card and keep it in a safe place in case you need to use it in the future. However, as long as you are enrolled in a Wellcare Medicare Advantage plan, you should use your Wellcare member ID card to get services covered by the Medicare Advantage plan. Some services, such as hospice care, are still covered under Part A, so you will need your Original Medicare ID if you get hospice care. If you choose to return to Original Medicare in the future, you’ll also need your red, white, and blue Original Medicare card.

If you’re enrolled in a Wellcare Medicare stand-alone Prescription Drug Plan, you should use your Wellcare member ID card to fill prescriptions and get coverage under your plan. You will also need to continue to keep your Original Medicare card to receive services covered under Part A and Part B.

If you lose your Wellcare Medicare plan ID, call the customer service number below that corresponds with your plan to request a new one.

How can I save money on prescriptions with my Wellcare Medicare Advantage or Wellcare Medicare Prescription Drug Plan?

Ask your health-care provider to prescribe generic medications whenever possible if they are available for your condition; in many cases, your copayment will be lower.

One of the best ways to save money on prescription drugs you take on a daily basis is to fill your prescriptions using Wellcare’s mail-order service, which allows you to order medications that you take over a longer period in a larger amount (such as a 90-day supply). In some cases, a three-month supply could have lower out-of-pocket costs for eligible prescription drugs.

For more information on Wellcare’s mail-order service, call 1-800-875-0867. You’ll need your doctor’s name and phone number, as well as your plan ID card.

Can my Wellcare Medicare Advantage plan or Medicare Prescription Drug Plan drop my coverage because of my health status?

All Wellcare Medicare plans provide coverage to their members for a full service year; during that time, you cannot be disenrolled from your plan because of your medical condition if you remain eligible for Medicare benefits.

There are a few exceptions when your Wellcare plan may disenroll you from your plan. For example, if you move out of the plan’s service area, fail to pay your plan premiums, or provide inaccurate or fraudulent information on your enrollment application, you may be disenrolled from your Wellcare plan. If you change addresses and move out of your Wellcare plan’s service area, you’ll get a Special Election Period to switch plans. However, if you develop a serious health condition or take a lot of prescription medications, you cannot lose your Wellcare Medicare coverage for this reason.

If Wellcare decides to terminate your Medicare Advantage or Medicare Prescription Drug Plan at the end of the year, you’ll be notified in writing at least 60 days before any plan changes occur, and you’ll receive information on other Medicare plan options in your service area and how to enroll in a new plan with a Special Election Period. If Wellcare ends its contract with Medicare or leaves the program in the middle of the year, you may also be eligible for a Special Election Period when you can enroll in new coverage.

If you are a Wellcare Medicare plan member, you have access to the 24-hour Nurse Advice Line at 1-800-581-9952. (TTY users dial 711). You can get answers to your health-care questions and advice on non-urgent issues, including whether you should see your doctor or go to the emergency room if you’re injured or sick. This service is free to all Wellcare members.

Hopefully, you now have a better idea of all the exciting benefits you may have as a Wellcare Medicare member. If you are interested in finding Wellcare Medicare plan options, visit the Wellcare Medicare page for more information. You can also use the Find Plans button to start browsing plan options in your location.

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Pamela Cannaday |
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