Wellcare is the Medicare brand for Centene Corporation, an HMO, PPO, 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.
“Wellcare” is issued by WellCare Prescription Insurance, Inc.
Washington residents: “Wellcare” is issued by Coordinated Care of Washington, Inc.
Washington residents: Health Net Life Insurance Company is contracted with Medicare for PPO plans. “Wellcare” is issued by Health Net Life Insurance Company.
Every year, Medicare evaluates plans based on a 5-star rating system.
Wellcare is a DSNP with a Florida Medicaid Contract. The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the DSNP. [Limitations, copayments, and/or restrictions] may apply. [Benefits, preferred drug list, pharmacy network, premium and/or copayments/coinsurance] may change.
This plan is available to those who have both Medicare and full Medicaid benefits.
Wellcare uses a formulary.
Arizona D-SNP plans: Contract services are funded in part under contract with the State of Arizona.
Louisiana D-SNP prospective enrollees: For detailed information about Louisiana Medicaid benefits, please visit the Medicaid website at
https://ldh.la.gov/medicaid or
https://www.louisianahealthconnect.com/ . To request a written copy of our Medicaid Provider Directory, please contact us.
Wellcare By Allwell (HMO and HMO SNP) includes products that are underwritten by Superior HealthPlan, Inc.
Wellcare (HMO and HMO SNP) includes products that are underwritten by WellCare of Texas, Inc., Superior HealthPlan, Inc., and SelectCare of Texas, Inc.
Wellcare Fidelis Dual Align (HMO D-SNP) is a Fully Integrated Dual Eligible Special Needs Plan with a Medicare contract and a contract with the New Jersey Medicaid program. Enrollment in Wellcare Fidelis Dual Align depends on contract renewal.
This information is not a complete description of benefits. Contact the plan for more information. Limitations and restrictions may apply. Benefits may change on January 1 of each year.
Your Part B premium is covered by Medicaid.
When joining this plan: 1.) You must use in-network providers, DME (durable medical equipment) suppliers, and pharmacies. 2.) You will be enrolled automatically into Medicaid (NJ FamilyCare) coverage under our plan and disenrolled from any Medicaid (NJ FamilyCare) plan you are currently enrolled in. All of your Medicaid-covered services, items, and medications will then be covered under our plan, and you must get them from in-network providers. 3.) You will be enrolled automatically into Part D coverage under our plan, and you will be automatically disenrolled from any other Medicare Part D or creditable coverage plan in which you are currently enrolled. 4.) You must understand and follow our plan’s rules on referrals.
For Wellcare CalViva Health Dual Align members: CalViva Health is a Medi-Cal Managed Care Plan (MCP) and is the Local Initiative Health Plan for Medi-Cal managed care in Fresno, Kings, and Madera Counties. CalViva Health is a full-service health plan contracting with the Department of Health Care Services (DHCS) to provide Medi-Cal Covered Services to Medi-Cal managed care enrollees under the Two-Plan model in all ZIP codes in Fresno, Kings, and Madera Counties. CalViva Health contracts with Health Net Community Solutions, Inc. on a capitated basis to provide and arrange for Medi-Cal Covered Services in all ZIP codes in Fresno, Kings, and Madera Counties. Health Net Community Solutions, Inc. is a subsidiary of Health Net, LLC and Centene Corporation, and is the CalViva Health MCP’s Contracted Administrator in all ZIP codes in Fresno, Kings, and Madera Counties.
Wellcare Meridian Dual Align (HMO D-SNP) is a health plan that contracts with both Medicare and Michigan Medicaid to provide benefits of both programs to members. Enrollment in our plan depends on contract renewal.
Out-of-network/non-contracted providers are under no obligation to treat Plan members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.
Please contact Wellcare for details.
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