What All Does WellCare Cover?

by | Last updated on January 24, 2024

, , , ,
  • Primary care.
  • Emergency care.
  • Women's health services.
  • Family planning services.
  • Children's screening services.
  • Services provided at local health departments.
  • School-based services.
  • Some behavioral health services.

What kind of insurance is WellCare?

WellCare Health Plans, Inc., is

an HMO, PPO, PFFS plan with a Medicare contract

. Our D-SNP Plans have a contract with the state Medicaid program. Enrollment in our plans depends on contract renewal.

What does WellCare cover for dental?

Members get up to two routine dental exams per year. This covers

cleaning and restorative care, such as fillings and dentures

. Members must see a dentist that is in the plan's network. If a specific dental service is needed that requires prior authorization, the dentist must contact Healthplex.

What is the difference between Medicare and WellCare?

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.

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). The Over-the-Counter Catalog includes a detailed list of available items from allergy medications to sunblock to vitamins.

Does WellCare have a copay?


There are no co-pays or co- for this plan

, except for cost-sharing as described by your plan. Members may have to share in the cost of health care services. This can happen if certain financial eligibility conditions are not met.

Does WellCare cover over-the-counter drugs?

Ordering Over-The-Counter (OTC) products is convenient and easy! By enrolling in one of our WellCare plans, you receive a

benefit allowance to spend

on OTC products. Items in the catalog include: Pain Relief Medications First Aid Supplies Cold & Allergy Vitamins & Supplements Dental Care Items and more!

Is WellCare a good insurance?

Is WellCare good insurance? WellCare received 3.57 stars out of 5 by Medicare's rating system. It has

an A+ rating with

the Better Business Bureau (BBB).

What are preferred pharmacies for WellCare?


CVS Caremark Mail Service Pharmacy

is WellCare's preferred mail-service pharmacy. You will be able to receive up to a three-month supply of your medication right to your door.

Does WellCare have a deductible?

This plan has

a $435 deductible

. … After you have met the deductible, the WellCare Medicare Rx Saver (PDP) will share the costs of your medications with you — see cost-sharing below. $435 is the maximum deductible for 2020. There are other plans with a lower deductible or even a $0 deductible for all formulary drugs.

What can I use my WellCare flex card for?

The Flex Card is a Visa debit card preloaded with a set amount between $200 – $2,500, depending on your plan and service area. The funds can be used

to help pay for dental, vision or hearing needs beyond your plan

.

Does Ky WellCare pay for glasses?


WellCare added free adult eyeglasses

to the vision benefit. Now the entire family can receive a free vision exam and glasses. … The Healthy Rewards program is available to all WellCare of Kentucky Medicaid members.

Is WellCare dental insurance?

Dental and Vision Coverage

WellCare also

offers dental & vision benefits

to all it members. When it comes to vision benefits, Super Vision offers you free prescription eyeglasses. Additionally, if you are a Healthy Choice member, you receive dental services through Healthplex.

Why did I get a payment book from WellCare?

You will receive a WellCare payment book

to use for your 2020 monthly premium payments

. If your premiums are currently being deducted from your Social Security (SSA) or Railroad Retirment (RRB) check your premiums will continue to be deducted in 2020. (Note: A payment booklet will not be mailed to you).

Is Medicaid and WellCare the same thing?

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 more than 6.3 million members across the country.

How does WellCare work with Medicare?

WellCare (HMO) is a Medicare Advantage organization with a Medicare contract. Enrollment in WellCare (HMO) depends on contract renewal. You will need to keep your Medicare Parts A and B. When you enroll into one of our plans, WellCare

pays for services covered by Medicare

.

Charlene Dyck
Author
Charlene Dyck
Charlene is a software developer and technology expert with a degree in computer science. She has worked for major tech companies and has a keen understanding of how computers and electronics work. Sarah is also an advocate for digital privacy and security.