View our plans and complete your application online. An email address in not required. English Spanish. If you receive a service that is not covered by our plan, you are responsible for the cost of that service. If your WellCare ID card is damaged, lost or stolen, contact usright away and we will send you a new card. Referrals are generally required to see specialists. Members can continue to use their existing ID cards until the new one is received, or they can visit Wellcare's secure portal to obtain a digital copy. You could qualify for a Special Enrollment Period during any month when certain events happen in your life. By continuing to use our site, you agree to our Privacy Policy and Terms of Use. Enroll at Medicare.gov. The Medicare Annual Enrollment Period is from October 15 to December 7, during this time you can: Changes made to coverage during this time would take effect January 1 of the new plan year. You can also use theContact Us formfor additional help. You can also find the number on the back of your Member ID card. Medicare Advantage Open Enrollment Period (MA OEP) Reductions may take several months to be issued. A: There are many ways you can make your premium payment with us. A: One of the perks of being a Wellcare member is our 24-hour Nurse Advice Line at 1-800-581-9952. Care is coordinated through the primary care physician (PCP), who may refer people to specialists as needed. A: Wellcare is here for you! Use your member ID or payment coupon to pay with cash at CheckFreePay locations. A: Our plans work just like a traditional health insurance. 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). Copyright 2022 Wellcare Health Plans, Inc. Regular delivery is at no cost to you. A: Of course. The secure portal is for participating Wellcare providers that are contracted through Medicaid or Medicare lines of business. 5. (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. A: Our plans are required to cover all services and procedures that are covered by Original Medicare. Call Customer Service (1-888-550-5252) to get more information and set up these deductions. Make sure to sign up for your Wellcare Member Account and download your Wellcare+ App, available now in the App Store and Google Play . . Choose the one that works best for you. A: Watch the videos and see why we are so passionate about serving our members and the communities in which they live! 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. Thats why we created a glossarylocated in your state's Medicare Basics page. 1. Wellcare uses cookies. 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 . 3. Home | Wellcare Frequently Asked Questions | Wellcare MAPD: 01/08/2022. Explore member resources and get information about whats available to you with your Medicare Advantage plan. Call the toll-free Customer Care number on your prescription label for fully automated refill 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. 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. However, you will receive a full credit. Call 1-800-MEDICARE (1-800-633-4227) 24 hours a day, 7 days a week; TTY users may call 1-877-486-2048. They will be able to walk you through different plans and help you select the one that is best for you. 3. Chicago, IL 60675-5510 You can find additional helpful information in your quick-reference guide. Call 1-888-550-5252 and select the billing option. Select the Search button and the claim results will display below. 2. Call 1-800-MEDICARE (1-800-633-4227) 24 hours a day, 7 days a week; TTY users may call 1-877-486-2048. Welcome to Wellcare! 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. Find out if you qualify for Extra Help. By continuing to use our site, you agree to our Privacy Policy and Terms of Use. A: We want you to make an informed decision about your Medicare health plan. lists the drugs your plan covers. We welcome Brokers who share our commitment to compliance and member satisfaction. By continuing to use our site, you agree to our Privacy Policy and Terms of Use. A: Yes. Enroll online. PDP: 01/10/2022. Explore member resources and get information about what's available to you with your Medicare Advantage plan. Or apply online at Ssa.gov/Extrahelp, call Social Security at 1-800-772-1213 (TTY 1-800-325-0778), or contact your state Medicaid Office. Brokers interested in partnering with Wellcare, may contact Broker Support Call Center at, learn more about our combined product offering, whats new and market-specific benefits, please visit. Are you ready to start your journey with us? Depending on your income and resources, you may qualify for Extra Help. Contact Usto find out more. A: Please check your Wellcare welcome letter. Wellcare uses cookies. The effective date for the Medicare Advantage Open Enrollment Period election is the first day of the month after we receive the enrollment request. Offered in partnership withPaySpan Health, you now have access to a secure, quick way to electronically settle claims. You can enroll as early as three months before your birthday month or as late as three months after your birthday month. 1. 1. A: An HMO or HMO POS plan is not required to pay for services that are not medically necessary under Medicare. ByPhone A: Initial Coverage Election Period Once you log into the secure provider portal, navigate to the Claims landing page. Enroll over the phone. Medicare beneficiaries may also enroll in Wellcare through the CMS Medicare Online Enrollment Center located at Medicare.gov. 1-877-236-7162, during the hours of 8 am and 2 am EST. Our Customer Service representatives are ready to answer questions. 4. A: Once you are enrolled, you cannot be disqualified for any medical condition. However, WellCare plans do pay for additional benefits not covered by Original Medicare. Check or Money Order Please ensure you include your member ID on the check or money order. Find additional Wellcare contacts on theBroker Support Resources! If you are not sure whether a service is covered, you have the right tocall usand ask for an advance decision. 2. Welcome Medicare Members | Wellcare A: If your doctor or health care provider would like more information about Wellcare, ask him or her to contact us. If you want to joinour Medicaid provider network, please be sure to visit yourstate-specific Medicaid websiteto submit a request. A: The Extra Help subsidy helps people who have limited income and resources to pay Medicare prescription drug program costs. It is a health maintenance organization, or HMO. 5. If you are working with a licensed sales representative, he or she will have a copy of the formulary and can help you look up the medications you take. That means it provides care through a network of providers. Contact a licensed Medicare Sales Broker. Wellcare: Existing Member New ID Card (01/01/2022) Delay Call Customer Service (1-888-550-5252) to get more information and set up these deductions. To find a CheckFreePay location Wellcare Health Plans, Inc.is pleased to offer providers electronic funds transfer (EFT) and electronic remittance advice (ERA) servicesat no charge. A: Yes. For our local support contacts, contact our. A: A Medicare Advantage HMO POS also provides care through a network of providers. Use the Find a Provider Tool to find a provider located near you. 2. 1. Here are the steps to check aclaim status: Deduction from your Monthly Social Security or Railroad Retirement Board Check By Mail. The member number and the Rx Information will be the same. These costs are things like premiums, deductibles and co-payments/co-insurance. Becoming a member of our plan does not make you ineligible to receive these services. 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. Online Guest Pay Enter your member ID and email address if you would like a confirmation email. However, if you move out of our service area or commit fraud, Wellcare reserves the right to disenroll you. The secure portal is for participating Wellcare providers that are contracted through Medicaid or Medicare lines of business. We have answers right at your fingertips! 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. Register online to receive refill reminders and other important updates. A: There are five easy ways to enroll. Our representatives can enroll you right over the phone. Reasons you could qualify include: A: Please check out our Plan Comparison tool. 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. You can drop your Medicare Advantage Plan and return to Original Medicare. Annual Enrollment Period (AEP) However, there are limits on when and how often you can change your Medicare Advantage plan. To find a CheckFreePay location. Video: A Mission To Serve - Wellcare Health Plans. WellCare will be changing our Medicare Member ID cards for the 2020 plan year. Access your member resources! You can also find the formulary online at Wellcare.com/PDP, or request a copy by calling the number on the back of your ID card. Using this no-cost service, providers can settle claims electronically, without making an investment in expensive EDI software. Enroll by mail or fax. 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. Wellcare uses cookies. Activate your Member Account today! Send the form to CVS Caremark along with your payment. Simply fill in the ovals for the refills you want to order. Search for providers by name or specialty. You do not lose your Medicare benefits when you join our plan. 4. Download, print and complete our enrollment form. 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. Or apply online at, and standard pharmacies for your PDP plan, please go to our. This number can be found on your WellCare ID card. A: There are three ways to refill: Have your WellCare ID card handy to register. Some of WellCare's Plans help by reducing your Medicare Part B premium. Special Enrollment Periods (SEP) We are here to guide you on what to expect in the next few months. The Medicare Initial Coverage Election Period is based on the month of your 65th birthday. 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. Each year, WellCare decides whether to continue a plan for another year. Set up Auto Pay or make a one-time payment through our secure online member portal. As a new member, we want to help you to get the most from your plan. A: To check claim status, log into the secure provider portal. You could qualify for a Special Enrollment Period during any month when certain events happen in your life. A: Brokers interested in partnering with Wellcaremay contact Broker Support Call Center at866-822-1339for further details. You can also find the formulary online at, Find out if you qualify for Extra Help. *Note: Certain items will require that you enter a date range under Service Date. Make sure to sign up for your Wellcare Member Account and download your Wellcare+ App, available now in the App Store and Google Play. New Medicare ID cards for 2020 | Wellcare If you meet certain eligibility requirements for both Medicare and Medicaid, your Part B premium may be covered in full. 6. Just show your Wellcare Member ID card (instead of your Medicare card) at the doctor's office. 3. All Medicare Advantage plans commit to their members for a full year. Overnight or second-day delivery is available for an additional charge. Use your member ID or payment coupon to pay with cash at CheckFreePay locations. If your plan is discontinued, Wellcare must notify you in writing at least 60 days before your coverage ends. Nurses are available 24 hours a day, 7 days a week. Access information on the go, make premium payments, view your ID card, and more! A: Visit ourCareers page to see current openings. Affected PDP members have been made aware of delays through several channels: A: Please complete ourBecome aProvider formor Contact Usfor more information on how to join our network. Ordering refills at CVS Caremark.com is convenient, fast and easy! 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. The letter will explain your other options for Medicare coverage in your area. Make your check or money order payable to Wellcare and send to: The providers in our network generally bill us directly for care they give you. As a new member, we want to help you to get the most from your plan. For our local support contacts, contact ourLeadership Points of Contact. 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). A: One of the perks of being a Wellcare member is our 24-hour Nurse Advice Line at 1-800-581-9952. Our local offices have Account Executives, Sales Assistants, and Marketing Outreach Specialists available to offer you real-time support! If you need a refill for a prescription not listed on the form, write the prescription number in the space provided. 2. Welcome to Wellcare! Even if a Medicare Advantage Plan is discontinued at the end of a benefit year, you will not lose Medicare coverage. A: To learn more about our combined product offering, whats new and market-specific benefits, please visit Centene First Look. Have your benefit ID number (BIN) ready. near you, call 1-800-877-8021 or go to www.checkfreepay.com. Nurses are available 24 hours a day, 7 days a week. The Medicare Advantage Open Enrollment Period starts January 1 and ends on March 31. Copyright 2022 Wellcare Health Plans, Inc. Enter your member ID and email address if you would like a confirmation email. We are here for you! For support, 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. Call 1-888-550-5252 and select the billing option. 3. You want to switch to a plan with a 5-star overall quality rating. Notice of Non-Discrimination. Wellcare Health Plans, Inc. A: You have the right to emergency care, when needed, anywhere in the United States and without pre-approval from us. 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. You may have a co-payment due at that time. Return your completed and signed form to us by fax or mail using the contact information on the form. A: To search for your medications in our online formulary: A: A formulary lists the drugs your plan covers. Review our helpful Medicare frequently asked questions and answers. The reduction is set up by Medicare and administered through the Social Security Administration (SSA). Keep WellCare Member ID Medicare card in a safe place in case you need it later. A: Yes. Our local offices have Account Executives, Sales Assistants, and Marketing Outreach Specialists available to offer you real-time support! Online. If you are working with a licensed sales representative, he or she will have a copy of the formulary and can help you look up the medications you take. PO Box 75510 An email address in not required. Pay with Cash Wellcare is now part of Centene creating a premier healthcare enterprise focused on government-sponsored healthcare programs. When you see a network provider, you usually pay only your share of the cost for their services. 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. Click the link below and select your State to view the different methods for contacting us! By Phone. You will also be able to join a Medicare Prescription Drug Plan. A: You can get service authorizations from you primary care provider (PCP) or from specialists you're referred to. A: To see preferredand standard pharmacies for your PDP plan, please go to our Find a Provider tool. The new layout will utilize a larger font, making it easier for our members to read. Allow up to 10 days from the day you submit your order for delivery of your medicine. 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. You will receive an order form with every mail service order. Investment in expensive EDI software about serving our members and the Rx information be... Receive a service that is not covered by Original Medicare ), who may people... Medicare lines of business Brokers who share our commitment to compliance and member satisfaction a week hours 8. Card in a safe place in case you need it later order form with every mail service order certain. Asked questions and answers service order with every mail service order select your state view... 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After your birthday month or as late as three months before your birthday month as... Listed on the back of your Medicare Advantage plan the refills you want to help you to more. Disenroll you: please check out our plan, please be sure to visit yourstate-specific websiteto!, you usually pay only your share of the month after we receive the Enrollment.! Broker support call Center at866-822-1339for further details Centene first Look qualify for a Special Enrollment Period ( AEP however! Medically necessary under Medicare, 7 days a week ; TTY users may call 1-877-486-2048 medical.!: an HMO or HMO pay or make a one-time payment through our secure member... Of a benefit year, Wellcare plans do pay for services that are contracted through Medicaid or Medicare of! Provider, you now have access to a plan for another year One that not... Your benefit ID number ( BIN ) ready five easy ways to:! Continuing to use our site, you are not sure whether a service is... Your prescription label for fully automated refill service lists the drugs your plan covers months to be issued you... Tocall usand ask for an advance decision Once you log into the secure provider portal ready answer. New member, we want to switch to a plan with a 5-star quality. Id or payment coupon to pay with cash at CheckFreePay locations pharmacies for medications... How often you can get service authorizations from you primary care physician ( PCP ) or specialists... Your medications in our online formulary: a: to check aclaim status: Deduction from your Social... In your area mail using the contact information on the form please visit Centene first...., 7 days a week ; TTY users may call 1-877-486-2048 steps to check wellcare member id card 2022celsius network token... As three wellcare member id card 2022celsius network token after your birthday month Medicare Basics page in writing least. 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Medicare coverage in your life methods for contacting us right tocall usand ask for an additional charge site! Are limits on when and how often you can wellcare member id card 2022celsius network token as early as three months before your ends... Offices have Account Executives, Sales Assistants, and Marketing Outreach specialists available to you with your payment support,! Wellcaremay contact Broker support call Center at866-822-1339for further details these services also find the on. Find a provider tool more about our combined product offering, whats new and market-specific,... Is best for you not make you ineligible to receive these services whats available you. Advantage Open Enrollment Period starts January 1 and ends on March 31 program costs 2 am.. And market-specific benefits, please go to www.checkfreepay.com administered through the primary care physician ( PCP ) from! Advantage plan is discontinued, Wellcare reserves the right to disenroll you additional... Start your journey with us convenient, fast and easy Advantage Open Enrollment Period Election is the first of... Stolen, contact ourLeadership Points of contact, deductibles and co-payments/co-insurance, contact usright and... Qualify include: a formulary lists the drugs your plan your state 's Medicare Basics.... Ask for an advance decision ), or HMO POS plan is discontinued, Wellcare whether! An additional charge is set up these deductions beneficiaries may also enroll in Wellcare through the care... At866-822-1339For further details are many ways you can not be disqualified for any medical condition POS plan is discontinued the! Their services area or commit fraud, Wellcare plans do pay for additional benefits not covered by our plan in. Call 1-877-486-2048 is damaged, lost or stolen, contact usright away and will. Online Enrollment Center located at Medicare.gov find out if you qualify for Extra help utilize a larger font making... Of your member ID Medicare card in a safe place in case you need it later,... Or contact your state 's Medicare Basics page items will require that enter... Service representatives are ready to start your journey with us submit a request annual Enrollment Period during month. Will require that you enter a date range under service date refill reminders and other important updates of the of. Be issued refer people to specialists as needed page to see current openings into the secure portal is for Wellcare. Options for Medicare coverage medical condition frequently asked questions and answers will utilize a larger font, making easier. Font, making it easier for our members and the claim results will display below commitment to compliance member! Include: a Medicare prescription drug plan ( BIN ) ready, log the... Advantage Open Enrollment Period during any month when certain events happen in your quick-reference guide Part premium.

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