This information is not a complete description of benefits. Contact the plan for more information. Limitations, co-payments and restrictions may apply. Benefits, premium and/or co-payments/coinsurance may change on January 1 of each year.
The formulary, pharmacy network, and/or provider network may change at any time. You wil receive notice when necessary.
You must continue to pay your Medicare Part B premium.
Medicare evaluates plans based on a 5-star rating system. Star Ratings are calculated each year and may change from one year to the next.
Medicare beneficiaries may also enroll in WellCare, ‘Ohana, or Easy Choice through the CMS Medicare Online Enrollment Center located at https://www.medicare.gov.
This is not a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.
WellCare (HMO) is a Medicare Advantage organization with a Medicare contract. Enrollment in WellCare (HMO) depends on contract renewal.
Out-of-network/non-contracted providers are under no obligation to treat WellCare members, except in emergency situations. For a decision about whether we will cover an out-of-network service, we encourage you or your provider to ask us for a pre-service organization determination before you receive the service. 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.
‘Ohana HMO (Hawai’i):
‘Ohana Health Plan, a plan offered by WellCare Health Insurance of Arizona, Inc. WellCare (HMO) is a Medicare Advantage organization with a Medicare contract. Enrollment in ‘Ohana (HMO) depends on contract renewal.
Easy Choice HMO (California):
Easy Choice Health Plan (HMO), a WellCare company, is a Medicare Advantage organization with a Medicare contract. Enrollment in Easy Choice (HMO) depends on contract renewal.
WellCare (PDP) is a Medicare-approved Part D sponsor. Enrollment in WellCare (PDP) depends on contract renewal.
WellCare Prescription Insurance Inc.’s pharmacy network offers limited access to pharmacies with preferred cost sharing in urban areas of ID; suburban areas of OR; and rural areas of AK,ND,OK,SD, and WY. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use. For up-to-date information about our network pharmacies, including pharmacies with preferred cost sharing, please call 1-888-550-5252 or consult the online pharmacy directory at www.wellcare.com/PDP.
WellCare / 'Ohana / Easy Choice uses a formulary. For plans that provide drug coverage, the formulary may change during the year. Estimated drug costs are based the total drug cost at the selected pharmacy. If you do not select a pharmacy, drug costs are based on in network pharmacies. This may be different than your actual costs.
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