Wellcare: Overview

WellCare offers affordable Medicare plans and was recently acquired by Centene Corporation.

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About Wellcare

In 1985, Wellcare began as a Medicaid provider for the state of Florida, with operations in Tampa, Florida. After the Balanced Budget Act of 1997 was passed, WellCare began offering Medicare Part C, now called Medicare Advantage. In 2003, it offered Medicare Advantage plans with prescription drug coverage. In 2004, Wellcare went public. In November 2013, WellCare appointed Chairman David Gallitano to serve as interim CEO. He increased spending on technology and famously dorned the walls with photographs and portraits of health plan members, including people who suffer from chronic conditions like cancer, homelessness and hunger. In 2014, WellCare hired Kenneth Burdick as the new CEO and board member. He’d originally joined the company as the president of national health plans but was promoted first to president and COO and eventually CEO. In September 2017, Wellcare announced a rebrand with a focus on holistic health: “Beyond Healthcare: A Better You.” In October 2017, Wellcare announced the UNC Health Alliance primary care physicians and specialists into its Medicare Advantage network. Wellcare operates in 20 states and was recognized by Fortune Magazine as One of the World’s Most Admired Companies in January 2018. In January 2020, Wellcare was acquired by Centene Corporation.

Wellcare Facts & Ratings

Year Founded1985
Medicare Star Rating3.57 stars (out of 5)
BBB RatingA+

MyWellCare Mobile App Rating

iOS
     1.753 users
Android
     2.3209 users

The MyWellCare app allows you to keep track of your benefits, look for providers, and use it as a digital ID Card.

Pros & Cons of WellCare

  • Affordable Medicare plans with many options for savings.
  • Offers PPO plans for Medicare Advantage, allowing for more freedom in choosing providers.
  • The PPO plans are only available in select counties in New York, Georgia, Florida, and South Carolina.
  • Medicare ratings have dropped over the past few years, possibly due to rapid expansion and acquisition.

WellCare Enrollment Process

You can get several free health insurance quotes with SmartFinancial. For Wellcare enrollment forms visit here.

How to file a claim with WellCare

Your doctor or care provider should submit a claim to the insurer. You should be covered except for copay. Your insurer will send you an explanation of benefits. If you owe anything, your doctor will send you a bill. If you visit an out-of-network provider, you will not be covered unless it was an emergency. Call 1-800-919-8807 with any additional questions.

Common Questions about WellCare

What is WellCare insurance?

WellCare provides managed care services through Medicaid, Medicare Advantage, and Medicare Prescription Drug plans.

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).

Who takes WellCare insurance?

Wellcare has a network of providers. To find a WellCare provider or to see if your doctor accepts Wellcare, visit here.

Are Wellcare and Centene the same?

Centene acquired Wellcare in January 2020.

What coverage do WellCare plans offer?

WellCare offers Medicaid and Medicare plans.

Does WellCare cover dental implants?

Healthplex is WellCare's dental network provider. They do not cover dental implants.

Who qualifies for WellCare health insurance?

People who qualify for Medicaid and Medicare qualify for WellCare health insurance.

What Medicare Plans Are Offered by WellCare?

Wellcare offers Medicare Part C, or Medicare Advantage. They also offer Medicare Part D, Medicare Prescription Drug coverage.

Does WellCare have a mail-order pharmacy?

As a member, you may have your prescriptions filled by any network pharmacy. However, the amount you pay may be lower if you fill your prescription through CVS/Caremark Mail Service Pharmacy.

What is WellCare Value Script?

WellCare Value Script has a low premium and $0 copays for Tier 1 prescriptions when filled at a preferred cost-share pharmacy.

What is the deductible for WellCare?

The annual deductible for WellCare is $415.

How does WellCare flex card work?

WellCare flex is a prepaid debit card to help cover out-of-pocket expenses for services such as dental, vision, and hearing. Members pay $0 for certain over-the-counter (OTC) products worth up to $1,800 annually, depending on the plan.

Does WellCare have a PPO plan?

WellCare has launched Preferred Provider Organization plans (local PPOs) in select counties in New York, Georgia, Florida, and South Carolina.

What is WellCare’s preferred pharmacy?

Preferred cost-share pharmacies include CVS, Target, most independent, and many regional chains.

How do I order OTC WellCare?

You can order OTC WellCare by visiting www.wellcare.com/medicare. You can order using the Interactive Voice Response system (IVR) by calling the number that is on the back of your ID card.

WellCare Contact Info

AddressP.O. Box 31370
Phone1 (800) 960-2530
Websitehttps://www.wellcare.com/
Facebookhttps://www.facebook.com/WellCareHealthPlans/
Youtubehttps://www.youtube.com/channel/UCpI5y9aJ895uevK-EAG67eA
Twitterhttps://twitter.com/PlansWellcare
Linkedin https://www.linkedin.com/company/wellcare/

Methodology

The information listed on this page is from our own in house research. It is accurate as of the article publish date. Visit the carrier website for additional information.


How does Wellcare compare to other health insurance companies?

WellCare vs Aetna WellCare vs Anthem
WellCare vs CareSource WellCare vs HCSC
WellCare vs Kaiser Permanente WellCare vs Oscar

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