Medicare Advantage plans will be offered in 32 states; 102
Prescription Drug Plans will continue to be available
nationwide
New in 2025, Wellcare offers member onboarding videos in
eight languages and plans in Iowa
TAMPA,
Fla., Oct. 1, 2024 /PRNewswire/
-- Wellcare, a company offering a range of Medicare products
and the Medicare brand and company of Centene
Corporation (NYSE: CNC), will offer Medicare Advantage
(MA) products in 32 states, including its newest state,
Iowa, during the 2025 Medicare
Annual Enrollment Period (AEP), which begins Oct. 15, 2024 and runs through Dec. 7, 2024. Enroll by Dec. 7, 2024, for coverage starting Jan. 1, 2025.
Experience the full interactive Multichannel News Release here:
https://www2.multivu.com/centene_corporation/9251052-en-wellcare-medicare-advantage-and-medicare-prescription-drug-plans
"We have worked hard to build a robust product portfolio that
offers outstanding plans to support our members' entire
well-being," said Wellcare Chief Executive Officer,
Michael Carson. "Wellcare remains
focused on meeting the needs of the most vulnerable beneficiaries
in our footprint through our strong dual-eligible products, and we
continue to invest in services across the organization to provide
high-quality care and the best experience possible."
Wellcare's 102 Prescription Drug Plans (PDP) will continue to be
available nationwide.
"In the face of rising pharmacy costs in Medicare Part D and an
uncertain regulatory environment in 2025, Wellcare is pleased to
provide a portfolio of PDPs to support seniors in managing their
drug costs," said Centene's Senior Vice President of Clinical &
Specialty Services, Sarah Baiocchi.
"By participating in the Part D Premium Stabilization
Demonstration, Wellcare will offer a $0 premium on the Value Script plan in 43 out of
50 states and will be under the benchmark in 49 of 50 states."
The company has invested $22
million into its member online Find a Provider tool,
campaign platforms, member website and portal accounts, creating an
enhanced set of digital tools and resources for members and
prospective members. Key member onboarding videos are
also now available in eight languages: Spanish, Vietnamese,
Russian, Tagalog, Chinese Traditional, Chinese Taiwan, Chinese Hong
Kong and Korean.
This summer, Wellcare announced it will discontinue offering MA
products in Alabama, Massachusetts, New
Hampshire, New Mexico,
Rhode Island and Vermont in 2025. Wellcare will continue to
offer PDP in these states, and this decision does not impact the
company's Marketplace or Medicaid contracts in these markets.
Wellcare will continue serving MA members in these six states
through the end of 2024.
The 2025 Medicare AEP begins on Oct. 15,
2024, and continues through Dec. 7,
2024. Most plans selected during AEP are effective
Jan. 1, 2025. For more details about
Centene's MA plans and Medicare PDPs,
visit www.WellcareNow.com.
Wellcare's 2025 Plan Offerings
For 2025, Wellcare will offer plans to more than 51 million
beneficiaries, which accounts for 77% of the eligible beneficiaries
in 32 states and more than 1,800 counties. Wellcare also added 126
counties to its footprint across the following states: California, Illinois, Iowa, Mississippi, New
York, Texas and
Washington.
MAPD Highlights:
In 2025, a variety of plan offerings for value-conscious
beneficiaries are available with predictable copays and extra
benefits:
- The Wellcare Spendables™ card continues to
offer members a single card with preloaded funds available at more
than 66,000 nationwide retailers across Wellcare's 32-state
footprint. Members may use their Wellcare Spendables on multiple
benefits. Depending on the plan, benefits may include
over-the-counter products; healthy food groceries from a variety of
nationwide retailers; rent/utility assistance; pay-at-pump
gasoline; and – new for 2025 – home improvement and safety
items.
- $0 copay for primary care
physician visits on all plans.
- New for all 2025 plans, the Twill by Dario platform
provides online social and behavioral health support and is
available 24/7. Services available include peer-to-peer support,
self-guided behavioral health programs and access to Centene health
plan resources.
- Specialist copays of $35 or less
on many plans.
- Routine dental, glasses and fitness on all plans.
- $0 copay for Tier 1, 2 and Tier 6
drugs at preferred pharmacies for most plans. Preferred retail
pharmacy networks will include Walgreens, CVS and select grocers. A
robust network is expected with more than 60,000 total
pharmacies.
- Preferred mail order service provider is Express Scripts
Pharmacy.
Benefits and allowance amounts vary by plan. Please call for
more details. Allowance amounts cannot be combined with other
benefit allowances which may be on the prepaid card. Limitations
and restrictions may apply.
Medicare PDP Highlights:
- Three products will be offered in all 34 regions across all 50
states and the District of
Columbia; 102 PDPs will be offered nationwide.
- For 2025, more than 1.4 million members will benefit from tier
decreases, resulting in reduced costs.
- Wellcare will continue to offer products to meet the unique
needs of Medicare beneficiaries including:
-
- Dual eligibles
- Low-premium "value" shoppers
- Those who need richer coverage
- A five-tier formulary design will be offered on all three
plans.
- Wellcare's plans offer competitive formularies that are
favorable in coverage and tier placement for the top 400 drugs
utilized by Medicare beneficiaries.
- The Value Script plan will continue to offer members a
cost-effective option.
- All plans feature a $0 copay on
Tier 1 prescriptions when filled at a preferred pharmacy.
- PDP members will also pay $0 for
all Medicare covered Part D vaccines and no more than $35 for a 30-day supply of all covered
insulins.
- New for 2025, the Part D benefit consists of three phases:
annual deductible, initial coverage and catastrophic coverage. In
addition, members' out-of-pocket prescription costs will not exceed
$2,000 with the option to pay in the
form of monthly payments over the course of the plan year.
About Wellcare
For more than 20 years, Wellcare has offered a range of
Medicare products, including Medicare Advantage and Medicare
Prescription Drug Plans (PDP), which offer affordable coverage
beyond Original Medicare. Wellcare is the Medicare brand
of Centene Corporation, a leading healthcare enterprise
committed to helping people live healthier lives. Beginning
Jan. 1, 2022, Centene's Medicare
brands, including Allwell, Health Net, Fidelis Care, Trillium Advantage, 'Ohana Health
Plan and TexanPlus transitioned to the Wellcare brand. For more
information about Wellcare, visit www.wellcare.com.
'Ohana Health Plan, a plan offered by WellCare Health Insurance
of Arizona, Inc. Wellcare is the Medicare brand for Centene
Corporation, an HMO, PPO, PFFS, 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. Our plans use a formulary. Washington residents: "Wellcare" is issued by
Coordinated Care of Washington,
Inc., a subsidiary of Centene Corporation. Health Net Life
Insurance Company is contracted with Medicare for PPO plans.
"Wellcare by Health Net" is issued by Health Net Life Insurance
Company. "Wellcare" is issued by WellCare Health Insurance
of Washington, Inc., a subsidiary of Centene Corporation.
"Wellcare" is issued by WellCare Prescription Insurance, Inc. For
accommodations of persons with special needs at meetings, call
[1-877-MY-WELLCARE] TTY (711). There is no obligation to enroll.
Wellcare's pharmacy network includes limited lower-cost, preferred
pharmacies in rural areas of Nebraska. 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 whether there are any lower-cost preferred
pharmacies in your area, please call 1-800-977-7522 (TTY: 711) for
Wellcare Assist Open (PPO), Wellcare Giveback (HMO-POS), and
Wellcare Simple Open (PPO) in NE or consult the online pharmacy
directory at www.wellcare.com/NE. For Louisiana D-SNP
members: As a Wellcare HMO D-SNP member, you have coverage
from both Medicare and Medicaid. You receive your Medicare health
care and prescription drug coverage through Wellcare and are also
eligible to receive additional healthcare services and coverage
through Louisiana Medicaid. Learn more about providers who
participate in Louisiana Medicaid by
visiting www.myplan.healthy.la.gov/en/find-provider or https://www.louisianahealthconnect.com.
For detailed information about Louisiana Medicaid benefits, please
visit the Medicaid website
at https://ldh.la.gov/medicaid and select the "Learn
about Medicaid Services" link. To request a written copy of our
Medicaid Provider Directory, please contact us. 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.
Notice: TennCare is not responsible for payment for these
benefits, except for appropriate cost sharing amounts. TennCare is
not responsible for guaranteeing the availability or quality of
these benefits. Any benefits above and beyond traditional Medicare
benefits are applicable to Wellcare Medicare Advantage only and do
not indicate increased Medicaid benefits. Texas D-SNP prospective
enrollees: For detailed information about Texas Medicaid benefits,
please visit the Texas Medicaid website
at https://www.hhs.texas.gov/services/health/medicaid-chip/medicaid-chip-members/starplus.
To request a written copy of our Medicaid Provider Directory,
please contact us. New Mexico (NM) Dual Eligible Special Needs
Plan (D-SNP) Members: As a Wellcare by Allwell D-SNP member, you
have coverage from both Medicare and Medicaid. Medicaid services
are funded in part by the state of New Mexico. NM Medicaid
benefits may be limited to payment of Medicare premiums for some
members. 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., WellCare National Health Insurance
Company, and SelectCare of Texas,
Inc. Please contact your plan for details. Other
Pharmacies/Physicians/Providers are available in our network.
Y0020_WCM_133812E1_M CMS Accepted
10012024
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SOURCE Wellcare