Wellcare Prescription Drug Plan 2024

Wellcare is thankful for the opportunity to provide you with your Medicare Part D prescription drug benefits. There is a change to our 2024 Formulary (drug list) which may affect one (or more) of the medications you currently take.

If you are currently enrolled in a Wellcare prescription drug plan and take Symbicort, please be aware that this medication will no longer be covered on your plan’s formulary beginning January 1, 2024.

If you have questions, we’re here to help! You can chat live with a representative in our Member Portal or call us at 1-888-550-5252 (TTY 711). Representatives are available to take your call Monday-Friday from 8 a.m. to 8 p.m. (Between October 1 and March 31, representatives are available Monday-Sunday, 8 a.m. to 8 p.m.).

Medicare Part D prescription drug plans are also known as PDPs. Medicare Part D is a government program that offers prescription drug insurance to everyone who is entitled to Medicare Part A and/or enrolled in Medicare Part B.

When you are ready to decide on a plan, take the time to understand how the plans work. That way, you can make an informed decision and choose the plan that’s right for you.

Different PDPs Cover Different Drugs

The federal government has specific guidelines for the types of medications we must cover as well as a minimum standard of benefits we must follow.

Each plan has a formulary (a list of covered drugs) that meets these requirements as required by law. Keep in mind, not all plans are the same. They may vary in cost or specific drugs covered.

If you enroll in a Medicare Part D plan, please review the plan’s formulary to ensure it will meet your prescription drug coverage needs.

If You Have a Current Medicare Advantage Plan

If your Medicare Advantage Plan includes prescription drug coverage and you join a Medicare PDP, you will be disenrolled from your Medicare Advantage Plan and returned to Original Medicare with your Medicare PDP.

Medicare Drug Coverage (Part D) Late Enrollment Penalty

The late enrollment penalty is an amount that’s added to your monthly Medicare drug plan (Part D) premium. You may owe a late enrollment penalty if at any time after your Initial Enrollment Period is over, there’s a period of 63 or more days in a row when you don’t have Medicare drug coverage or other credible prescription drug coverage. You will generally have to pay the penalty for as long as you have Medicare drug coverage.

When It Comes to Coverage, You Have Options:

• You can get Medicare prescription drug coverage through a Medicare PDP (Part D).
• You can sign up for a Medicare Advantage plan (HMO or PPO) or other Medicare health plan that offers Medicare prescription drug coverage.

More Savings. More Coverage. Caring Service

• Wellcare offers plans designed to help those eligible for Extra Help (Low Income Subsidy) where members may pay no or low premiums and copays if enrolled
• Low premium plans are also available in all states with copays starting as low as $0 when filled at preferred pharmacies
• Wellcare also offers plans with no deductible which means the plan begins covering prescription drug costs on day one
• Thousands of network pharmacies are available nationwide in our network including national, regional and local chains, grocers and independent pharmacies
• We partner with preferred pharmacies to help save member’s money. Preferred pharmacies in our network include many well-known national and regional retailers. Use our
  Find a Provider tool to find a preferred pharmacy closest to you