WellCare Contracting & Appointment

Centene has acquired WellCare Health Plans and has become one of the largest managed care organizations in the U.S. that now serves 1 in 15 Americans. WellCare’s Medicare Advantage and Part D Prescription Drug Plans are offered under Ascension Complete, AllWell, Fidelis, HealthNet and WellCare brands. They offer government-sponsored healthcare programs in all 50 states. Some states offer only Prescription Drug Plans, while most offer both PDP and Medicare Advantage Plans.

WellCare is online at WellCare.com and on FacebookTwitterLinkedIn, and YouTube.

Founded in 1985 as a Medicaid provider serving the state of Florida, WellCare started offering private insurance to Medicare beneficiaries a decade later as a response to changes in their business model brought about by the Balanced Budget Act of 1997. In 2004 the company went public on the New York Stock Exchange.

WellCare refocused their brand in 2017 to include an emphasis on holistic health. In 2018 CMS awarded the company four out of five stars for the quality of their Medicare plans. That same year, Fortune magazine included them in its World’s Most Admired Companies list.

WellCare Products and State Availability

These are WellCare's current products and state availability for 2021, as well as information on contracting and appointment.

Medicare Advantage

View this information as a web page.

State Availability

Current as of 08/04/2020

AL AR AZ CA CT FL GA IL IN KY LA ME MI MO MS NC NH NJ NV OH SC TN TX WA

Plan Information

Current as of 05/07/2020

WellCare Health Plans focus exclusively on government-sponsored programs like Medicare and Medicaid. WellCare currently offers HMO, HMO-POS, PPO, and Special Needs Plans (SNPs).

Most Medicare Advantage Plans include a Prescription Drug Plan (PDP); Medicare Advantage-Only Plans never include prescription drug coverage. Dual Eligible Special Needs Plans (DE-SNP) must provide Medicare Prescription Drug Coverage.

WellCare’s Medicare Advantage Plans offer coverage beyond basic Medicare and include prescription drug coverage, dental, hearing, vision, fitness, and more.

Moreover, WellCare connects beneficiaries to programs that can help when they need extra support for things like quitting smoking, losing weight or dealing with depression.

Additional plan details include:

  • Predictable costs, low deductibles & co-pays, and caps on out-of-pocket spending.
  • Community Connections Help Line.
  • RNs assigned to close member care gaps & develop personalized care plans.
  • No or low monthly premiums, annual deductibles, and co-pays on primary care, specialist visits, preventive care, and prescription drugs.
  • Lifetime renewals.
  • E-Enroll available.

Some information may vary by state. See state-specific information and rates.

Request a Product Kit for WellCare Medicare Advantage

We’ll email you a kit with brochures, commissions, and rates all specific to the state of your choice.

Request a Kit

Prescription Drug Plan (PDP)

View this information as a web page.

State Availability

Current as of 08/04/2020

AL AR AZ CA CT FL GA IL IN KY LA ME MI MO MS NC NH NJ NY OH SC TN TX WA

Plan Information

Current as of 05/07/2020

Plans offered include WellCare Classic, WellCare Wellness Rx, WellCare Value Script, WellCare Medicare RX Select, WellCare Medicare Rx Saver, and WellCare Rx Value Plus.

Members pay $0 for a 90-day supply of medicine on Tier 1 (Preferred Generic) and Tier 2 (Generic) from CVS Caremark Medication Home Delivery. For Tier 3 (Preferred Brand) & Tier 4 (Non-Preferred Drug), members will only be responsible for a 2-month retail co-pay for a 90-day supply of medication.

Additional benefits:

  • Some plans offer a Flex Card benefit that helps cover out of pocket expenses for ancillary services like dental, vision, and hearing. The Flex Card is a prepaid debit card that may be used to pay providers that accept VISA.
  • Some plans will offer benefits like alternative therapies for pain management including medically necessary acupuncture, massage, and chiropractic services.
  • Also, some states will offer: Fitness trackers and streaming exercise classes available on certain plans.
  • Additional OTC items available and more order method flexibility (phone or web) for select plans with the debit card Over-the-counter benefit.

Enrolling in a stand-alone PDP will not automatically disenroll you from a Private-Fee-for-Service (PFFS) Plan that does not include prescription drug coverage, a Medicare Medical Savings Account (MSA) Plan, or an 1876 Cost Plan. If enrolled in a Medicare Advantage Plan that includes prescription drug coverage; you will be automatically disenrolled from the plan by joining a PDP.

WellCare Health Plans has acquired Aetna’s standalone Medicare Part D Prescription Drug Plans (PDP).

Some information may vary by state. See state-specific information and rates.

Request a Product Kit for WellCare Prescription Drug Plan (PDP)

We’ll email you a kit with brochures, commissions, and rates all specific to the state of your choice.

Request a Kit

WellCare Documents

Explore our up to date library of tens of thousands of files from dozens of carriers, organized by state. Rate sheets, applications, underwriting guides, brochures, and more.

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Quick Links

WellCare

WellCare Producer Certification Requirements for 2022

  • Details refer to certification for WellCare. AHIP certification must be completed separately.
  • WellCare certification for 2022 launches on Wednesday, July 7, 2021.
  • Passing AHIP does not reduce the number of WellCare test modules.
  • Passing score is 85%.
  • 3 attempts.

WellCare Certification Links, Guides, Phone Numbers, Emails

WellCare Producer Certification Requirements for 2022

  • Details refer to certification for WellCare. AHIP certification must be completed separately.
  • WellCare certification for 2022 launches on Wednesday, July 7, 2021.
  • Passing AHIP does not reduce the number of WellCare test modules.
  • Passing score is 85%.
  • 3 attempts.

WellCare Certification Links, Guides, Phone Numbers, Emails

UnitedHealthcare Producer Certification Requirements for 2022

  • Details refer to certification for UnitedHealthcare. AHIP certification must be completed separately.
  • UnitedHealthcare certification for 2022 launches on Monday, June 28, 2021.
    • If the required prerequisite modules are failed an agent will receive no earned renewals during the plan year!
    • Take AHIP first! If you pass AHIP prior to taking the certification, you can skip 5 of the modules in UHC’s certification.
    • UHC allows 6 attempts to pass AHIP.
    • UHC allows 6 attempts per the prerequisite modules.
    • UHC allows 6 attempts per plan module.
    • 3 prerequisites: Medicare Basics, Ethics and Compliance, and AARP Course.
    • AHIP eliminates the need for the Medicare Basics course.
    • 3 modules to complete.
    • 1 optional: CSNP/DSNP.
    • Passing score for UCH certs is 85%.
    • 2021 certifications will cover the remainder of 2020.

UnitedHealthcare Certification Links, Guides, Phone Numbers, Emails

UnitedHealthcare Producer Certification Requirements for 2022

  • Details refer to certification for UnitedHealthcare. AHIP certification must be completed separately.
  • UnitedHealthcare certification for 2022 launches on Monday, June 28, 2021.
    • If the required prerequisite modules are failed an agent will receive no earned renewals during the plan year!
    • Take AHIP first! If you pass AHIP prior to taking the certification, you can skip 5 of the modules in UHC’s certification.
    • UHC allows 6 attempts to pass AHIP.
    • UHC allows 6 attempts per the prerequisite modules.
    • UHC allows 6 attempts per plan module.
    • 3 prerequisites: Medicare Basics, Ethics and Compliance, and AARP Course.
    • AHIP eliminates the need for the Medicare Basics course.
    • 3 modules to complete.
    • 1 optional: CSNP/DSNP.
    • Passing score for UCH certs is 85%.
    • 2022 certifications will cover the remainder of 2021.

UnitedHealthcare Certification Links, Guides, Phone Numbers, Emails

SilverScript Producer Certification Requirements for 2022

  • Details refer to certification for SilverScript. AHIP certification must be completed separately.
  • SilverScript certification for 2022 launches on Tuesday, June 29, 2021.
  • Agents must do 3 things to be ready to sell SilverScript:
    Step #1: Contract with Aetna. This is a requirement to be eligible for commissions on plans with effective dates of 1/1/2022 and later. (Note: If you’re already contracted for Aetna MA/MAPD, you can skip this step, as there’s no additional action you need to take with your contract.)
    Step #2: Complete 2022 certification.
    Step #3: Receive a ready-to-sell notice
  • There are separate certification processes for Aetna MA/MAPD and SilverScript PDP. Completing 2022 Aetna certification does not satisfy the certification requirement for SilverScript.
  • 2022 Certs will NOT cover the remainder of 2021.
  • TAKE AHIP FIRST! If you pass AHIP first you can skip 2 of the 3 SilverScript test modules. 
  • There’s a link on Agent Portal to transmit their AHIP send scores. 
  • In Pinpoint, the direct scores to be sent upon registration for the test, Gorman, agents can use Silver Mail to upload the cert.
  • Passing score is 90%.
  • SilverScript allows 3 attempts.

SilverScript Certification Links, Guides, Phone Numbers, Emails

SilverScript Producer Certification Requirements for 2022

  • Details refer to certification for SilverScript. AHIP certification must be completed separately.
  • SilverScript certification for 2022 launches on Tuesday, June 29, 2021.
  • Agents must do 3 things to be ready to sell SilverScript:
    Step #1: Contract with Aetna. This is a requirement to be eligible for commissions on plans with effective dates of 1/1/2022 and later. (Note: If you’re already contracted for Aetna MA/MAPD, you can skip this step, as there’s no additional action you need to take with your contract.)
    Step #2: Complete 2022 certification.
    Step #3: Receive a ready-to-sell notice
  • There are separate certification processes for Aetna MA/MAPD and SilverScript PDP. Completing 2022 Aetna certification does not satisfy the certification requirement for SilverScript.
  • 2022 Certs will NOT cover the remainder of 2021.
  • TAKE AHIP FIRST! If you pass AHIP first you can skip 2 of the 3 SilverScript test modules. 
  • There’s a link on Agent Portal to transmit their AHIP send scores. 
  • In Pinpoint, the direct scores to be sent upon registration for the test, Gorman, agents can use Silver Mail to upload the cert.
  • Passing score is 90%.
  • SilverScript allows 3 attempts.

SilverScript Certification Links, Guides, Phone Numbers, Emails

Shared Health of MS Producer Certification Requirements for 2022

  • Details refer to certification for Shared Health of MS. AHIP certification must be completed separately.
  • Shared Health of MS has not yet announced their 2022 certification launch date.
  • More information coming soon!

Shared Health of MS Producer Certification Requirements for 2022

  • Details refer to certification for Shared Health of MS. AHIP certification must be completed separately.
  • Shared Health of MS has not yet announced their 2022 certification launch date.
  • More information coming soon!

Mutual of Omaha Producer Certification Requirements for 2022

  • Details refer to certification for Mutual of Omaha. AHIP certification must be completed separately.
  • Mutual of Omaha certification for 2022 launches on Tuesday, June 29, 2021.
  • There are three components to be “Ready to Sell” Medicare Advantage (MA) for Mutual of Omaha Medicare Advantage Company (MOMAC), Medicare Advantage Insurance Company of Omaha, (MAICO) and Prescription Drug Plans (PDP) for Omaha Health Insurance Company (OHIC). All three components must be completed.
        1. Contracting
        2. AHIP Certification
        3. Product Training
  • Passing score for Mutual of Omaha product training is 85%.
  • 3 attempts.
  • Must pass AHIP and two Mutual of Omaha courses: Medicare Advantage and Prescription Drug. 
  • Training is only accessible to agents who are contracted with Mutual of Omaha for that product.
  • 2021 certs will cover the remainder of 2020.

Mutual of Omaha Certification Links, Guides, Phone Numbers, Emails

Mutual of Omaha Producer Certification Requirements for 2022

  • Details refer to certification for Mutual of Omaha. AHIP certification must be completed separately.
  • Mutual of Omaha certification for 2022 launches on Tuesday, June 29, 2021.
  • There are three components to be “Ready to Sell” Medicare Advantage (MA) for Mutual of Omaha Medicare Advantage Company (MOMAC), Medicare Advantage Insurance Company of Omaha, (MAICO) and Prescription Drug Plans (PDP) for Omaha Health Insurance Company (OHIC). All three components must be completed.
        1. Contracting
        2. AHIP Certification
        3. Product Training
  • Passing score for Mutual of Omaha product training is 85%.
  • 3 attempts.
  • Must pass AHIP and two Mutual of Omaha courses: Medicare Advantage and Prescription Drug. 
  • Training is only accessible to agents who are contracted with Mutual of Omaha for that product.
  • 2021 certs will cover the remainder of 2020.

Mutual of Omaha Certification Links, Guides, Phone Numbers, Emails

Humana Producer Certification Requirements for 2022

  • Details refer to certification for Humana. AHIP certification must be completed separately.
  • Humana certification for 2022 launches on Tuesday, June 29, 2021.
  • This year Humana will be accepting both AHIP and NAHU.
  • 2021 Certs will cover the remainder of 2020.
  • At the conclusion of Certification & Recertification this year, all agents will be certified to sell all Humana products!

Certification Links, Guides, Phone Numbers, Emails

Humana Producer Certification Requirements for 2022

  • Details refer to certification for Humana. AHIP certification must be completed separately.
  • Humana certification for 2022 launches on Tuesday, June 29, 2021.
  • This year Humana will be accepting both AHIP and NAHU.
  • 2021 Certs will cover the remainder of 2020.
  • At the conclusion of Certification & Recertification this year, all agents will be certified to sell all Humana products!

Certification Links, Guides, Phone Numbers, Emails

First Looks Available – Click Here to Download

Cigna Medicare Producer Certification Requirements for 2022

  • Details refer to certification for Cigna Medicare. AHIP certification must be completed separately.
  • Cigna Medicare certification launches Thursday, July 1, 2021.
  • AHIP, Gorman or Pinpoint is required prior to certification.
  • No modules alleviated by passing AHIP or Pinpoint.
  • Passing score is 85%. You have 3 attempts.
  • Fail any module 3 times, agent will have to call the HAAL agent assistance line – 866-442-7516.
  • Agencies must log in with the agency NPN to complete attestation.
  • Face-to-face training is not required but is recommended as a supplement – especially for new agents.
  • 2022 Certs will cover the remainder of 2021.

Cigna Medicare Certification Links, Guides, Phone Numbers, Emails

Cigna Medicare Producer Certification Requirements for 2022

  • Details refer to certification for Cigna Medicare. AHIP certification must be completed separately.
  • Cigna Medicare certification launches Thursday, July 1, 2021.
  • AHIP, Gorman or Pinpoint is required prior to certification.
  • No modules alleviated by passing AHIP or Pinpoint.
  • Passing score is 85%. You have 3 attempts.
  • Fail any module 3 times, agent will have to call the HAAL agent assistance line – 866-442-7516.
  • Agencies must log in with the agency NPN to complete attestation.
  • Face-to-face training is not required but is recommended as a supplement – especially for new agents.
  • 2022 Certs will cover the remainder of 2021.

Cigna Medicare Certification Links, Guides, Phone Numbers, Emails

BlueCross BlueShield of TN Producer Certification Requirements for 2022

  • Details refer to certification for BlueCross BlueShield of TN. AHIP certification must be completed separately.
  • BlueCross BlueShield of TN’s 2022 certification launch date has not yet been announced.
  • More information coming soon!

BlueCross BlueShield of TN Producer Certification Requirements for 2022

  • Details refer to certification for BlueCross BlueShield of TN. AHIP certification must be completed separately.
  • BlueCross BlueShield of TN’s 2022 certification launch date has not yet been announced.
  • More information coming soon!

Amerigroup Producer Certification Requirements for 2022

  • Details refer to certification for Amerigroup. AHIP certification must be completed separately.
  • Amerigroup’s certification for 2022 launches on Wednesday, June 30, 2021.
  • Passing score is 90%.
  • 3 attempts.
  • Certifying for 2022 allows the sale of 2021 products.

Amerigroup Certification Links, Guides, Phone Numbers, Emails

Amerigroup Producer Certification Requirements for 2022

  • Details refer to certification for Amerigroup. AHIP certification must be completed separately.
  • Amerigroup’s certification for 2022 launches on Wednesday, June 30, 2021.
  • Passing score is 90%.
  • 3 attempts.
  • Certifying for 2022 allows the sale of 2021 products.

Amerigroup Certification Links, Guides, Phone Numbers, Emails

Aetna Producer Certification Requirements for 2022

  • Details refer to certification for Aetna. AHIP certification must be completed separately.
  • Aetna certification for 2022 launches on Tuesday, June 29, 2021.
  • Passing AHIP does not reduce the number of Aetna test modules.
  • Passing score is 90% for Aetna courses and 90% for AHIP.
  • 3 attempts are allowed for Aetna courses and 90% for AHIP.
  • 2022 certs will cover the remainder of 2021.

Aetna Certification Links, Guides, Phone Numbers, Emails

Aetna Producer Certification Requirements for 2022

  • Details refer to certification for Aetna. AHIP certification must be completed separately.
  • Aetna certification for 2022 launches on Tuesday, June 29, 2021.
  • Passing AHIP does not reduce the number of Aetna test modules.
  • Passing score is 90% for Aetna courses and 90% for AHIP.
  • 3 attempts are allowed for Aetna courses and 90% for AHIP.
  • 2022 certs will cover the remainder of 2021.

Aetna Certification Links, Guides, Phone Numbers, Emails