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WellCare Contracting & Appointment

Headquartered in Tampa, Florida, WellCare Health Plans focuses exclusively on providing government-sponsored managed care services, primarily through Medicaid, Medicare Advantage, and Medicare Prescription Drug Plans.

Over 30 years specializing in Medicare and Medicaid programs, WellCare serves approximately 4.4 million members nationwide as of December 31, 2017; and provides access to approximately 427,000 contracted health care providers.

WellCare is online at WellCare.com and on Facebook, Twitter, LinkedIn, and YouTube.

WellCare Medicare Advantage certification for AHIP 2020

These are Wellcare's current policies and state availability for 2019.

WellCare's History

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 with 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.

Medicare Advantage Prescription Drug Plans (MAPD)

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

WellCare SNP members can be sure of one thing: the quality of their healthcare is top priority. WellCare covers everything that Original Medicare covers and on top of that, other benefits have been added to help stay healthy. For instance, when urgent health care is needed, a conversation with nurses on call can take place. Nurse Advice Line is open 24/7 to help with every health question or concern.

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.

Find Medicare Advantage Plans by County

Insurance carriers do not offer Medicare Advantage Plans in all states or in all counties within a state. Complete this form, and we will be glad to check county availability for you.

We will also send you a contracting kit with that carrier's Medicare Advantage information, including applications, brochures, commissions, and rates.

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Medicare Prescription Drug Plan (PDP, Part D)

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WellCare Prescription Drug Plan (PDP) offers low premiums and no or low co-pays on Tier 1 drugs on the Classic Plan to stretch health care dollars. No deductible and $0 co-payments on Tier 1 drugs on the Extra Plan beginning day one. Zero dollar co-payments for Tier 1 drugs and significant savings on other tiers when using mail service pharmacy that offers preferred cost sharing. Zero dollar or low co-payments for Tier 1 drugs at network retail pharmacies. More than 60,000 network pharmacies nationwide.  

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.

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Let us email you a contracting kit for any of the dozens of insurance carriers we represent. Kits typically include:

  • Updated for 2019 Brochures
  • Commissions
  • Rates
  • Underwriting Guides
  • All specific to your state

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WellCare Appointment & Contracting