Medicare Advantage Plans
Do you have questions? We have answers. Give us a call at (877) 841-6072 (TTY 711) to have any of your Medicare or Prescription Drug Plan questions answered now or browse our FAQs below. WellCare licensed agents are here to help 8:00am – 8:00pm, 7 days a week.
You are eligible for Medicare benefits if you are:
Medicare is a federal health insurance program. Generally, you are eligible for Medicare if you are 65-years of age or older, or if you are under the age of 65 with certain disabilities. The federal agency that administers Medicare is the Centers for Medicare & Medicaid Services (CMS). Medicare Advantage Plans are a type of Medicare health plan offered by a private company, such as WellCare, that contracts with CMS to provide you with all your Part A and Part B benefits. Most Medicare Advantage Plans also offer prescription drug coverage. Consumers who qualify for Original Medicare can choose to enroll in Medicare Advantage plans; it is not a requirement to receive coverage through Original Medicare.
There are four components of Medicare insurance:
Medicare pays for many health care services to prevent illness (such as a flu shot) or to help detect an illness in the early stages so it can be managed before getting worse (such as cancer screening). Ask your doctor what tests you need and how often you need them.
Original Medicare does not cover routine dental care or common dental procedures such as cleanings, fillings, extractions or dentures. Some Medicare Advantage plans, including WellCare, may include dental care as an added benefit. Call us to see if dental care is available in your area.
Original Medicare covers services for the diagnosis and treatment of eye disease both in your doctor’s office and the hospital, such as treatment of glaucoma and cataracts. Routine eye care, eyeglasses and contact lenses are not covered. Some Medicare Advantage plans, including WellCare, may include vision care as an added benefit. Call us to see if vision care is available in your area.
If you already do not have creditable prescription drug coverage, you must join a plan approved by Medicare. Some Medicare Advantage plans, like WellCare, include prescription drug coverage. However, if it is not included, you have the option of joining a stand-alone Prescription Drug Plan (PDP). Benefits may vary by plan, so call us for details on the plans available in your area.
Focus on the benefits that are most important to you – such as the network of doctors, prescription drug coverage, etc. You can easily eliminate the plans that don’t offer those benefits. Then consider not only current health care costs, but future costs. Specific things you should compare: premiums, deductibles, co-payments and coinsurance. And call WellCare with any questions about any of our plans, we’ll help you sort through the options.
During the Initial Coverage Election Period, you can enroll for a period of seven months – the three months before the month you turn 65 through the three months after the month you turn 65. You can also enroll and make changes during the Annual Enrollment Period, which takes place October 15 to December 7 every year. There are also Special Election Periods throughout the year for specific situations that may allow you to make plan changes outside of the Annual Enrollment Period. Contact us for more information.
Absolutely. You can contact CMS by calling 1-800-MEDICARE, or 1-800-633-4227 (TTY 1-877-486-2048) 24 hours a day, 7 days a week. Or visit their website at www.medicare.govClicking here will redirect you to a new website. to get up-to-date information about Medicare. The site also has information about hospitals, nursing homes, physicians, home health agencies, and dialysis facilities – including booklets you can print directly from your computer. You will also find Medicare contacts for your state.
It’s possible. You don’t lose your Medicare benefits when you join our plan. However, there are limits on when and how often you can change your Medicare Advantage plan. Contact us to find out more.
Your Medicare Part B premium is automatically deducted from your Social Security or Railroad Retirement Board benefit check each month but if you select a WellCare plan with a "Part B Dividend", you’ll get to keep more of those hard-earned dollars in your check. It’s yet another way WellCare helps you get more from your Medicare.
You will not have to pay a monthly premium for Medicare Part A if you, or your spouse, paid Medicare payroll taxes while working. However, if you and your spouse did not work, or did not pay enough Medicare payroll taxes while working, then you may not be eligible for free Part A premiums.
If you have limited income and resources, you have several options to help with medical and drug costs, like your premiums, deductibles, and other out-of-pocket expenses. Available programs include Extra Help (Low-Income Subsidy), State Pharmaceutical Assistance Programs and Pharmaceutical Assistance Programs. Call WellCare to determine if you are eligible for these programs.
Anytime. You do not have to wait for the Annual Enrollment Period. You can join, switch, or drop your Medicare Advantage Plan or Medicare prescription drug coverage anytime throughout the year.
Yes you do. There are two main choices for getting your Medicare – Original Medicare or a Medicare Advantage Plan. If you choose Original Medicare (Part A and Part B), you will also have the option to enroll in a Prescription Drug Plan (Part D). Or you can choose a Medicare Advantage Plan, which gives you everything you get with Original Medicare and more. WellCare also offers Medicare Advantage plans that include drug coverage, so you would not need separate Part D coverage. Call us to find out which specific plans are available in your area.
Yes. If you are actively working and have insurance coverage, you may be able to delay enrollment in Parts B and D without a penalty. However, if you don’t qualify for a later enrollment, you may end up paying higher premiums for the rest of your life. It is important that you check with your employer regarding your current plan’s rules. Your group insurance may require that you get Part B. Comparing costs and benefits will help you decide whether to select a prescription drug plan now, or later. Talk with your employer. Or, call us and we’ll give you the information you need to make your decisions.
Your initial enrollment period starts the three months before the month you turn 65 and end three months after. You then have a chance each year to make changes to your plans for the following year. That is called the Annual Enrollment Period, it takes place from October 15 through December 7. At that time you can change or switch your Medicare Advantage plans. You can also join, change, switch or drop your Medicare prescription drug plan. Special circumstances will allow changes at other times of the year. Please visit www.medicare.govClicking here will redirect you to a new website. for details.
Your exact plan may not be available at your new address. Plans vary county by county and state by state. You should first contact your plan. Find out if your coverage will still be available, or if there are different options available to you.
If you tell your plan before you move, you can switch plans beginning the month before your move and for the two full months after you move. If you tell your plan after you move, you can make changes during the month you tell your plan, plus the two full months following.
The rules are a little different. If you are moving into a care facility, you can join, switch, or drop coverage anytime of the year for as long as you live in the facility. If you are moving out of a care facility, you have the two full months after the month you move out of the facility to make your changes.
If you have a question that isn’t listed here, or if you need any information regarding your WellCare health plan coverage, please call us at (877) 841-6072 (TTY 711).Enroll Now
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