Important things you should do or know before enrolling: When you click on the enrollment button and complete the application, you are requesting to enroll in our plan. On completion of the application, you will receive a notice of (acceptance or denial) of your application within 10 calendar days. Benefits vary by plan and location. Please review the Summary of Benefits and Evidence of Coverage for coverage and plan rules. Also review the pharmacy lists to see which doctors and / or pharmacies are in our network by using the search on the right side of this page.. The plans that cover Medicare Part D drugs use a Drug List (Formulary); please review it to see which drugs we cover. Benefits, formulary, pharmacy network, premium and/or co-pays/coinsurance may change annually. You must live in the plan's service area.  If you move out of your county or parish, you need to notify the plan so you can disenroll or find a plan in your new area. People with Medicare aren't usually covered under Medicare while out of the country except for limited coverage near the U.S. border. Please refer to your Evidence of Coverage document for details.

There are four easy ways to enroll (Beginning November 15th, we are accepting applications for January 1, 2010 effective dates): Call the number above to speak with a WellCare representative Sunday–Saturday 8am–9pm Eastern Download a PDF of the 2010 Enrollment Application:      English      Spanish Online Enrollment with WellCare Online Enrollment with Medicare

Enrollment in our plan is generally for the entire year. Once you enroll, you may leave the plan or make changes only at certain times of the year (example: Annual Enrollment from November 15 - December 31 every year); however, this may not apply to people who are eligible Medicare and Medicaid or who just qualified for extra help. Please contact us if you are unsure about when you can join or leave our plan. You must keep your Medicare Parts A and B and continue to pay your Medicare Part B premium if not otherwise paid for under Medicaid or by another third party. You may be enrolled in only one Medicare Advantage plan at a time. Enrollment in our plan will automatically end your enrollment in another Medicare Advantage health plan or Prescription Drug Plan. Beginning on the date your WellCare coverage begins, all of your health care services, except for emergency or urgently needed services or out-of-area dialysis services must be given or arranges by a WellCare network provider. You may need to get authorization before getting certain services. Read the Evidence of Coverage to confirm which services require authorization. If you do not follow the plan rules, our plan and Original Medicare will NOT pay for the services. Counseling services may be available in your state to provide advice concerning Medicare supplement insurance or other Medicare Advantage or Prescription Drug plan options as well as medical assistance through the state Medicaid program and the Medicare Savings Program. If enrolling in one of our plans that do not cover Medicare Part D prescription drugs note that if you don' t have Medicare prescription drug coverage or creditable prescription drug coverage (as good as Medicare's), you may have to pay a late enrollment penalty. If you are enrolling in a Plan that has a reimbursement for your Part B coverage: The reimbursement is set up by Medicare and administered by the Social Security Administration (SSA). If your payment is deducted from your Social Security check, you will see an increase in your Social Security check. If it is paid directly to Medicare, you will receive a credit on your Medicare Part B statement. Reimbursements typically take up to 3 months to be issued; however, if this is the case, you will receive full credit once it is set up. If you are on Medicaid, your Part B premium may be paid by the state. Therefore, you will not receive a reimbursement for the premium. People with limited incomes may qualify for extra help to pay for their prescription drug costs. If eligible, Medicare could pay for up to one hundred (100) percent of drug costs including monthly prescription drug premiums, annual deductibles and coinsurance. Additionally, those who qualify will not be subject to the coverage gap or a late enrollment penalty. Many people are eligible for these savings and don't even know it. For more information about this Extra help, contact your local Social Security office or call 1-800-MEDICARE (1-800-633-4227), 24 hours a day, 7 days a week. TTY users can call 1-877-486-2048. If you have health coverage from an employer or union, joining WellCare may cause you to lose your employer coverage or your union coverage. Once you are a member of WellCare, you have the right to appeal plan decisions about payment or services if you disagree. Please read the Evidence of Coverage to know which rules you must follow in order to receive coverage from this plan. By joining this Medicare health plan, you acknowledge that WellCare will release your information to Medicare and other plans as necessary for treatment, payment and health care operations. In addition, Medicare may release it for research and other purposes that follow all applicable federal statutes and regulations. The Medicare program rates how well plans perform in different categories (for example, detecting and preventing illness, ratings from patients and customer service). Go to the CMS website at www.medicare.gov and select Compare Medicare Prescription Drug Plans or Compare Health Plans and Medigap Policies in Your Area to compare the plan ratings for Medicare plans in your area. You can also call Customer Service. Our plan is a Medicare Advantage plan and has a contract with the federal government. By law, we can choose not to renew our contract with the Centers for Medicare and Medicaid Services (CMS) and CMS may also refuse to renew the contract. This may result in termination of your enrollment in our plan. Additionally, we may reduce our service area and no longer offer services in the area where you live. The information provided within this enrollment application is correct to the best of your knowledge. If you intentionally provide false information, you will be disenrolled from the plan.

 

Last modified: 06/17/2010