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Important Information

For important information about WellCare’s Medicare Advantage coverage including eligibility, benefits and more, please see our Conditions and Limitations page.

You have the right to file a grievance or provide feedback directly to Medicare about our plan. Complete and submit the Medicare Feedback and Complaint Form

Medicare has an Office of the Medicare Ombudsman (OMO) that can help you with complaints, grievances and information requests. Visit Medicare.gov for more information about Medicare and/or assistance with complaints and grievances.  

WellCare (HMO) is a Medicare Advantage organization with a Medicare contract. Enrollment in WellCare (HMO) depends on contract renewal.  

You must continue to pay your Medicare Part B premium.  

How to access coverage in the event of a disaster or local emergency.

In the event of an emergency or natural disaster, WellCare is committed to helping you continue to access care easily. In a time of crisis, we will:

Medical Benefits
  • Allow you access to visit non-participating providers
  • Waive authorization requirements of your medical covered services
  • Impose a less expensive in-network copayment and cost share amounts if you need to see a provider who is not part of our network
  • Waive notification requirements as long as all changes (such as waiving authorizations) benefit you
Pharmacy Benefit
  • Allow you to fill medications sooner than usual to ensure you have what you need during the emergency 
These actions will be in effect through the emergency declaration period. Disasters/Emergencies may be declared by the U.S. Government, the Federal Emergency Management Agency (FEMA), or the Governor of any state. Typically, the source which declares the disaster will clarify when the disaster or emergency is over. If however, the disaster or emergency timeframe has not been closed 30 days from the initial declaration, and if CMS has not indicated an end date to the disaster or emergency, the company should resume normal operations 30 days from the initial declaration.

WellCare also offers Special Needs Plans (SNP) to qualifying individuals. To enroll in a Special Needs Plan, please contact us for more information.

  • Disclaimers

    For important information about WellCare’s Medicare Advantage coverage including eligibility, benefits and more, please see our Conditions and Limitations page.

    You have the right to file a grievance or provide feedback directly to Medicare about our plan. Complete and submit the Medicare Feedback and Complaint Form

    Medicare has an Office of the Medicare Ombudsman (OMO) that can help you with complaints, grievances and information requests. Visit Medicare.gov for more information about Medicare and/or assistance with complaints and grievances.  

    WellCare (HMO) is a Medicare Advantage organization with a Medicare contract. Enrollment in WellCare (HMO) depends on contract renewal.  

    You must continue to pay your Medicare Part B premium.  

  • How to access coverage in the event of a disaster or local emergency.

    How to access coverage in the event of a disaster or local emergency.

    In the event of an emergency or natural disaster, WellCare is committed to helping you continue to access care easily. In a time of crisis, we will:

    Medical Benefits
    • Allow you access to visit non-participating providers
    • Waive authorization requirements of your medical covered services
    • Impose a less expensive in-network copayment and cost share amounts if you need to see a provider who is not part of our network
    • Waive notification requirements as long as all changes (such as waiving authorizations) benefit you
    Pharmacy Benefit
    • Allow you to fill medications sooner than usual to ensure you have what you need during the emergency 
    These actions will be in effect through the emergency declaration period. Disasters/Emergencies may be declared by the U.S. Government, the Federal Emergency Management Agency (FEMA), or the Governor of any state. Typically, the source which declares the disaster will clarify when the disaster or emergency is over. If however, the disaster or emergency timeframe has not been closed 30 days from the initial declaration, and if CMS has not indicated an end date to the disaster or emergency, the company should resume normal operations 30 days from the initial declaration.

  • Special Needs

    WellCare also offers Special Needs Plans (SNP) to qualifying individuals. To enroll in a Special Needs Plan, please contact us for more information.

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Last Updated On: 10/1/2017