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Overview & Resources

WellCare partners with providers to develop and deliver high-quality, cost-effective health care solutions. We understand that maintaining a healthy community starts with providing care to those who need it most. We are committed to improving the quality of life of our millions of members, who often include some of our nation's most vulnerable populations.

Resources


Get detailed health plan information on important topics such as coverage procedures and policies.

Contains key phone numbers and information on claims, appeals and more.

Details the various tools available to help providers do business with WellCare.

Guide to using self-service features in the provider portal.

How to quickly get in touch with WellCare to get your questions answered.

At WellCare Health Plans, we value everything you do to deliver quality care to our members – your patients – and to make sure they have a positive healthcare experience. That’s why we are offering a $50 bonus to providers who schedule exams with members between Oct. 1, 2018 and Dec. 31, 2018, and close care gaps to ensure our Medicare members receive important medical services by the end of 2018.

Hearing Supplemental Codes Quick Reference Guide

Vision Supplemental Codes Quick Reference Guide

Preventive Plus Dental Plan

Dental 500 Plan

Quality care is a team effort. Thank you for playing a starring role!

Dental 750 Plan

Dental Plans: 1000, 1500, 2000, 2500, 3000 and 5000

A STAR score is a rating system used by Center for Medicare and Medicaid Services (CMS) to measure how well healthcare plans perform in categories such as quality of care and customer service. Ratings range from 1 STAR (poorest quality) to 5 STARS (highest quality).

Medicare Provider/Facility Tip Sheets

Follow-Up After Emergency Department Visit For People With High-Risk Multiple Chronic Conditions (FMC)

Hospitalization for Potentially Preventable Complications (HPC)

Follow-Up After Emergency Department Visit For People With High-Risk Multiple Chronic Conditions (FMC) Medicare Beneficiaries

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Last Updated On: 4/15/2020