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A formulary is a list of medications covered by a plan(s). We work with a team of health care providers to select prescription medications we believe are a necessary part of a quality treatment program.

We generally cover the medications listed in our formulary as long as they meet the following criteria:

  • Medically necessary
  • Filled at a WellCare network pharmacy
  • Other plan rules are followed

The following table outlines formulary details by plan and links to the specific area of the online formulary tool where the specific drug information are located.

Note: There are three ways to locate a drug using the Formulary Tool: alphabetically, by name and/or therapeutic class. Download the Formulary Tool Guide for further assistance.

2019 Table This PDF document will open in a new window.

Click the tabs under Important Information to expand details related to application and enrollment, formularies, agent news, and WellCare points of contact!

Important Information

Formularies

A formulary is a list of medications covered by a plan(s). We work with a team of health care providers to select prescription medications we believe are a necessary part of a quality treatment program.

We generally cover the medications listed in our formulary as long as they meet the following criteria:

  • Medically necessary
  • Filled at a WellCare network pharmacy
  • Other plan rules are followed

The following table outlines formulary details by plan and links to the specific area of the online formulary tool where the specific drug information are located.

Note: There are three ways to locate a drug using the Formulary Tool: alphabetically, by name and/or therapeutic class. Download the Formulary Tool Guide for further assistance.

2019 Table This PDF document will open in a new window.

Application & Enrollment

We offer different electronic application methods that can be used to compliantly submit an application and record credit for the enrollment to the agent of record.

Personalized URL (PURL)

A PURL is a non-agent-assisted, online application tool where beneficiaries can self-enroll into a WellCare plan within your book of business. The PURL is available/emailed to active certified agents just 7-10 days after all certification requirements are successfully completed. A PURL is assigned to an agent using the following format:

Agents have the flexibility to market their PURL to Medicare beneficiaries via the following:

  • Business card
  • Flyer
  • Website
  • Social Media pages

By utilizing the PURL, beneficiaries have access to a plan compare tool that will provide an overview of each benefit available in their market. Once the plan selection is made, the beneficiary can continue with the online application.

After submission and processing, the agent will receive credit for the enrollment. Commissions will reflect on your statement in the Agent Connect portal.

Note: Agents cannot complete the online application on behalf of the beneficiary, or assist the beneficiary with completion of the application via the PURL.

Electronic Application

The agent-assisted electronic application portal is a secured, compliant method for enrolling a beneficiary in a WellCare plan. In order to assist the beneficiary with an online application, Scope of Appointment (SOA) must be obtained through the Appointment Verification Line (AVL). The Appointment Verification Line (AVL) telephonically records SOA via a phone call with the beneficiary, and the number is different for MAPD and PDP lines of business.  

Paper Application Submission

Agents must compliantly document scope of appointment (SOA) on a paper SOA form prior to enrollment through a paper application. Agents are required to submit paper applications by faxing both the SOA and application to the MAPD line at 866-473-9124 or the PDP line at 866-388-1521.

Agent News

Access prior WellCare communications by visiting our Archived News Site.

WellCare Contacts

Access points of contact related to your inquiries.

  • Formularies

    Formularies

    A formulary is a list of medications covered by a plan(s). We work with a team of health care providers to select prescription medications we believe are a necessary part of a quality treatment program.

    We generally cover the medications listed in our formulary as long as they meet the following criteria:

    • Medically necessary
    • Filled at a WellCare network pharmacy
    • Other plan rules are followed

    The following table outlines formulary details by plan and links to the specific area of the online formulary tool where the specific drug information are located.

    Note: There are three ways to locate a drug using the Formulary Tool: alphabetically, by name and/or therapeutic class. Download the Formulary Tool Guide for further assistance.

    2019 Table This PDF document will open in a new window.

  • Application & Enrollment

    Application & Enrollment

    We offer different electronic application methods that can be used to compliantly submit an application and record credit for the enrollment to the agent of record.

    Personalized URL (PURL)

    A PURL is a non-agent-assisted, online application tool where beneficiaries can self-enroll into a WellCare plan within your book of business. The PURL is available/emailed to active certified agents just 7-10 days after all certification requirements are successfully completed. A PURL is assigned to an agent using the following format:

    Agents have the flexibility to market their PURL to Medicare beneficiaries via the following:

    • Business card
    • Flyer
    • Website
    • Social Media pages

    By utilizing the PURL, beneficiaries have access to a plan compare tool that will provide an overview of each benefit available in their market. Once the plan selection is made, the beneficiary can continue with the online application.

    After submission and processing, the agent will receive credit for the enrollment. Commissions will reflect on your statement in the Agent Connect portal.

    Note: Agents cannot complete the online application on behalf of the beneficiary, or assist the beneficiary with completion of the application via the PURL.

    Electronic Application

    The agent-assisted electronic application portal is a secured, compliant method for enrolling a beneficiary in a WellCare plan. In order to assist the beneficiary with an online application, Scope of Appointment (SOA) must be obtained through the Appointment Verification Line (AVL). The Appointment Verification Line (AVL) telephonically records SOA via a phone call with the beneficiary, and the number is different for MAPD and PDP lines of business.  

    Paper Application Submission

    Agents must compliantly document scope of appointment (SOA) on a paper SOA form prior to enrollment through a paper application. Agents are required to submit paper applications by faxing both the SOA and application to the MAPD line at 866-473-9124 or the PDP line at 866-388-1521.

  • Agent News

    Agent News

    Access prior WellCare communications by visiting our Archived News Site.

  • WellCare Contacts

    WellCare Contacts

    Access points of contact related to your inquiries.

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Last Updated On: 5/31/2019