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Thank you for being a Prescription Drug Plan Member!

Here you can quickly get to the documents and forms that are specific to your plan.

This plan provides coverage for outpatient prescription drugs covered under Medicare Part D. It features a nationwide network of pharmacies which includes pharmacies with preferred cost-sharing, which may offer lower cost-sharing than standard network pharmacies.

Wellcare Value Script features a low premium and $0 copays for Tier 1 prescriptions when filled at a preferred cost share pharmacy.

Plan Specific Documents

This document includes any changes in coverage, costs or service area between your previous and current plan year.

This document provides some of the features of this plan. For a complete list of benefits, see your Evidence of Coverage.

This document includes a legal, detailed description of your benefits and costs as a member.

Use this form to enroll in a Prescription Drug Plan.

Star Ratings judge how well Medicare health and drug plans perform in different categories. They are distributed by Medicare. Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next.

Related Materials

This document includes information about multi-language interpreter services for speakers of Arabic, Chinese Cantonese, Chinese Mandarin, French Creole, French, German, Hindi, Italian, Japanese, Korean, Polish, Portuguese, Russian, Spanish, Tagalog, and Vietnamese.

Looking for your PDP member ID card? View, print, or order a replacement card through the secure member portal. In a hurry? Print a temporary ID card now.

Use this form to authorize us to withdraw your monthly premiums from your bank.

Complete this form to request reimbursement for covered medical services that you paid for out of pocket.

Complete this form to request reimbursement/refund for covered prescription drugs that you paid full price for.

This form confirms your request for a particular person to act as your representative in connection with a claim.

Each member requesting to be disenrolled must complete their own form.

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Y0020_WCM_134133E_M Last Updated On: 8/15/2023
On April 22, 2024, UnitedHealth Group issued a press release, providing an update on the Change Healthcare cybersecurity incident that occurred on Feb. 21, 2024. Given the size of the data impacted, the investigation to determine whose data is impacted is expected to take several months. UnitedHealth Group believes this situation will impact “a substantial proportion of people in America” and is offering immediate credit monitoring and identity protection services, as well as a dedicated contact center to address questions. Visit Change Healthcare Cyberattack Support and/or reach out to the contact center at 1-866-262-5342 regarding any questions.