November 9, 2023
Effective Jan. 1, 2024, vision administration for all medical and surgical eye care claims for Wellcare^ Medicare Advantage plans in Louisiana, Mississippi, and New Hampshire will transition to Wellcare.
You will continue to be reimbursed under your current contracted rates and there will be no changes to your current provider agreement. Envolve Vision will continue to administer the medical and surgical vision benefit for the remainder of 2023.
Medicare Advantage claims with a date of service on or after January 1, 2024 should be submitted to the new vision benefit administrator listed below:
| State | Routine Eye Care Services | Medical Eye Services performed by an Optometrist | Medical Eye Services performed by an Ophthalmologist |
|---|---|---|---|
| LA, MS, NH | Premier Eye Care | Wellcare | Wellcare |
Payor Ids: Wellcare 14163
Address: Wellcare PO Box 31224, Tampa, FL 33631
Where applicable, Envolve will continue to administer vision benefits for Medicaid and/or Ambetter (Health Insurance Marketplace) products in your market.
If you have any questions, please contact your provider relations representative. Thank you for partnering with us to provide quality healthcare to our members.
* Ascension Complete will be rebranded as Wellcare in 2024
^ Wellcare includes Wellcare, Wellcare By Allwell, Wellcare By Health Net and Wellcare By Trillium
