2020 Medicare Advantage Plan Services for
WellCare Advance (HMO-POS)
WellCare Advance (HMO-POS) H1416-058 is a 2020 Medicare Advantage Plan or Medicare Part-C plan by WellCare available to residents in Arkansas. This plan does not provide additional Medicare prescription drug (Part-D) coverage. The WellCare Advance (HMO-POS) has a monthly premium of $- and has an in-network Maximum Out-of-Pocket limit of $4,500 (MOOP). This means that if you get sick or need a high cost procedure the co-pays are capped once you pay $4,500 out of pocket. This can be a extremely nice safety net.
WellCare Advance (HMO-POS) is a Local HMO *. With a health maintenance organization (HMO) you will be required to receive most of your health care from an in-network provider. Health maintenance organizations require that you select a primary care physician (PCP). Your PCP will serve as your personal doctor to provide all of your basic healthcare services. If you require specialized care or a physician specialist, your primary care physician will make the arrangements and inform you where you can go in the network. You will need your PCPs okay, called a referral. Services received from an out-of-network provider are not typically covered by the plan.
WellCare works with Medicare to provide significant coverage beyond Part A and Part B benefits. If you decide to sign up for WellCare Advance (HMO-POS) you still retain Original Medicare. But you will get additional Part A (Hospital Insurance) and Part B (Medical Insurance) coverage from WellCare and not Original Medicare. With Medicare Advantage Plans you are always covered for urgently needed and emergency care. Plus you receive all of the benefits of Original Medicare from WellCare except hospice care. Original Medicare still provides you with hospice care even if you sign up for a Medicare Advantage Plan.
Ready to Enroll?
Click Here |
Or Call
1-855-778-4180
Mon-Sat 8am-11pm EST
Sun 9am-6pm EST
2020 WellCare Medicare Advantage Plan Details
| Name: | WellCare Advance (HMO-POS) |
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| ID: | H1416-058 |
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| Provider: | WellCare |
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| Year: | 2020 |
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| Type: | Local HMO * |
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| Monthly Premium C+D: | $- |
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| Part C Premium: | |
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| MOOP: | $4,500 |
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Ratings for WellCare Advance (HMO-POS) H1416
| 2019 Overall Rating | | |
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| Part C Summary Rating | | |
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| Part D Summary Rating | | |
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| Staying Healthy: Screenings, Tests, Vaccines | | |
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| Managing Chronic (Long Term) Conditions | | |
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| Member Experience with Health Plan | | |
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| Complaints and Changes in Plans Performance | | |
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| Health Plan Customer Service | | |
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| Drug Plan Customer Service | | |
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| Complaints and Changes in the Drug Plan | | |
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| Member Experience with the Drug Plan | | |
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| Drug Safety and Accuracy of Drug Pricing | | |
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Staying Healthy, Screening, Testing, & Vaccines
| Total Preventative Rating | | |
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| Breast Cancer Screening | | |
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| Colorectal Cancer Screening | | |
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| Annual Flu Vaccine | | |
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| Improving Physical | | |
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| Improving Mental Health | | |
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| Monitoring Physical Activity | | |
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| Adult BMI Assessment | | |
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Managing Chronic And Long Term Care for Older Adults
| Total Rating | | |
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| SNP Care Management | | |
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| Medication Review | | |
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| Functional Status Assessment | | |
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| Pain Screening | | |
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| Osteoporosis Management | | |
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| Diabetes Care - Eye Exam | | |
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| Diabetes Care - Kidney Disease | | |
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| Diabetes Care - Blood Sugar | | |
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| Rheumatoid Arthritis | | |
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| Reducing Risk of Falling | | |
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| Improving Bladder Control | | |
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| Medication Reconciliation | | |
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| Plan All-Cause Readmissions | | |
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| Statin Therapy | | |
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Member Experience with Health Plan
| Total Experience Rating | | |
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| Getting Needed Care | | |
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| Timely Care and Appointments | | |
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| Customer Service | | |
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| Health Care Quality | | |
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| Rating of Health Plan | | |
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| Care Coordination | | |
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Member Complaints and Changes in WellCare Advance (HMO-POS) Plans Performance
| Total Rating | | |
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| Complaints about Health Plan | | |
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| Members Leaving the Plan | | |
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| Health Plan Quality Improvement | | |
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Health Plan Customer Service Rating for WellCare Advance (HMO-POS)
| Total Customer Service Rating | | |
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| Timely Decisions About Appeals | | |
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| Reviewing Appeals Decisions | | |
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| Call Center, TTY, Foreign Language | | |
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WellCare Advance (HMO-POS) Drug Plan Customer Service ratings
| Total Rating | | |
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| Call Center, TTY, Foreign Language | | |
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| Appeals Auto | | |
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| Appeals Upheld | | |
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Ratings For Member Complaints and Changes in the Drug Plans Performance
| Total Rating | | |
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| Complaints about the Drug Plan | | |
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| Members Choosing to Leave the Plan | | |
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| Drug Plan Quality Improvement | | |
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Member Experience with the Drug Plan
| Total Rating | | |
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| Rating of Drug Plan | | |
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| Getting Needed Prescription Drugs | | |
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Drug Safety and Accuracy of Drug Pricing
| Total Rating | | |
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| MPF Price Accuracy | | |
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| Drug Adherence for Diabetes Medications | | |
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| Drug Adherence for Hypertension (RAS antagonists) | | |
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| Drug Adherence for Cholesterol (Statins) | | |
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| MTM Program Completion Rate for CMR | | |
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| Statin with Diabetes | | |
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Ready to Enroll?
Click Here |
Or Call
1-855-778-4180
Mon-Sat 8am-11pm EST
Sun 9am-6pm EST
Coverage Area for WellCare Advance (HMO-POS)
(Click county to compare all available Advantage plans)
| State: |
Arkansas
| County: | Arkansas, Ashley, Baxter, Bradley, Calhoun,
Carroll, Chicot, Clark, Clay,
Cleburne, Cleveland, Conway, Craighead,
Crittenden, Cross, Dallas, Desha,
Fulton, Garland, Grant, Greene,
Hot Spring, Independence, Izard, Jackson,
Lawrence, Lee, Lincoln, Lonoke,
Marion, Mississippi, Monroe, Montgomery,
Nevada, Newton, Ouachita, Perry,
Phillips, Pike, Poinsett, Prairie,
Pulaski, Randolph, Saline, Searcy,
Sharp, St. Francis, Stone, Union,
Van Buren, White, Woodruff, Yell,
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Source: CMS.
Data as of September 4, 2019.
Star Rating as of October 10, 2019.
Plan Services are 2019 information as reference. 2020 information will be added when released.
Notes: Data are subject to change as contracts are finalized. For 2020, enhanced alternative may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part D benefit.
Includes 2020 approved contracts. Employer sponsored 800 series and plans under sanction are excluded.