2020 WellCare Wellness Rx (PDP) S4802-201 By WellCare

WellCare Wellness Rx (PDP) By WellCare



WellCare Wellness Rx (PDP) is a Enhanced Alternative Medicare Prescription Drug Plan (PART D) by WellCare. Stand-alone plans offer additional prescription drug coverage only and are an option if you are on Original Medicare insurance or you have a Medicare health plan that does not include Part D coverage. The WellCare Wellness Rx (PDP) plan has a monthly drug premium of $13.70 and a $435.00 drug deductible.



2020 Medicare Part-D Plan Details

Plan Name:
WellCare Wellness Rx (PDP)
Provider: WellCare
Plan ID:
S4802-201
Plan Year:2020
State: California
Benefit Type: Enhanced
Monthly Drug Premium: $13.70
Drug Deductible: $435.00
Tiers with No Deductible: 1
Gap Coverage: No
National Plan: Yes




Deductible and Premium

The WellCare Wellness Rx (PDP) plan has a monthly drug premium of $13.70 and a $435.00 drug deductible. This WellCare plan offers a -$5.50 Part D Basic Premium that is not below the regional benchmark. This covers the basic prescription benefit only and does not cover enhanced drug benefits such as medical benefits or hospital benefits. The Part D Supplemental Premium is $19.20 this Premium covers any enhanced plan benefits offered by WellCare above and beyond the standard PDP benefits. This can include additional coverage in the gap, lower co-payments and coverage of non-Part D drugs. The Part D Total Premium is $13.70. The Part D Total Premium is the addition of the supplemental and basic premiums for some plans this amount can be lower due to negative basic or supplemental premiums.



Premium Assistance

Depending on your income level you may be eligible for full 75%, 50%, 25% premium assistance. The WellCare Wellness Rx (PDP) medicare insurance plan offers a $13.70 premium obligation if you receive a full low-income subsidy (LIS) assistance. And the payment is $13.70 for 75% low income subsidy $13.70 for 50% and $13.70 for 25%.



Part D Basic Premium: -$5.50
Benchmark: not below the regional benchmark
Part D Supplemental Premium $19.20
Benefit Type: Enhanced Alternative
Total Part D Premium: $13.70
$0 Premium with Full LIS: No
Full LIS Premium: $13.70
75% LIS Premium: $13.70
50% LIS Premium: $13.70
25% LIS Premium: $13.70


Gap Coverage

In 2020 once you and your plan provider have spent $4020 on covered drugs. (combined amount plus your deductible) You will be in the coverage gap. (AKA "donut hole") You will still receive a 75% discount on covered brand-name drugs and a discount on generic drugs. Once you reach the coverage gap you will pay 25% of the plans cost for covered brand-name prescription drugs and 25% on generic drugs unless your plan offers additional coverage. This WellCare plan does not offer additional coverage through the gap.



WellCare Drug Coverage and Formulary

A formulary is divided into tiers or levels of coverage based on the type or usage of your medication or benefit categories, according to drug costs. Each tier will have a defined out-of-pocket cost that you must pay before receiving the drug. You can see complete 2020 WellCare Wellness Rx (PDP) S4802-201 Formulary here.

Drug Tier Copay
Preferred
Copay
Nonpreferred
1 $0 $8
2 $5 $15
3 $40 $47
4 46% 50%
5 25% 25%
*Initial Coverage Phase and 30 day supply

See the 2020 WellCare Formulary



Ratings for WellCare Wellness Rx (PDP) S4802

2019 Overall Rating
Drug Plan Customer Service
Complaints and Changes in the Drug Plan
Member Experience with the Drug Plan
Drug Safety and Accuracy of Drug Pricing


Member Experience with the Drug Plan

Total Rating
Rating of Drug Plan
Getting Needed Prescription Drugs


Drug Safety and Accuracy of Drug Pricing

Total Rating
MPF Price Accuracy
Drug Adherence for Diabetes Medications
Drug Adherence for Hypertension (RAS antagonists)
Drug Adherence for Cholesterol (Statins)
MTM Program Completion Rate for CMR


Ratings For Member Complaints and Changes in the Drug Plans Performance

Total Rating
Complaints about the Drug Plan
Members Choosing to Leave the Plan
Drug Plan Quality Improvement


WellCare Wellness Rx (PDP) Drug Plan Customer Service ratings

Total Rating
Call Center, TTY, Foreign Language
Appeals Auto Forward
Appeals Upheld


Source: CMS.
Plans as of September 3, 2019.
Star Rating as of October 11, 2019.
For More Information on Ratings Please See the CMS Tech Notes.
Notes: Data are subject to change. All contracts for 2020 have been not finalized. For 2020, enhanced alternative plans may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part Includes 2020 approved contracts/plans. Employer sponsored 800 series plans and plans under sanction are excluded.

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