Wellcare Giveback

by Wellcare



The Wellcare Giveback by Wellcare offers Medicare Advantage Plans with additional benefits that Original Medicare does not cover. There are 66 different plans by Wellcare Giveback available. Not all plans are available in all locations and prices may vary by location. The plan with the lowest monthly premium is $0 and the highest monthly premium is $0. The plan with the lowest out-of-pocket expense is $500 and the highest out-of-pocket is $8300. You can review the table below to see coverage and prices for Wellcare Giveback.


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(Click the state to compare every plan in that state)
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Plan ID ⇅ Premium Plan Type MOOP Members
Enrolled
States Where
Plan
is Available

H9900 001 0

$0 Local HMO $7,550 464 Oklahoma Part-C

H1032 195 0

$0 Local HMO $3,400 4716 Florida Part-C

H9335 005 0

$0 Local HMO $7,550 373 Missouri Part-C

H0351 054 0

$0 Local HMO $8,300 1180 Arizona Part-C

H1416 080 0

$0 Local HMO $6,700 Tennessee Part-C

H1032 212 0

$0 Local HMO $3,400 9167 Florida Part-C

H2134 002 0

$0 Local HMO $8,300 26 New Mexico Part-C

H0174 019 0

$0 Local HMO $7,550 Texas Part-C

H1032 193 0

$0 Local HMO $3,400 7221 Florida Part-C

H1664 006 0

$0 Local HMO $8,300 1383 Missouri Part-C

H1353 006 0

$0 Local HMO $7,550 2104 Washington Part-C

H1032 040 0

$0 Local HMO $500 9367 Florida Part-C

H0913 021 0

$0 Local HMO $8,300 New Jersey Part-C

H5087 029 1

$0 Local HMO $2,900 California Part-C

H5294 019 0

$0 Local HMO $7,550 539 Texas Part-C

H9730 007 0

$0 Local HMO $6,700 10129 Kentucky Part-C

H0908 005 0

$0 Local HMO $7,500 2916 Ohio Part-C

H1032 191 0

$0 Local HMO $4,800 2189 Florida Part-C

H1032 210 0

$0 Local HMO $3,400 2344 Florida Part-C

H9630 008 0

$0 Local HMO $7,550 2716 Arkansas Part-C

H5294 012 0

$0 Local HMO $7,550 2916 Texas Part-C

H6550 007 0

$0 Local HMO $8,300 195 Kansas Part-C

H1032 209 0

$0 Local HMO $5,000 927 Florida Part-C

H1416 065 0

$0 Local HMO $6,700 7858 Mississippi Part-C

H0174 021 0

$0 Local HMO $6,700 Texas Part-C

H2915 012 0

$0 Local HMO $7,550 457 Pennsylvania Part-C

H1032 204 0

$0 Local HMO $3,200 2437 Florida Part-C

H6446 003 0

$0 Local HMO $7,550 397 Nevada Part-C

H1416 079 0

$0 Local HMO $6,700 Tennessee Part-C

H3499 007 0

$0 Local HMO $8,300 323 Indiana Part-C

H1032 189 0

$0 Local HMO $6,700 867 Florida Part-C

H5475 031 0

$0 Local HMO $7,550 3138 Michigan Part-C

H0174 018 0

$0 Local HMO $6,700 Texas Part-C

H1032 200 0

$0 Local HMO $2,500 13464 Florida Part-C

H6446 005 0

$0 Local HMO $7,550 248 Nevada Part-C

H0351 060 2

$0 Local HMO $5,000 Arizona Part-C

H1416 078 0

$0 Local HMO $6,700 Tennessee Part-C

H0174 020 0

$0 Local HMO $6,700 Texas Part-C

H1032 198 0

$0 Local HMO $3,400 3975 Florida Part-C

H1215 003 0

$0 Local HMO $4,500 301 Nebraska Part-C

H0351 060 1

$0 Local HMO $4,400 Arizona Part-C

H1112 042 0

$0 Local HMO $8,300 11545 Georgia Part-C

H5087 029 2

$0 Local HMO $2,900 California Part-C

H9364 004 0

$0 Local HMO $8,300 1020 Maine Part-C

H0174 017 0

$0 Local HMO $6,700 Texas Part-C

H0724 007 0

$0 Local HMO $8,300 639 Ohio Part-C

H9811 008 0

$0 Local HMO $8,300 78 Mississippi Part-C

H1416 064 0

$0 Local HMO $6,700 2884 Arkansas Part-C

H5087 028 0

$0 Local HMO $2,500 336 California Part-C

H5439 015 0

$0 Local PPO $7,550 2328 Washington Part-C

H3047 002 0

$0 Local PPO $7,550 2451 Louisiana Part-C

H1848 001 0

$0 Local PPO $7,350 835 Alabama Part-C

H7326 003 0

$0 Local PPO $6,700 16281 South Carolina Part-C

H6594 002 0

$0 Local PPO $7,550 611 Vermont Part-C

H4699 002 0

$0 Local PPO $7,550 381 Rhode Island Part-C

H0969 003 0

$0 Local PPO $7,550 422 New Hampshire Part-C

H7175 004 0

$0 Local PPO $8,300 6359 North Carolina Part-C

H0088 002 0

$0 Local PPO $7,550 1071 New York Part-C

H2128 004 0

$0 Local PPO $7,550 1306 Pennsylvania Part-C

H6713 002 0

$0 Local PPO $3,450 3755 Illinois Part-C

H2775 111 0

$0 Local PPO $7,550 36283 New York Part-C

H1914 002 0

$0 Local PPO $7,550 2411 Connecticut Part-C

H9761 002 0

$0 Local PPO $7,550 1461 Massachusetts Part-C

H5439 015 0

$0 Local PPO $7,550 2328 Oregon Part-C

H9428 002 0

$0 Local PPO $6,700 774 Tennessee Part-C

H9976 004 0

$0 Local PPO $6,700 259 New Mexico Part-C




Contact Info Wellcare


Website: www.wellcare.com/medicare
Toll Free: 844-917-0175
Member Phone: 833-444-9089


Reviews for Wellcare Giveback


Wellcare Giveback H1353 received a 2.5 overall star rating from the CMS. The CMS uses a Star Rating System to measure how well Medicare Advantage and Part D plans perform. Plans are rated on a one-to-five scale, with one star representing poor performance and five stars representing excellent performance. Medicare Advantage with prescription drug (Part D) coverage (MA-PD) contracts are rated on quality and performance measures. You can use the CMS star rating to review performance among several different plans.

Overall Rating

Measure Rating Stars
Overall Rating2.5 out of 5
Part C Summary Rating2.5 out of 5
Part-D Summary Rating2.5 out of 5
Staying Healthy: Screenings, Tests, Vaccines2 out of 5
Managing Chronic (Long Term) Conditions3 out of 5
Member Experience with Health PlanNA out of 5
Complaints and Changes in Plans Performance2 out of 5
Health Plan Customer Service3 out of 5
Drug Plan Customer Service3 out of 5
Complaints and Changes in the Drug Plan2 out of 5
Member Experience with the Drug PlanNA out of 5
Drug Safety and Accuracy of Drug Pricing3 out of 5


Staying Healthy, Screening, Testing, and Vaccines

Measure Rating Stars
Total Preventative Rating2 out of 5
Breast Cancer Screening [1]NA out of 5
Colorectal Cancer Screening [2]2 out of 5
Annual Flu Vaccine [3]2 out of 5
Monitoring Physical Activity [4]1 out of 5


Managing Chronic And Long Term Care for Older Adults

Measure Rating Stars
Total Rating3 out of 5
SNP Care Management [5]3 out of 5
Medication Review [6]3 out of 5
Pain Assessment [7]3 out of 5
Osteoporosis Management [8]NA out of 5
Diabetes Care - Eye Exam [9]3 out of 5
Diabetes Care - Kidney Disease [10]3 out of 5
Diabetes Care - Blood Sugar [11]3 out of 5
Controlling Blood Pressure [12]3 out of 5
Reducing Risk of Falling [13]NA out of 5
Improving Bladder Control [14]NA out of 5
Medication Reconciliation [15]3 out of 5
Statin Therapy [16]3 out of 5


Member Experience with Health Plan

Measure Rating Stars
Total Experience RatingNA out of 5
Getting Needed Care [17]N out of 5
Getting Appointments [18]2 out of 5
Customer Service [19]NA out of 5
Health Care Quality [20]NA out of 5
Rating of Health Plan [21]1 out of 5
Care Coordination [22]NA out of 5


Member Complaints and Changes in Plans Performance

Measure Rating Stars
Total Rating2 out of 5
Complaints about Health Plan [23]2 out of 5
Members Leaving the Plan [24]2 out of 5
Health Plan Quality Improvement [25]NA out of 5


Health Plan Customer Service Rating

Measure Rating Stars
Total Customer Service Rating3 out of 5
Timely Decisions About Appeals [26]3 out of 5
Reviewing Appeals Decisions [27]4 out of 5
Call Center, TTY, Foreign Language [28] 3 out of 5


Drug Plan Customer Service

Measure Rating Stars
Total Rating3 out of 5
Call Center, TTY, Foreign Language [29]3 out of 5


Ratings For Member Complaints and Changes in the Drug Plans Performance

Measure Rating Stars
Total Rating2 out of 5
Complaints about the Drug Plan [30]2 out of 5
Members Choosing to Leave the Plan [31]2 out of 5
Drug Plan Quality Improvement [32]2 out of 5


Member Experience with the Drug Plan

Measure Rating Stars
Total RatingNA out of 5
Rating of Drug Plan [33]2 out of 5
Getting Needed Prescription Drugs [34]NA out of 5


Drug Safety and Accuracy of Drug Pricing

Measure Rating Stars
Total Rating3 out of 5
MPF Price Accuracy [35]3 out of 5
Drug Adherence for Diabetes Medications [36]1 out of 5
Drug Adherence for Hypertension (RAS antagonists) [37]2 out of 5
Drug Adherence for Cholesterol (Statins) [38]2 out of 5
MTM Program Completion Rate for CMR [39]4 out of 5
Statin with Diabetes [40]4 out of 5


Breast Cancer Screening-Percent of female plan members aged 52-74 who had a mammogram during the past two years.

Colorectal Cancer Screening-Percent of plan members aged 50-75 who had appropriate screening for colon cancer.

Annual Flu Vaccine-Percent of plan members who got a vaccine (flu shot).

Monitoring Physical Activity-Percent of senior plan members who discussed exercise with their doctor and were advised to start, increase, or maintain their physical activity during the year.

SNP Care Management-This measure is defined as the percentage of eligible Special Needs Plan (SNP) enrollees who received a health risk assessment (HRA) during the measurement year.

Medication Review-Percent of plan members whose doctor or clinical pharmacist reviewed a list of everything they take (prescription and non-prescription drugs, vitamins, herbal remedies, other supplements) at least once a year.

Pain Assessment-Percent of plan members who had a pain screening at least once during the year.

Osteoporosis Management-Percent of female plan members who broke a bone and got screening or treatment for osteoporosis within 6 months.

Diabetes Care - Eye Exam-Percent of plan members with diabetes who had an eye exam to check for damage from diabetes during the year.

Diabetes Care - Kidney Disease-Percent of plan members with diabetes who had a kidney function test during the year.

Diabetes Care - Blood Sugar-Percent of plan members with diabetes who had an A1C lab test during the year that showed their average blood sugar is under control.

Controlling Blood Pressure-Percent of plan members with high blood pressure who got treatment and were able to maintain a healthy pressure.

Reducing Risk of Falling-Percent of plan members with a problem falling, walking, or balancing who discussed it with their doctor and received a recommendation for how to prevent falls during the year.

Improving Bladder Control-Percent of plan members with a urine leakage problem in the past 6 months who discussed treatment options with a provider.

Medication Reconciliation-This shows the percent of plan members whose medication records were updated within 30 days after leaving the hospital.

Statin Therapy-This rating is based on the percent of plan members with heart disease who get the right type of cholesterol-lowering drugs. Health plans can help make sure their members are prescribed medications that are more effective for them.

Getting Needed Care-Percent of the best possible score the plan earned on how quickly members get appointments and care.

Getting Appointments-Percent of the best possible score the plan earned on how easy it is for members to get information and help from the plan when needed.

Customer Service-Health Plan Provides Information or Help When Members Need It. Percent of the best possible score the plan earned on how easy it is for members to get information and help from the plan when needed.

Health Care Quality-Percent of the best possible score the plan earned from members who rated the quality of the health care they received.

Rating of Health Plan-Member's Rating of Health Plan Percent of the best possible score the plan earned from members who rated the health plan.

Care Coordination-Percent of the best possible score the plan earned on how well the plan coordinates members’ care. (This includes whether doctors had the records and information they needed about members’ care and how quickly members got their test results.)

Complaints about Health Plan-Patients’ Experience and Complaints Measure Complaints about the Health Plan (lower numbers are better because it means fewer complaints

Members Leaving the Plan-Percent of plan members who chose to leave the plan. Members Choosing to Leave the Plan (more stars are better because it means fewer members choose to leave the plan)

Health Plan Quality Improvement-Improvement (if any) in the Health Plan’s Performance. This shows how much the health plan’s performance improved or declined from one year to the next.

Timely Decisions About Appeals-Percent of appeals timely processed by the plan (numerator) out of all the plan‘s appeals decided by the Independent Review Entity (IRE) (includes upheld, overturned, partially overturned appeals and dismissed because the plan agreed to cover.)

Reviewing Appeals Decisions-This rating shows how often an independent reviewer found the health plan’s decision to deny coverage to be reasonable.

Call Center, TTY, Foreign Language-Percent of time that TTY services and foreign language interpretation were available when needed by people who called the health plan’s prospective enrollee customer service phone line.

Call Center, TTY, Foreign Language-Percent of time that TTY services and foreign language interpretation were available when needed by people who called the drug plan’s prospective enrollee customer service line.

Complaints about the Drug Plan-Complaints about the Drug Plan (number of complaints for every 1,000 members). Lower numbers are better because it means fewer complaints.

Members Choosing to Leave the Plan-Members Choosing to Leave the Plan lower percentages are better because that indicates fewer members choose to leave the plan.

Drug Plan Quality Improvement-This shows how much the drug plan’s performance has improved or declined from one year to the next year.

Rating of Drug Plan-Percent of the best possible score the plan earned from members who rated the prescription drug plan.

Getting Needed Prescription Drugs-Percent of the best possible score the plan earned on how easy it is for members to get the prescription drugs they need using the plan.

MPF Price Accuracy-A score comparing the drug’s total cost at the pharmacy to the drug prices the plan provided for the Medicare Plan Finder website.

Drug Adherence for Diabetes Medications-Percent of plan members with a prescription for diabetes medication who fill their prescription often enough to cover 80% or more of the time they are supposed to be taking the medication. One of the most important ways people with diabetes can manage their health is by taking their medication as directed. The plan, the doctor, and the member can work together to find ways to do this.

Drug Adherence for Hypertension (RAS antagonists)-Percent of plan members with a prescription for a blood pressure medication who fill their prescription often enough to cover 80% or more of the time they are supposed to be taking the medication.

Drug Adherence for Cholesterol (Statins)-Percent of plan members with a prescription for a cholesterol medication (a statin drug) who fill their prescription often enough to cover 80% or more of the time they are supposed to be taking the medication.

MTM Program Completion Rate for CMR-Some plan members are in a program (called a Medication Therapy Management program) to help them manage their drugs. The measure shows how many members in the program had an assessment of their medications from the plan. The assessment includes a discussion between the member and a pharmacist (or other health care professional) about all of the member’s medications.

Statin with Diabetes-This rating is based on the percent of plan members with diabetes who take the most effective cholesterol-lowering drugs. Plans can help make sure their members get these prescriptions filled.





Last updated on

Source:CMS Plan and Prices Info

Source:CMS Star Ratings

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