Wellcare Medicare Plans Review: Pros, Cons, & Alternatives (2024)
If you are interested in a Medicare Advantage option, Wellcare Medicare plans may be of interest to you. Wellcare offers several varieties of Medicare Advantage Plans including HMO, PPO, Special Needs, and more. With Wellcare Medicare plans, you may not be required to pay a monthly fee for coverage, but you should still expect to pay the monthly rates for Medicare Part B. Wellcare Medicare plans also include three different options for prescription coverage.
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Dani Best
Licensed Insurance Producer
Dani Best has been a licensed insurance producer for nearly 10 years. Dani began her insurance career in a sales role with State Farm in 2014. During her time in sales, she graduated with her Bachelors in Psychology from Capella University and is currently earning her Masters in Marriage and Family Therapy. Since 2014, Dani has held and maintains licenses in Life, Disability, Property, and Casualt...
Licensed Insurance Producer
UPDATED: Nov 28, 2023
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Editorial Guidelines: We are a free online resource for anyone interested in learning more about insurance. Our goal is to be an objective, third-party resource for everything insurance related. We update our site regularly, and all content is reviewed by insurance experts.
UPDATED: Nov 28, 2023
It’s all about you. We want to help you make the right coverage choices.
Advertiser Disclosure: We strive to help you make confident insurance decisions. Comparison shopping should be easy. We are not affiliated with any one insurance company and cannot guarantee quotes from any single insurance company.
Our insurance industry partnerships don’t influence our content. Our opinions are our own. To compare quotes from many different insurance companies please enter your ZIP code above to use the free quote tool. The more quotes you compare, the more chances to save.
On This Page
- Wellcare offers different options for Medicare Advantage plans in place of Original Medicare
- Wellcare is owned by the Centene Corporation, which is the sixth-biggest provider of Medicare Advantage plans
- Depending on your medical needs, an Original Medicare plan may work better for you than a Wellcare Medicare option
If you are 65 or older, you qualify for Medicare coverage. There are a few different routes you can choose when considering Medicare, and Wellcare Medicare is one option that might appeal to you.
With Wellcare, individuals can choose from different Medicare Advantage Plans that might work better for them than Original Medicare.
While Original Medicare offers one option for coverage that is cut and dry, Medicare Advantage Plans are offered by various insurance companies. However, they vary a bit when it comes to coverages.
Before you decide on a Medicare Advantage plan, be sure to shop around for free insurance quotes online. Here you can compare Medicare Advantage quotes from multiple companies at once.
As you consider your own medical needs, you may prefer a Medicare Advantage plan over Original Medicare. If that’s the case, Wellcare Medicare plans could work well for you.
You can use our free quote tool above to find and compare Medicare Advantage rates from top companies in your area to see how much you would pay.
What is Wellcare?
Wellcare is a Medicare Advantage Plan offered by the Centene Corporation, which is one of the leading Medicare Advantage providers in the United States.
Wellcare offers numerous Medicare Advantage Plans. These plans will vary when it comes to monthly rates, overall coverage, and individual benefits.
Wellcare Medicare Advantage Plans include the following types of coverage for policyholders:
- HMO – You are typically required to use a specific network of doctors to cover your medical visits.
- HMO-POS – You can use some out-of-network services, but you can expect to pay more with copays and other out-of-pocket costs.
- PPO – You can choose from any provider that accepts your specific Medicare Advantage coverage, and you may not have to declare a primary physician.
- PFFS – You can see any Medicare-approved physician that accepts your specific coverage.
- SNPs – Your special needs, such as chronic conditions like diabetes, are covered by a network of physicians.
The choice of a Medicare Advantage Plan appeals to some people who find Original Medicare coverage lacking or restrictive when it comes to certain services. Wellcare Medicare providers span a wide range of disciplines, and because policyholders can customize their coverages, a Wellcare Medicare plan may be more appealing to you.
It’s important to find the best doctors that accept Medicare in your area so you know you’ll be happy with the care you receive with your coverage.
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How much does Wellcare cost?
The amount you pay for a Wellcare Medicare Advantage Plan will depend on a number of factors, including the type of plan you choose, your individual health needs, where you live, and more.
Monthly rates for a Wellcare Medicare plan range from zero to $286. The majority of Wellcare’s HMO, PPO, and PFFS plans do not require you to pay a monthly premium. However, Special Needs plans with Wellcare Medicare range from $10 to $42 per month.
If you choose a Medicare Advantage Plan, you will likely still have to pay the monthly premiums for Medicare Part B. The premiums are anywhere from $150 to $180, depending on your annual income.
You will also want to consider additional costs that come with a Medicare Advantage Plan, which include:
- Yearly deductibles
- Copayments and/or coinsurance obligations
- In-network and out-of-network maximums for out-of-pocket expenses
- Add-ons to your Medicare Advantage Plan that cost extra
You can compare quotes from different Medicare Advantage Plans — with different insurance providers — to see which offers you the lowest monthly rates. But keep in mind that there will likely be unforeseen expenses with most of the options you find.
Does Wellcare cover prescriptions?
Most of Wellcare’s Medicare Advantage Plans cover prescription medications. The company also offers policyholders the option of choosing a stand-alone Medicare Part D plan.
For Original Medicare and Medicare Advantage Plans, Medicare Part D covers prescription needs but does not offer any medical coverage.
Wellcare Medicare prescription plans include:
- Wellcare Value Script – You pay $11.85 a month and have a $480 annual drug deductible.
- Wellcare Classic – You pay $30.82 a month and have a $480 annual drug deductible.
- Wellcare Medicare RX Value Plus – You pay $68.70 a month and do not have to pay an annual deductible.
If you take medications on a regular basis, or if you expect to have medication needs in the future, it’s a good idea to consider adding a Medicare Part D plan with Original Medicare or a Medicare Advantage Plan.
Does Wellcare have good ratings?
A.M. Best has attributed a B++ (Good) rating to the Centene Corporation and its various subsidiaries. Wellcare Medicare Advantage Plans offered by Centene have a stable outlook and a fairly strong financial backing.
The Centene corporation does not garner high praises from its customers. Most policyholders with the Centene corporation rate the Wellcare Medicare Advantage Plans lower than other Medicare Advantage providers.
It’s hard to know which plan will be the best option until you research online. Along with reading company reviews, compare quotes from multiple Medicare Advantage providers to make sure the rates you’re paying are the best you can get in your area.
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Should I buy a Wellcare Medicare plan?
The first choice you need to make when considering Medicare options is to decide between Original Medicare and Medicare Advantage Plans.
If you find that Original Medicare covers your needs well, and you do not need much (if any) additional coverage, then you may want to stick with Original Medicare and save some money.
But if you know you need a Medicare Advantage Plan, you should price other options before going with Wellcare or any other Medicare Advantage provider.
An agent could use their Wellcare Medicare login to explain the different benefits of Medicare Advantage Plans, discuss doctors and providers who would be covered, and answer your questions.
Online quote tools will show you how much people are paying for Medicare Advantage Plans in your area. In fact, use our free quote tool below to find and compare Medicare Advantage Plans today.
Frequently Asked Questions
What are Wellcare Medicare Plans?
Wellcare Medicare Plans are a type of Medicare Advantage plan offered by Wellcare Health Plans, Inc. Wellcare is a health insurance company that provides managed care services to individuals, families, and businesses.
What does a Wellcare Medicare Plan cover?
Wellcare Medicare Plans provide the same coverage as Original Medicare (Parts A and B), but may also include additional benefits such as prescription drug coverage, dental, vision, and hearing services, and wellness programs.
How do I enroll in a Wellcare Medicare Plan?
You can enroll in a Wellcare Medicare Plan during the annual enrollment period (AEP) which runs from October 15 to December 7 each year. You may also be able to enroll during a special enrollment period (SEP) if you meet certain qualifying events such as moving to a new area or losing your current coverage.
How much does a Wellcare Medicare Plan cost?
The cost of a Wellcare Medicare Plan can vary depending on the plan and the benefits it provides. You will typically pay a monthly premium in addition to your Medicare Part B premium. Some plans may have $0 monthly premiums.
Can I see any doctor with a Wellcare Medicare Plan?
Wellcare Medicare Plans have a network of healthcare providers. You will typically need to see doctors within the network to receive the highest level of coverage. However, some plans may allow you to see out-of-network providers for an additional cost.
Are prescription drugs covered under a Wellcare Medicare Plan?
Yes, many Wellcare Medicare Plans include prescription drug coverage (Part D). You will need to review the plan’s formulary to ensure that your medications are covered.
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Dani Best
Licensed Insurance Producer
Dani Best has been a licensed insurance producer for nearly 10 years. Dani began her insurance career in a sales role with State Farm in 2014. During her time in sales, she graduated with her Bachelors in Psychology from Capella University and is currently earning her Masters in Marriage and Family Therapy. Since 2014, Dani has held and maintains licenses in Life, Disability, Property, and Casualt...
Licensed Insurance Producer
Editorial Guidelines: We are a free online resource for anyone interested in learning more about insurance. Our goal is to be an objective, third-party resource for everything insurance related. We update our site regularly, and all content is reviewed by insurance experts.