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Medicare Part D prescription drug plans are also known as PDPs. Medicare Part D is a government program that offers prescription drug insurance to everyone who is entitled to Medicare Part A and/or enrolled in Medicare Part B.

When you are ready to decide on a plan, take the time to understand how the plans work. That way, you can make an informed decision and choose the plan that's right for you.

Agduduma dagiti PDP a Masakup ti Agduduma nga Agas

Ti federal a gobierno ket addaan dagiti naisalumina a giya para kadagiti tipo ti agas a kasapulan a masakupmi a kas ti minimum a kadawyan dagiti benepisyo a kasapulanmi a suruten.

Adda pormulario ti tunggal plano (listaan ti masakupan nga agas) a mangsabsabat kadagiti kasapulan ti linteg. Tandaanam a saan nga amin a plano ket agpapapada. Mabalin nga agdududma ti presio wenno naisalumina a masakup nga ag-agas.

No agpalista ka ti plano ti Paset D ti Medicare, maidawat nga kitaem ti pormulario ti plano tapno masigurado nga masabatmo ti kasapulam ti masakupan ti naireseta nga agas.

No Adda ti Agdama a Plano ti Bentahe ti Medicare-mo

No saan nga iraman ti Bentahe a Plano ti Medicare ti masakupan ti naireseta nga agas ken nakibunggoy ka ti Medicare PDP, maikkat ka ti listaan gapu ti Bentahe a Plano ti Medicare ken maisubli ka ti Original a Medicare ti Medicare a PDP-m.

Panagsakop ti Medicare iti Agas (Part D) Dusa para ti Naladaw nga Panagpalista

Ti multa para iti naladaw a panagpalista ket isu ti gatad a mainayon ayan iti binulan a premium-mo para iti plano ti Medicare maipapan ti agas (Part D). Mabalin nga adda bayadam a multa para iti naladaw nga panagpalista nu iti anyaman nga oras kalpasan iti Kangrunaan nga Tiempo ti Panagpalista ket nalpasen, adda iti 63 wenno adadu pay nga aldaw nga agsasaruno nga awanan ka iti panagsakop ti Medicare kadagiti agas wenno dagiti daduma nga mapati nga panagsakop kadagiti naireseta nga agas. Kadawyan nga kasapulam nga bayadan iti dusa bayat nga addaan ka latta iti pannagsakop ti Medicare kadagiti agas.

No Maipapan ti Masakupan, Adda ti Pagpiliam:

  • Makaala ka ti masakupan ti naireseta nga agas babaen ti Medicare PDP (Paset D).
  • Mabalin ka nga agsign-up ti plano ti Bentahe ti Medicare (HMO wenno PPO) wenno dadduma a plano ti Salun-at ti masakupan ti naireseta nga agas ti Medicare.

Ad-adu nga Urnong. Ad-adu a Masakupan. serbisyo ti Panangtaripato.

  • Mangidiaya ti Wellcare ti plano a naidisenio tapno matulungan dagiti kualipikado para ti Extra Help (Subsidy para iti Ababa a Sueldo) a mabalin nga awanan wenno ababa dagiti premium ken copay no nakalista
  • Dagiti low premium a plano ket sidadaan ti amin nga estado nga addaan ti copay a mangrugi ti kas ababa ti $0 no makargaan ayan iti ipangruna a parmasia
  • Mangidiaya met laeng ti Wellcare kadagiti nga awanan maikissay (deductible) nga kayat na saoen nga ti plano ket mangrugi a sakupenna dagiti gastos para ti naireseta nga agas ti umuna nga aldaw
  • Thousands of network pharmacies are available nationwide in our network including national, regional and local chains, grocers and independent pharmacies
  • Makikadkadua kami kadagiti maikalikagum a parmasia tapno matulungan dagiti kameng nga agurnong ti kuarta. Dagiti ipangruna a parmasia ayan iti networkmi ket kairaman dagiti sikat a nasyonal ken rehional nga aglaklako iti saggabassit. Usaren ti bukodmi a
    Agbirok ti Tagaipaay a ramit tapno mabirukan ti kaasitgan kenka a maipangpangruna a parmasia

Member Service representatives are ready to help you with any questions about your coverage or medications. For a complete list of drugs covered by our plan, please review our website or contact our member services department.

Napateg nga Impormasion

Dagiti Mailibak

‘Ohana Health Plan, a plan offered by WellCare Health Insurance of Arizona, Inc.

Ti Wellcare ket Medicare brand para ti Centene Corporation, maysa plano nga HMO, PPO, PFFS, PDP nga addaan iti kontrata ti Medicare ken maysa nga naaprobaran nga Isponsor ti Part D. Dagiti plano mi nga D-SNP ket addaan iti kontrata kadua iti programa ti estado nga Medicaid. Ti panagpalista kadagiti plano mi ket nakadepende ayan ti pannakapabaro ti kontrata.

Washington residents: “Wellcare” is issued by Wellcare of Washington, Inc.

Washington residents: “Wellcare” is issued by WellCare Health Insurance Company of Washington, Inc.

Washington residents: “Wellcare” is issued by Coordinated Care of Washington, Inc.

Washington residents: “Wellcare” is issued by Coordinated Care of Washington, Inc., a subsidiary of Centene Corporation.

“Wellcare” is issued by WellCare Prescription Insurance, Inc.

Kada tawen, kedkedngan ti Medicare dagiti plano base ti sistema ti 5-star a rating.

Dagiti tagaipaay iti ruar ti network/saan a nakontrata ket awanan ti obligasion nga agasan dagiti miembro ti Plano, malaksid kadagiti emerhensia a kasasaad. Maidawat nga awagan ti numero ti serbisio iti kostumer wenno kitaen ti Ebidensia ti Masakupan para ad-adu nga impormasion, agraman ti cost-sharing a maiyaplikar para kadagiti serbisyio a maala iti ruar ti network.

Wellcare’s pharmacy network includes limited lower-cost, preferred pharmacies in rural areas of Georgia, Hawaii, Missouri, and Nebraska. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use. For up-to-date information about our network pharmacies, including whether there are any lower-cost preferred pharmacies in your area, please call 1-866-892-8340 (TTY: 711) for Wellcare No Premium (HMO) in GA or consult the online pharmacy directory at www.wellcare.com/medicare; 1-877-457-7621 (TTY: 711) for Wellcare ‘Ohana No Premium (HMO) and Wellcare ‘Ohana Low Premium Open (PPO) in HI or consult the online pharmacy directory at www.wellcare.com/ohana; 1-833-444-9088 (TTY: 711) for Wellcare No Premium (HMO), Wellcare Giveback (HMO), and Wellcare Assist (HMO) in MO or consult the online pharmacy directory at www.wellcare.com/medicare; and 1-800-977-7522 (TTY: 711) for Wellcare No Premium (HMO), Wellcare Giveback (HMO), Wellcare No Premium Open (PPO), and Wellcare Assist Open (PPO) in NE or consult the online pharmacy directory at www.wellcarene.com.

Value-Added Items and Services (VAIS) are not plan benefits and are not covered by the plan. Plan enrollees are responsible for all costs.

Louisiana D-SNP members: As a Wellcare HMO D-SNP member, you have coverage from both Medicare and Medicaid. You receive your Medicare health care and prescription drug coverage through Wellcare and are also eligible to receive additional health care services and coverage through Louisiana Medicaid. Learn more about providers who participate in Louisiana Medicaid by visiting www.myplan.healthy.la.gov/en/find-provider or www.louisianahealthconnect.com. For detailed information about Louisiana Medicaid benefits, please visit the Medicaid website at https://ldh.la.gov/medicaid and select the “Learn about Medicaid Services” link. To request a written copy of our Medicaid Provider Directory, please awagan dakami.

Louisiana D-SNP prospective enrollees: For detailed information about Louisiana Medicaid benefits, please visit the Medicaid website at https://ldh.la.gov/medicaid or www.louisianahealthconnect.com. To request a written copy of our Medicaid Provider Directory, please awagan dakami.

Pakaammo: Saan a rebbengen ti TennCare ti bayad para kadagitoy a benepisio, malaksid no para ti maiyannatup a gatad ti cost sharing. Saan a rebbengen ti TennCare ti panagsigurado ti kinasidadaan wenno kalidad dagitoy a benepisio. Dagiti aniaman a benepisio iti ngato ken surok dagiti tradisional a benepisio iti Medicare ket maitutop iti Wellcare Medicare Advantage laeng ken saanna nga ibaga dagiti nanayunan a benepisio iti Medicaid.

Texas D-SNP members: As a Wellcare HMO D-SNP member, you have coverage from both Medicare and Medicaid. You receive your Medicare health care and prescription drug coverage through Wellcare and are also eligible to receive additional health care services and coverage through Texas Medicaid. Learn more about providers who participate in Texas Medicaid by visiting wellcarefindaprovider.com. For detailed information about Texas Medicaid benefits, please visit the Texas Medicaid website at www.hhs.texas.gov/services/health/medicaid-chip/medicaid-chip-members/starplus. To request a written copy of our Medicaid Provider Directory, please awagan dakami.

Texas D-SNP prospective enrollees: For detailed information about Texas Medicaid benefits, please visit the Texas Medicaid website at www.hhs.texas.gov/services/health/medicaid-chip/medicaid-chip-members/starplus. To request a written copy of our Medicaid Provider Directory, please contact us.

Wellcare (HMO and HMO SNP) includes products that are underwritten by WellCare of Texas, Inc., WellCare National Health Insurance Company, and SelectCare of Texas, Inc.

Wellcare Dual Liberty (HMO-D-SNP) Plan

Wellcare Dual Liberty (HMO D-SNP) is a Fully Integrated Dual Eligible Special Needs Plan with a Medicare contract and a contract with the New Jersey Medicaid program. Enrollment in Wellcare Dual Liberty depends on contract renewal.  This information is not a complete description of benefits. Contact the plan for more information. Limitations and restrictions may apply. Benefits may change on January 1 of each year.  Your Part B premium is covered by Medicaid.  This plan is available to those who have both Medicare and full Medicaid benefits.  Wellcare uses a formulary.  There is no obligation to enroll.  Please contact Wellcare for details.

When joining this plan:

1.) You must use in-network providers, DME (durable medical equipment) suppliers, and pharmacies.

2.) You will be enrolled automatically into Medicaid (NJ FamilyCare) coverage under our plan and disenrolled from any Medicaid (NJ FamilyCare) plan you are currently enrolled in. All of your Medicaid-covered services, items, and medications will then be covered under our plan, and you must get them from in-network providers.

3.) You will be enrolled automatically into Part D coverage under our plan, and you will be automatically disenrolled from any other Medicare Part D or creditable coverage plan in which you are currently enrolled.

4.) You must understand and follow our plan’s rules on referrals.

  • Dagiti Mailibak

    Dagiti Mailibak

    ‘Ohana Health Plan, a plan offered by WellCare Health Insurance of Arizona, Inc.

    Ti Wellcare ket Medicare brand para ti Centene Corporation, maysa plano nga HMO, PPO, PFFS, PDP nga addaan iti kontrata ti Medicare ken maysa nga naaprobaran nga Isponsor ti Part D. Dagiti plano mi nga D-SNP ket addaan iti kontrata kadua iti programa ti estado nga Medicaid. Ti panagpalista kadagiti plano mi ket nakadepende ayan ti pannakapabaro ti kontrata.

    Washington residents: “Wellcare” is issued by Wellcare of Washington, Inc.

    Washington residents: “Wellcare” is issued by WellCare Health Insurance Company of Washington, Inc.

    Washington residents: “Wellcare” is issued by Coordinated Care of Washington, Inc.

    Washington residents: “Wellcare” is issued by Coordinated Care of Washington, Inc., a subsidiary of Centene Corporation.

    “Wellcare” is issued by WellCare Prescription Insurance, Inc.

    Kada tawen, kedkedngan ti Medicare dagiti plano base ti sistema ti 5-star a rating.

    Dagiti tagaipaay iti ruar ti network/saan a nakontrata ket awanan ti obligasion nga agasan dagiti miembro ti Plano, malaksid kadagiti emerhensia a kasasaad. Maidawat nga awagan ti numero ti serbisio iti kostumer wenno kitaen ti Ebidensia ti Masakupan para ad-adu nga impormasion, agraman ti cost-sharing a maiyaplikar para kadagiti serbisyio a maala iti ruar ti network.

    Wellcare’s pharmacy network includes limited lower-cost, preferred pharmacies in rural areas of Georgia, Hawaii, Missouri, and Nebraska. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use. For up-to-date information about our network pharmacies, including whether there are any lower-cost preferred pharmacies in your area, please call 1-866-892-8340 (TTY: 711) for Wellcare No Premium (HMO) in GA or consult the online pharmacy directory at www.wellcare.com/medicare; 1-877-457-7621 (TTY: 711) for Wellcare ‘Ohana No Premium (HMO) and Wellcare ‘Ohana Low Premium Open (PPO) in HI or consult the online pharmacy directory at www.wellcare.com/ohana; 1-833-444-9088 (TTY: 711) for Wellcare No Premium (HMO), Wellcare Giveback (HMO), and Wellcare Assist (HMO) in MO or consult the online pharmacy directory at www.wellcare.com/medicare; and 1-800-977-7522 (TTY: 711) for Wellcare No Premium (HMO), Wellcare Giveback (HMO), Wellcare No Premium Open (PPO), and Wellcare Assist Open (PPO) in NE or consult the online pharmacy directory at www.wellcarene.com.

    Value-Added Items and Services (VAIS) are not plan benefits and are not covered by the plan. Plan enrollees are responsible for all costs.

    Louisiana D-SNP members: As a Wellcare HMO D-SNP member, you have coverage from both Medicare and Medicaid. You receive your Medicare health care and prescription drug coverage through Wellcare and are also eligible to receive additional health care services and coverage through Louisiana Medicaid. Learn more about providers who participate in Louisiana Medicaid by visiting www.myplan.healthy.la.gov/en/find-provider or www.louisianahealthconnect.com. For detailed information about Louisiana Medicaid benefits, please visit the Medicaid website at https://ldh.la.gov/medicaid and select the “Learn about Medicaid Services” link. To request a written copy of our Medicaid Provider Directory, please awagan dakami.

    Louisiana D-SNP prospective enrollees: For detailed information about Louisiana Medicaid benefits, please visit the Medicaid website at https://ldh.la.gov/medicaid or www.louisianahealthconnect.com. To request a written copy of our Medicaid Provider Directory, please awagan dakami.

    Pakaammo: Saan a rebbengen ti TennCare ti bayad para kadagitoy a benepisio, malaksid no para ti maiyannatup a gatad ti cost sharing. Saan a rebbengen ti TennCare ti panagsigurado ti kinasidadaan wenno kalidad dagitoy a benepisio. Dagiti aniaman a benepisio iti ngato ken surok dagiti tradisional a benepisio iti Medicare ket maitutop iti Wellcare Medicare Advantage laeng ken saanna nga ibaga dagiti nanayunan a benepisio iti Medicaid.

    Texas D-SNP members: As a Wellcare HMO D-SNP member, you have coverage from both Medicare and Medicaid. You receive your Medicare health care and prescription drug coverage through Wellcare and are also eligible to receive additional health care services and coverage through Texas Medicaid. Learn more about providers who participate in Texas Medicaid by visiting wellcarefindaprovider.com. For detailed information about Texas Medicaid benefits, please visit the Texas Medicaid website at www.hhs.texas.gov/services/health/medicaid-chip/medicaid-chip-members/starplus. To request a written copy of our Medicaid Provider Directory, please awagan dakami.

    Texas D-SNP prospective enrollees: For detailed information about Texas Medicaid benefits, please visit the Texas Medicaid website at www.hhs.texas.gov/services/health/medicaid-chip/medicaid-chip-members/starplus. To request a written copy of our Medicaid Provider Directory, please contact us.

    Wellcare (HMO and HMO SNP) includes products that are underwritten by WellCare of Texas, Inc., WellCare National Health Insurance Company, and SelectCare of Texas, Inc.

    Wellcare Dual Liberty (HMO-D-SNP) Plan

    Wellcare Dual Liberty (HMO D-SNP) is a Fully Integrated Dual Eligible Special Needs Plan with a Medicare contract and a contract with the New Jersey Medicaid program. Enrollment in Wellcare Dual Liberty depends on contract renewal.  This information is not a complete description of benefits. Contact the plan for more information. Limitations and restrictions may apply. Benefits may change on January 1 of each year.  Your Part B premium is covered by Medicaid.  This plan is available to those who have both Medicare and full Medicaid benefits.  Wellcare uses a formulary.  There is no obligation to enroll.  Please contact Wellcare for details.

    When joining this plan:

    1.) You must use in-network providers, DME (durable medical equipment) suppliers, and pharmacies.

    2.) You will be enrolled automatically into Medicaid (NJ FamilyCare) coverage under our plan and disenrolled from any Medicaid (NJ FamilyCare) plan you are currently enrolled in. All of your Medicaid-covered services, items, and medications will then be covered under our plan, and you must get them from in-network providers.

    3.) You will be enrolled automatically into Part D coverage under our plan, and you will be automatically disenrolled from any other Medicare Part D or creditable coverage plan in which you are currently enrolled.

    4.) You must understand and follow our plan’s rules on referrals.

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Y0020_WCM_164006E_M Last Updated On: 10/1/2024
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