Wellcare Medicare Advantage Plan – A Comprehensive Review for 2024

Wellcare is a part of Centene Corporation Medicare which is the sixth largest in terms of Medicare Advantage plans. These types of plans have many choices to select from. Hence you will be in a position to choose one depending on your budget and needs. Also, Wellcare offers special programs for dual-eligible beneficiaries. This allows you to receive both – Medicaid and Medicare benefits across multiple states. One should consider these factors when selecting for a Medicare Advantage plan such as costs, coverage, and individual health requirements. 

Which Wellcare Medicare Advantage Plan Can I choose?

Here are some of the factors that you may consider while choosing your Wellcare Medicare Advantage Plan. 

Options for Your Plan Type

Wellcare offers various plan options depending on your region including PPO, HMO, or Special Needs Plans. This enables you to choose the right plan based on your requirements. The type of Medicare Advantage plan determines the doctors you can visit, whether you need a referral to see a specialist, and how much money you have to pay out of pocket.

Consider Copay Amounts

Copays, also known as copayments, are the fixed amounts of money you pay out-of-pocket each time you receive a covered medical service, like visiting a doctor or getting a prescription filled. When you’re comparing different healthcare plans, it’s important to check the copayments because they directly affect how much you’ll have to spend for your medical care beyond what your insurance covers.

Benefits of Medicare Advantage plans

Medicare Advantage plans cannot offer benefits that are less than those offered by Original Medicare. This includes Part A, which primarily covers hospitals, and Part B, which covers medically necessary services. They also have special perks that Original Medicare does not include, such as dental, vision, hearing, and prescription drug coverage.

Low or No Deductibles

A deductible is the amount you pay out of your own pocket before your insurance starts covering costs. Medicare Advantage plans usually have low or no deductibles, which means you don’t have to spend much of your own money before your coverage begins. This is different from Original Medicare, where deductibles can be higher and you may pay more before your coverage starts.

Types of WellCare Medicare Advantage Plans

PPO plans

Wellcare PPO plans are actually more comprehensive when it comes to the level of coverage and the benefits provided than Original Medicare. It provides a vast network of doctors and hospitals without the need for a Primary Care Physician, Medical Homes, or referral for Specialists. At Wellcare, your health management means well-being choices that you and your doctors have to make.

HMO Plans

The Wellcare Advantage HMO plans offer convenience and affordable care. It offers you a wide range of physicians and hospitals as well as other advantages over Original Medicare. Staying with your in-network provider will help you save money during the whole year. There are several HMO plans offered by Wellcare, and each of them provides personal daily support.

D-SNP Plans 

A Wellcare D-SNP is a special Medicare Advantage plan designed for those who are eligible for both Medicaid and Medicare. On the other hand, D-SNPs have additional features and services which are provided free of charge. You may also get EXTRA HELP if your income and resources are below certain levels for prescription drug expenses. Wellcare D-SNPs offer the additional assistance and individual attention that you require.

C-SNP Plans

Wellcare C-SNP plans assist in the management of issues such as diabetes, cardiovascular disease, or congestive heart failure. These plans give a discount on basic medical requirements like insulin and ensure follow-up treatment to minimize health complications.

How Much Will I Need to Pay for Wellcare’s Medicare Advantage Coverage?

While you won’t pay a monthly premium for the coverage with Wellcare zero premium Medicare Advantage plans, you will have to pay for the initial 2023 Medicare Part B premium, equal to $164.90 per month. Moreover, you will purchase the healthcare services separately using cash when necessary. Thus, your annual expenditure depends on your healthcare consumption pattern. However, if you have regular healthcare requirements or if your healthcare providers do not take services offered through Wellcare Medicare Advantage, then your medical expenses will skyrocket.