WellCare Medicare is part of Centene, one of the largest insurers offering government-sponsored insurance. WellCare gives Medicare Advantage plans across a wide geographical area. Like many other health insurance providers.
Wellcare Medicare offers a variety of products and prices with a variety of added benefits, making it a great value option in many places. However, some plans do not perform exceptionally well in the National Committee on Quality Assurance (NCQA) health plan rankings. So be sure to check out specific reviews for programs in your area.
WellCare Medicare Plans
WellCare offers different types of Medicare Advantage plans. Most WellCare Medicare Advantage plans include additional dental, vision, hearing, and fitness services.
A health maintenance organization (HMO) usually requires you to use a specific network of doctors and hospitals. You may require a referral from your GP to see a specialist, and your services will often be limited if you do not belong to a network.
Preferred provider organizations or PPO plans give you more freedom, allowing you to see any provider that accepts insurance. You may not have to choose a family doctor, and you may not need referrals to specialists. You can also get treatment outside the network, although it may cost more than seeing an in-network doctor.
With Wellcare Private Fee-for-Service (PFFS) plans, you can get any Medicare-approved provider to accept your WellCare plan. You don’t need to decide a family doctor, and you don’t need a referral to see a specialist.
Special Needs Plans, or SNPs, limit membership to people with certain conditions or characteristics. Thus, the services, the network, and the drug formulas are adapted to the needs of these members. Wellcare offers two types of SNPs:
- SNP Chronic Illness: Designed to meet the needs of members living with certain chronic illnesses, including diabetes, congestive heart failure, and cardiovascular disease.
- Dual Eligible SNP: For people who are both eligible for Medicare and eligible for assistance from a state Medicaid program.