This plan is administered by WELLCARE PRESCRIPTION INSURANCE, INC., a national plan provider. This means that the insurance carrier offers Medicare Part D plan in most every state.To switch to a different Medicare Prescription Drug plan or to change your location, click here.
- Customer Service Rating of 5 out of 5 stars
- Member Experience Rating of 4 out of 5 stars
- Drug Cost Information Accuracy Rating of 2 out of 5 stars
The Wellcare Medicare Rx Value Plus (PDP) does offer a mail order service.
Click here to browse the Wellcare Medicare Rx Value Plus (PDP) Formulary.
- Tier 1 (Preferred Generic) contains 328 drugs and has a co-payment of $0.00.
- Tier 2 (Generic) contains 382 drugs and has a co-payment of $4.00.
- Tier 3 (Preferred Brand) contains 1,004 drugs and has a co-payment of $47.00.
- Tier 4 (Non-Preferred Drug) contains 1,036 drugs and has a co-insurance of 50% of the drug cost.
- Tier 5 (Specialty Tier) contains 643 drugs and has a co-insurance of 33% of the drug cost.
- Tier 6 (Select Care Drugs) contains drugs and has a co-payment of $11.00.
Click here to browse the Wellcare Medicare Rx Value Plus (PDP) Formulary.
The Wellcare Medicare Rx Value Plus (PDP)’s Initial Coverage Limit is $5,030. When this limit is reached, you exit the Initial Coverage Phase and enter the Coverage Gap (or Donut Hole).
The brand-name drug manufacturer will pay 70% and your plan will pay an additional 5% of the cost of your brand-name drugs purchased in the Donut Hole, for a total of 75% discount. The 70% paid by the brand-name drug manufacturer is paid on your behalf and therefore counts toward your TrOOP (or True Out-of-Pocket) costs. The portion paid by your plan, does not count toward TrOOP. Some Medicare Part D plans offer coverage during the Coverage Gap that is beyond the mandated discounts. Any drug not covered by the plan’s Gap Coverage will still receive the discounts noted above -- even if the plan has "No Gap Coverage". This plan (Wellcare Medicare Rx Value Plus (PDP)) offers No Coverage during the Coverage Gap phase.