PARTD

Plan Summary

Insurance Type
Medicare Advantage Perscription Drug Plan (Part D)
Insurance Provider
WellCare
CMS Rating
Plan Type
PDP
Annual Deductible
$0.00

What To Know About This Plan

  • This is a drug coverage only plan

Why We Like This Plan

  • gives you freedom to choose which doctors, specialist and hospitals you visit
  • has a copay of $0 for Tier 1 preferred generic drugs (30 day supply, preferred retail pharmacies)
  • was the 2nd best selling plan in Belknap in 2014

Cost Sharing Information

Prescription Drug Copay/Coninsurance Details - Initial Coverage Limit

30 Day SupplyPreferred Retail PharmaciesNon-Preferred Retail PharmaciesMail-Order Pharmacies
Tier 1: Preferred Generic$0 copay$8 copay$0 copay
Tier 2: Non-Preferred Generic$10 copay$29 copay$10 copay
Tier 3: Preferred Brand Name$40 copay$45 copay$40 copay
Tier 4: Non-Preferred Brand Name$90 copay$95 copay$90 copay
Tier 5: Specialty Tier33% coinsurance33% coinsurance33% coinsurance
90 Day SupplyPreferred Retail PharmaciesNon-Preferred Retail PharmaciesMail-Order Pharmacies
Tier 1: Preferred Generic$0 copay$24 copay$0 copay
Tier 2: Non-Preferred Generic$30 copay$87 copay$20 copay
Tier 3: Preferred Brand Name$120 copay$135 copay$80 copay
Tier 4: Non-Preferred Brand Name$270 copay$285 copay$180 copay
Tier 5: Specialty Tier

CMS Ratings

Drug Plan Customer Service

Call center – pharmacy hold time
Call center – foreign language interpreter and TTY/TDD availability
Appeals auto-forward
Appeals upheld
Enrollment timeliness

Member Complaints, Problems Getting Services, and Choosing to Leave the Plan

Complaints about the drug plan
Beneficiary access and performance problems
Members choosing to leave the plan

Member Experience with Drug Plan

Getting information from drug plan
Rating of drug plan
Getting needed prescription drugs

Drug Pricing and Patient Safety

High risk medication
Diabetes treatment
Part D medication adherence for oral diabetes medications
Part D medication adherence for hypertension
Part D medication adherence for cholesterol
Not Rated

Pharmacy Finder

Pharmacies that accept WellCare Classic (PDP) Prescription Drug Plan

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Community Q&A

Do you have questions about this plan?

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1 question
pharmacies
Q:I need a list of preferred pharmacies for this drug plan
Asked by Anonymous 
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