2019 WellCare Value Script (PDP) S4802-158-0 in IA from WellCare | HealthPocket

WellCare Value Script (PDP)

$15/mo

Apply For This Plan

Zip Code50317
Applicant12/14/1983 Male
Coverage Start12/15/2018
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Benefits & Coverage

Insurance TypeMedicare Advantage Prescription Drug Plan (Part D)
Insurance ProviderWellCare
Plan IDS4802-158-0
Plan Year2019
CMS Rating
Plan TypePDP
Annual Deductible$415.00

What To Know About This Plan
  • This is a drug coverage only plan

Costs and Other Important Information

Plan Year2019
Monthly Health Plan PremiumNot Applicable
Monthly Drug Plan Premium$15.00
Health Plan Deductible$185
Other health plan deductibles?Yes
Maximum out-of-pocket enrollee responsibility (does not include prescription drugs)Not Applicable
Optional Supplemental BenefitsNo

Benefits

SERVICECOST
Inpatient hospital coverageIn 2019 the amounts for each benefit period are:
$1,364 deductible for days 1 through 60
$341 copay per day for days 61 through 90
Outpatient hospital coverage20% per visit
Doctor visitsPrimary:20% per visit
Specialist:20% per visit
Preventive care$0 copay
Emergency care/Urgent careEmergency:20% per visit (always covered)
Urgent care:20% per visit (always covered)
Diagnostic procedures/lab services/imagingDiagnostic tests and procedures:20%
Lab services:20%
Diagnostic radiology services (e.g., MRI):20%
Outpatient x-rays:20%
Mental health servicesInpatient hospital - psychiatric:In 2019 the amounts for each benefit period are:
$1,364 deductible for days 1 through 60
$341 copay per day for days 61 through 90
Outpatient group therapy visit with a psychiatrist:20%
Outpatient individual therapy visit with a psychiatrist:20%
Outpatient group therapy visit:20%
Outpatient individual therapy visit:20%
Skilled Nursing FacilityIn 2019 the amounts for each benefit period are:
$0 copay for days 1 through 20
$170.50 copay per day for days 21 through 100
Rehabilitation servicesOccupational therapy visit:20%
Physical therapy and speech and language therapy visit:20%
Ground ambulance20%
TransportationNo
Foot care (podiatry services)Foot exams and treatment:20%
Routine foot care:No
Medical equipment/suppliesDurable medical equipment (e.g., wheelchairs, oxygen):20% per item
Prosthetics (e.g., braces, artificial limbs):20% per item
Diabetes supplies:20% per item
Wellness programs (e.g., fitness, nursing hotline)No
Medicare Part B drugsChemotherapy:20%
Other Part B drugs:20%

Benefits Services

Hearing
Hearing exam20%
Preventive Dental
Comprehensive Dental
Vision

Coverage Area for WellCare Value Script (PDP)

StateIowa
CountyPolk

Drug Plan Customer Service

Call center – foreign language interpreter and TTY/TDD availability - DrugsNot Rated
Appeals auto-forwardNot Rated
Appeals upheld

Member Complaints, and Changes in Drug Plan's Performance

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

Member Experience with Drug Plan

Rating of drug plan
Getting needed prescription drugs

Drug Pricing and Patient Safety

MPF Price Accuracy
High risk medication
Part D medication adherence for diabetes
Part D medication adherence for hypertension
Part D medication adherence for cholesterol
Medication Therapy Management program completion rate

Pharmacies that accept WellCare Value Script (PDP) Prescription Drug Plan for Iowa

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HealthPocket is a free information source designed to help consumers find medical coverage. Whether you are looking for Medicare, Medicaid or an individual health insurance plan, we will help you find the right healthcare option and save on your out of pocket healthcare costs. We receive our data from government, non-profit and private sources, and you should confirm key provisions of your coverage with your selected health plan. If you select a plan presented on our site, you will be directed (via a click or a call) to one of our partners who can help you with your application. Our website is not a health insurance agency and not affiliated with and does not represent or endorse any health plan.

Medicare Plans Found

 

HealthPocket is a free information source designed to help consumers find medical coverage. Whether you are looking for Medicare, Medicaid or an individual health insurance plan, we will help you find the right healthcare option and save on your out of pocket healthcare costs. We receive our data from government, non-profit and private sources, and you should confirm key provisions of your coverage with your selected health plan. If you select a plan presented on our site, you will be directed (via a click or a call) to one of our partners who can help you with your application. Our website is not a health insurance agency and not affiliated with and does not represent or endorse any health plan.