2020 WellCare Value Script (PDP) S4802-138-0 in NY from WellCare | HealthPocket

WellCare Value Script (PDP)

$17/mo

Benefits & Coverage

Insurance TypeMedicare Advantage Prescription Drug Plan (Part D)
Insurance ProviderWellCare
Plan IDS4802-138-0
Plan Year2020
CMS RatingNot Rated
Plan TypePDP
Annual Deductible$435.00
Out-of-Pocket Maximum

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

Why We Like This Plan
  • has a copay of $0 for Tier 1 preferred generic drugs (30 day supply, preferred retail pharmacies)

Overview

Premium
Total monthly premium$17.20
Deductible
Drug plan deductible$435.00

Drug coverage & costs

Part B drugs
Chemotherapy drugsNot covered
Other Part B drugsNot covered

Coverage Area for WellCare Value Script (PDP)

StateNew York
CountyKings

All cost-sharing assumes in-network healthcare providers.
Prescription Drug Copay/Coninsurance Details - Initial Coverage Limit


30 Day SupplyPreferred Retail Pharmacies Drug CostStandard Retail Pharmacies Drug CostPreferred Mail-Order Drug CostStandard Mail-Order Drug Cost
Tier 1: Preferred Generic$0 copay$5 copay$0 copay$5 copay
Tier 2: Non-Preferred Generic$6 copay$11 copay$6 copay$11 copay
Tier 3: Preferred Brand Name$43 copay$47 copay$43 copay$47 copay
Tier 4: Non-Preferred Brand Name47% coinsurance50% coinsurance47% coinsurance50% coinsurance
Tier 5: Specialty Tier25% coinsurance25% coinsurance25% coinsurance25% coinsurance
Tier 6: Select Care Drugs

90 Day SupplyPreferred Retail Pharmacies Drug CostStandard Retail Pharmacies Drug CostPreferred Mail-Order Drug CostStandard Mail-Order Drug Cost
Tier 1: Preferred Generic$0 copay$15 copay$0 copay$15 copay
Tier 2: Non-Preferred Generic$18 copay$33 copay$15 copay$33 copay
Tier 3: Preferred Brand Name$129 copay$141 copay$107.5 copay$141 copay
Tier 4: Non-Preferred Brand Name47% coinsurance50% coinsurance47% coinsurance50% coinsurance
Tier 5: Specialty Tier
Tier 6: Select Care Drugs

Drug Plan Customer Service

Call center – foreign language interpreter and TTY availabilityNot Rated
Appeals auto-forward
Appeals upheld

Member Complaints, and Changes in Drug Plan's Performance

Complaints about the drug plan
Members choosing to leave the drug plan
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
Medication adherence for diabetes medications
Medication adherence for hypertension - RAS antagonists
Medication adherence for cholesterol - Statins
MTM program completion rate for CMR
Statin use in persons with diabetes - SUPD

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

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CDPHP $0 Medicare Rx (HMO)
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Fidelis Medicare $0 Premium (HMO)
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HealthPocket is a free information source designed to help consumers find medical coverage. Whether you are looking for Medicare, or an individual and family 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. HealthPocket, Inc. is part of the Health Insurance Innovations, Inc. family of companies (NASDAQ: HIIQ).

Medicare Plans Found

 

HealthPocket is a free information source designed to help consumers find medical coverage. Whether you are looking for Medicare, or an individual and family 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. HealthPocket, Inc. is part of the Health Insurance Innovations, Inc. family of companies (NASDAQ: HIIQ).