2021 WellCare Medicare Rx Value Plus (PDP) S5768-129-000 in PA from WellCare | HealthPocket

WellCare Medicare Rx Value Plus (PDP)

$75/mo

Benefits & Coverage

Insurance TypeMedicare Advantage Prescription Drug Plan (Part D)
Insurance ProviderWellCare
Plan IDS5768-129-000
Plan Year2021
CMS Rating
Plan TypePDP
Annual Deductible$0.00
Out-of-Pocket MaximumN/A

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

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

Costs and Other Important Information

Plan Year2021
Prescription Drugs Covered?Yes
Health Plan Deductible$0
Monthly Drug Plan Premium$75.6
Monthly Health Plan Premium$0

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$1 copay$10 copay$1 copay$10 copay
Tier 2: Generic$4 copay$20 copay$4 copay$20 copay
Tier 3: Preferred Brand$47 copay$47 copay$47 copay$47 copay
Tier 4: Non-Preferred Drug50% coinsurance50% coinsurance50% coinsurance50% coinsurance
Tier 5: Specialty Tier33% coinsurance33% coinsurance33% coinsurance33% coinsurance

90 Day SupplyPreferred Retail Pharmacies Drug CostStandard Retail Pharmacies Drug CostPreferred Mail-Order Drug CostStandard Mail-Order Drug Cost
Tier 1: Preferred Generic$3 copay$30 copay$0 copay$30 copay
Tier 2: Generic$12 copay$60 copay$10 copay$60 copay
Tier 3: Preferred Brand$141 copay$141 copay$117.5 copay$141 copay
Tier 4: Non-Preferred Drug50% coinsurance50% coinsurance50% coinsurance50% coinsurance
Tier 5: Specialty Tier

Drug Plan Customer Service

Call center – foreign language interpreter and TTY availability
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 Medicare Rx Value Plus (PDP) Prescription Drug Plan for Pennsylvania

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Medicare Plans Found

 

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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 Benefytt Technologies, Inc. family of companies.