WellCare is a reputed managed health insurance services provider based at Tampa, Fla. The company has been providing government-sponsored managed care services to families, children, seniors and individuals.
The major healthcare plans that company offer includes Medicaid, Medicare Advantage and Medicare Prescription Drug Plans. As of now, the company serves approximately 6.3 million members nationwide.
As stated, WellCare health plans cover three major government-sponsored health plans Medicaid, Medicare Advantage and Medicare Prescription Drug Plans. Since its inception to the health care marketplace, the company is continually improving the quality of health care and managed services offered to all its stake holders and members.
Wellcare Health Plans, Inc. holds a several subsidiaries under its umbrella. These subsidiaries include WellCare, Staywell, HealthEase, Harmony, and ‘Ohana. Company operates from its multiple regional offices located in Miami, New York City, New Haven, Baton Rouge, Marietta, Houston, and Chicago.
Wellcare started operations in 1985 in Tampa, Florida as a verified Medicaid provider for the Florida State. As the Balanced Budget Act of 1997 came into the effect, WellCare started offering Medicare health insurance plans. At the time, these programs were offered with Medicare+Choice or Part C plans.
Company added Medicare Advantage plans in its product portfolio in 2003 to offer prescription drug benefits to the insurance seekers. It happened after the company was approved for offering services under the Medicare Prescription Drug, Improvement, and Modernization Act.
Thereafter in 2006, Wellcare included Medicare Part D plans in its product portfolio. Now, the company has shot to fame for one of the top 10 Part D insurance providers by membership volume for these types of plans.
Since its arrival in the healthcare marketplace, WellCare got through several acquisitions where the company taken over many smaller Medicare & Medicaid supplement providers. These acquisitions helped company to expand its product portfolio significantly. Following are some of the major acquisitions by the WellCare:
November, 2012: Easy Choice Health Plan in California
February, 2013: UnitedHealthcare’s Medicaid business in South Carolina
April, 2013: Missouri Care, Incorporated
September, 2013: Purchase of Windsor Health Group in Mississippi
November, 2016: Universal American
January, 2017: Care1st Health Plan Arizona
Medicare Plans Offered by WellCare:
WellCare, along with other health insurance carriers provide Medicare Advantage plans in the state. Following are the major Medicare plans provided by WellCare:
1: WellCare Health Maintenance Organization (HMO) Plans:
In case you go for a WellCare HMO plan, you’re required to name a primary care physician (PCP). He will take care of all of your medical needs including referring you to another healthcare provider in the network if he finds it necessary as per your medical conditions. The USP of the plan is its affordability since it comes with low premiums, copays, and coinsurance.
2: WellCare Point of Service (POS) Plans:
A POS plan is an HMO subtype that’s operated provided by a network of healthcare providers. However, it differs in a way as it allows beneficiaries to look for medical professionals outside the network if needs arise.
WellCare’s PPO Medicare plans are a perfect fit for the beneficiaries living in certain counties in New York, Georgi, Florida, and South Carolina. The plan enables beneficiaries to choose a medic professional of his/ her choice as long as he or she is in the plan’s network. The only downside of the plan is that you have to pay higher premiums, copay, and coinsurance.
4. WellCare Special Needs Plans (SNP)
An SNP is typically offered to those with chronic health issues or those who qualify for insurance coverage through both Medicare and Medicaid. Availability varies by location.
5. WellCare Special Needs Plans (SNP)
WellCare’s SNP plan is ideal for those who are taking medication for chronic health issues. The plan is also applicable for those patients who qualify for insurance coverage through both Medicare and Medicaid. To note, the availability of the plan may vary from one location to the other.
In addition to the above, WellCare Medicare Advantage plans also offer beneficiaries prescription drug coverage. However, one can purchase a stand-alone drug plan if he or she has already has the original Medicare plan.
Another WellCare plan called Medication Therapy Management is designed to help mitigate drug-related risks, increase prescription awareness, and support healthy prescription drug habits. With the plan, beneficiaries receive a comprehensive medication review to discuss your prescription medications, and over-the-counter medicines.