Wellcare

Seniorinva

New member
If you are using or about to get Medicare do not use Wellcare for your Part D. Just got off the phone with India and was told my deductible was $300. One medication they said anything under $120 they will not pay. Over $120 I have to pay! Basically I get a contracted price for my medications. Tier 1 are paid for. Is there a Plan D company anyone would recommend?
 

911

Well-known member
Location
USA
There are plenty of Part D plans out there. You may want to check out what’s best for you by going to Medicare.gov and filling out the questionnaire.

BTW, my wife has WellCare. Her deductible is the same. Once she hit that, everything has been fine, even the script for $50.00, which she got last month and she paid $10.00, I think she said.

I actually like Envision Rx.
 

GreenSky

Active member
Location
Las Vegas
If you are using or about to get Medicare do not use Wellcare for your Part D. Just got off the phone with India and was told my deductible was $300. One medication they said anything under $120 they will not pay. Over $120 I have to pay! Basically I get a contracted price for my medications. Tier 1 are paid for. Is there a Plan D company anyone would recommend?
I hope you used an agent to review your medications before you enrolled into WellCare. I only take on generic and it works fine for me. My wife uses a brand name so I helped her enroll in a more appropriate plan.

Every company has their own formulary and restrictions on obtaining medications. It's important to know what you're doing before enrolling. It can be more complicated than it seems.

Rick
 

Seniorinva

New member
Original Poster
I hope you used an agent to review your medications before you enrolled into WellCare. I only take on generic and it works fine for me. My wife uses a brand name so I helped her enroll in a more appropriate plan.

Every company has their own formulary and restrictions on obtaining medications. It's important to know what you're doing before enrolling. It can be more complicated than it seems.

Rick
I guess that’s why I am upset. I had to submit meds and dosage information so this should not be happening. This fall any plan I want to pick I’ll have to call them and verify just to be sure. I even used my employers insurance advisors.
 

GreenSky

Active member
Location
Las Vegas
I guess that’s why I am upset. I had to submit meds and dosage information so this should not be happening. This fall any plan I want to pick I’ll have to call them and verify just to be sure. I even used my employers insurance advisors.
Your employer's insurance advisors likely don't specialize in Medicare and are probably not the best source of information.

It's more complicated than it seems. Contact me if you'd like some help.

Rick
 

Judycat

Well-known member
Location
Pennsylvania
Don't sign up for any Part D plan until you check it out yourself with Medicare, the Part D provider, and your Pharmacy. If you don't understand something keep asking until you do. Some of the Medicare gobbledygook I had to read three times before I understood it. Well Care was good for me, but I qualify for extra help.
 

GreenSky

Active member
Location
Las Vegas
Don't sign up for any Part D plan until you check it out yourself with Medicare, the Part D provider, and your Pharmacy. If you don't understand something keep asking until you do. Some of the Medicare gobbledygook I had to read three times before I understood it. Well Care was good for me, but I qualify for extra help.
I notice you didn't suggest contacting an insurance agent. You know, those of us who spend hours each year being certified and knowledgeable enough to help people. Medicare rarely gives the correct answer and the pharmacy will generally simply tell you which plans THEY accept. Even calling the insurance company can give you wrong information.

Why people shy away from those of us who actually know what we're doing (and get paid a whopping $28 for the help) is beyond me.

Rick
 

Seniorinva

New member
Original Poster
Your employer's insurance advisors likely don't specialize in Medicare and are probably not the best source of information.

It's more complicated than it seems. Contact me if you'd like some help.

Rick
Thanks Rick, I will.
 


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