Wellcare Medicare Rx Value Plus (PDP)

Health Insurance Company: Wellcare

Medicare Prescription Drug Part D Plan Details

Wellcare
$79 /mo
monthly premium
Wellcare Medicare Rx Value Plus (PDP)
Coverage
Overall Star Rating (2024)
  • Rx
3.5
out of 5 stars

General Plan Details

Prescription Drug Deductible
$0
Preferred Generic copay
$5
Preferred Brand copay
$47
Eligible for Low Income Subsidy
No

Rx Drug Coverage - Preferred Retail Cost

Tier 1: Preferred Generic

$0.00 copay (30-day supply)
$0.00 copay (90-day supply)

Tier 2: Generic

$4.00 copay (30-day supply)
$12.00 copay (90-day supply)

Tier 3: Preferred Brand

$47.00 copay (30-day supply)
$141.00 copay (90-day supply)

Tier 4: Non-Preferred Drug

50% coinsurance (30-day supply)
50% coinsurance (90-day supply)

Tier 5: Specialty Tier

33% coinsurance (30-day supply)

Rx Drug Coverage - Standard Retail Cost

Tier 1: Preferred Generic

$5.00 copay (30-day supply)
$15.00 copay (90-day supply)

Tier 2: Generic

$10.00 copay (30-day supply)
$30.00 copay (90-day supply)

Tier 3: Preferred Brand

$47.00 copay (30-day supply)
$141.00 copay (90-day supply)

Tier 4: Non-Preferred Drug

50% coinsurance (30-day supply)
50% coinsurance (90-day supply)

Tier 5: Specialty Tier

33% coinsurance (30-day supply)

Rx Drug Coverage - Standard Mail Order Cost

Tier 1: Preferred Generic

$5.00 copay (30-day supply)
$15.00 copay (90-day supply)

Tier 2: Generic

$10.00 copay (30-day supply)
$30.00 copay (90-day supply)

Tier 3: Preferred Brand

$47.00 copay (30-day supply)
$141.00 copay (90-day supply)

Tier 4: Non-Preferred Drug

50% coinsurance (30-day supply)
50% coinsurance (90-day supply)

Tier 5: Specialty Tier

33% coinsurance (30-day supply)

Rx Drug Coverage - Preferred Mail Order Cost

Tier 1: Preferred Generic

$0.00 copay (30-day supply)
$0.00 copay (90-day supply)

Tier 2: Generic

$4.00 copay (30-day supply)
$10.00 copay (90-day supply)

Tier 3: Preferred Brand

$47.00 copay (30-day supply)
$117.50 copay (90-day supply)

Tier 4: Non-Preferred Drug

50% coinsurance (30-day supply)
50% coinsurance (90-day supply)

Tier 5: Specialty Tier

33% coinsurance (30-day supply)

Plan Links

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Where This Plan is Available

Additional Plan Info

Plan Year:
2024
Insurance Company Website:
Wellcare

Health Insurance Companies Offering Plans

Medicare Advantage and Part D plans and benefits offered by the following insurance companies:

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  • GlobalHealth
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  • Healthy Blue
  • Humana
  • Molina Healthcare
  • Mutual of Omaha
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  • SCAN Health Plan
  • Baylor Scott & White Health Plan
  • Simply
  • UnitedHealthcareⓇ
  • Wellcare
  • WellPoint