WellCare Medicare

WellCare offers a number of different plan varieties that are tailored to meet the needs of different groups of individuals, from those who just need basic coverage to those with special needs.
WellCare Medicare

WellCare is one of the largest providers of Medicare and Medicaid health insurance plans in the United States. Trusted by millions, WellCare seeks to deliver quality Medicare and Medicaid coverage while reducing administrative costs. Patients can take advantage of an array of plans that are designed to meet their individual needs, including prescription drugs, dental services, vision care, and more. With a network of over 28,000 providers nationwide and dedicated customer service representatives standing by to answer any questions you have, they offer a comprehensive solution for your healthcare needs.

This article will provide a thorough overview of WellCare Medicare, including the pros and cons of their plans, third-party ratings and reviews, coverage options and costs, a network of providers, customer service, and more. You'll have the information to make an informed decision about your health insurance needs along with the ability to compare WellCare to other providers.

WellCare Original Medicare

WellCare Original Medicare is a comprehensive health plan that provides seniors with access to the same quality care as traditional Medicare without any additional coverage. This plan features benefits such as hospitalization, doctor and specialist visits, preventive care, prescription drug coverage and many more. It also offers low copays and coinsurances for medical services. With WellCare Original Medicare, seniors have peace of mind knowing that they’re getting the best possible care at an affordable rate. Additionally, there are no claims forms or pre-authorizations necessary — making seeking treatment quick and easy. WellCare Original Medicare is a great option for seniors who want high-quality healthcare without excess costs or hassle.

WellCare Medicare Advantage

WellCare is one of the largest providers of Part C plans in the U.S., offering a range of benefits including coverage for hospital stays, doctor visits and preventive services, prescription drugs, and durable medical equipment. In addition to its extensive network of doctors and hospitals, they also provides access to health and wellness programs, as well as discounts on hearing aids and eyeglasses. With coverage from WellCare, you can be sure you are getting quality care that meets your needs.

Key Features:

  • Access to a nationwide network of doctors and hospitals: With WellCare, you can access doctors and hospitals in all 50 states, giving you the flexibility to find care in multiple locations.
  • Coverage for hospital stays doctor visits, and preventive services: WellCare's Medicare Advantage plan includes coverage for hospital stays, doctor visits, preventive screenings, and immunizations with no copayment in most cases.
  • Prescription drug coverage: WellCare Medicare Advantage plans include coverage for both generic and brand-name drugs, so you have access to needed medications without having to pay out of pocket.
  • Durable medical equipment coverage: You can get coverage for equipment such as wheelchairs, walkers, oxygen tanks, and more through your WellCare Medicare Advantage plan.
  • Health and wellness programs: With your WellCare plan, you can access health education services to help manage chronic illnesses or other conditions. You'll also get discounts on participating in fitness activities like gym memberships or yoga classes.
  • Discounts on hearing aids and eyeglasses: You may be eligible for discounted prices on certain hearing aids or eyeglasses when you enroll in a WellCare Medicare Advantage program.

WellCare is a leading healthcare company that provides Medicare Advantage plans to its members. It was founded in 1985 and has since grown to become one of the largest providers of Medicare Advantage plans in the United States, serving approximately 3 million people. WellCare’s plans are designed to cover more than just medical costs and provide extra benefits like coverage for prescription drugs, durable medical equipment, health and wellness programs, and discounts on hearing aids and eyeglasses. WellCare Insurance aims to improve its members’ quality of life while providing access to cost-effective healthcare services.

How Does WellCare Medicare Advantage Work?

WellCare Medicare Advantage plans come in two options: Preferred Provider Organizations (PPO) and Health Maintenance Organizations (HMO). Under a PPO plan, members can visit any provider within the network without needing a referral from their primary care doctor. With an HMO plan, members must select a primary care physician and receive referrals for specialty care when needed. WellCare offers Medicare Advantage plans in all 50 states to provide members with access to quality healthcare services that meet their needs. Additionally, WellCare provides resources to help seniors make informed decisions about their healthcare choices.

Additionally, WellCare Medicare Advantage plans cover a wide range of healthcare services, including hospital stays and visits to the doctor. Members covered by WellCare Medicare Advantage plans can also receive preventive care, such as physicals and flu shots. Furthermore, these plans provide coverage for generic and brand-name medications, as well as durable medical equipment. In addition to providing basic coverage, WellCare also offers additional benefits such as discounts on participating fitness activities like gym memberships or yoga classes. With the comprehensive coverage provided by WellCare Medicare Advantage plans, seniors have access to quality healthcare services that meet their needs.

WellCare Medicare Advantage Pros and Cons

WellCare's Medicare Advantage plans offer many benefits, including $0 primary care copays and some specialist copays. These plans also feature low monthly premiums and provide seniors with access to quality healthcare services that meet their individual needs. However, there are a number of drawbacks associated with these plans as well. For example, the average drug deductible for WellCare is higher than other major providers, and the out-of-pocket maximum is higher than the industry average. Additionally, Part D plans from WellCare do not offer additional coverage in the Medicare gap when compared to other similar companies. All in all, WellCare's Medicare Advantage plans provide seniors with comprehensive coverage and access to quality care — but it is important to weigh their pros and cons before making a decision.

WellCare Part D Prescription Drug plans

In addition to the Medicare Advantage plans, WellCare also provides a variety of supplemental Medicare plans. These include Part D prescription drug coverage, which helps cover the cost of generic and brand-name medications. Other plans available include Medicare Special Needs Plans (for individuals with specific needs such as dialysis or cancer treatments), Medicare Cost plans, and Medicare Medical Savings Accounts. Many of these plans provide additional benefits such as discounts on participating in fitness activities. With the range of Medicare options offered by WellCare, seniors have access to quality healthcare services that meet their individual needs.


According to Investopedia, many of WellCare's Medicare Advantage plans come with a $0 primary care copay and some also provide $0 specialist copays. These plans boast some of the lowest premiums available, with an average premium of just $9.48 per month — lower than most major providers. However, these plans have somewhat higher out-of-pocket expenses than the industry average, with an average drug deductible amounting to $185.10 and an out-of-pocket maximum of $5,416.60. Part D plans from WellCare offer low premiums but do not feature additional coverage in the Medicare gap — making them less competitive with other options from companies like Aetna and UnitedHealthcare, which often have better pricing and higher ratings.

Get Medicare Quotes Through Coverage Guru

WellCare Medicare plans provide seniors with comprehensive healthcare coverage that meets their individual needs. From Original Medicare to Supplement, Advantage, and Special Needs plans, seniors can access quality care without additional costs or hassle. If you're looking for the perfect Medicare plan to meet your individual needs, it's important to compare quotes from WellCare and other insurers. At Coverage Guru, our team of experts can help you easily compare quotes from different providers so that you can make an informed decision about which provider is best for you. With Coverage Guru, getting Medicare Quotes is a fast and easy process.