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Wellcare Medicare Rx Value Plus A 2025 Medicare Part D Plan Available in Illinois
Wellcare Medicare Rx Value Plus A 2025 Medicare Part D Plan Available in Illinois
Welcome to the 2025 Wellcare Medicare Rx Value Plus Medicare Part D plan guide for Illinois. Here, you’ll find all the information you need, including plan benefits, costs, and star ratings. We’ve also included enrollment options to assist you in securing the right prescription drug coverage for you in Illinois.
The Wellcare Medicare Rx Value Plus plan provides valuable coverage for reducing your prescription drug costs, whether you're enrolled in Medicare Part A and/or Part B, or a Medicare Advantage plan without drug coverage in Illinois.
Wellcare Medicare Rx Value Plus : Part D Plan Overview | |
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Part D Plan ID: | S4802-220 |
Plan Year: | 2025 |
Total Part D Premium: | $102.40 |
Annual Deductible: | $590.00 |
Part D Benefit Type: | Enhanced |
No Deductible Drug Tier: | Yes |
Low Income Subsidy: | Yes |
Insured By: | Wellcare |
We're Here to Help You Enroll |
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Breaking Down Medicare Part D Plan Costs
When considering Wellcare Medicare Rx Value Plus , it's important to look beyond the monthly premium. There are additional costs, such as deductibles, copayments, and coinsurance, that can affect your out-of-pocket expenses. The following sections explain each cost element to help you make informed decisions about your prescription drug coverage.
Monthly Premium Overview
The Wellcare Medicare Rx Value Plus plan's monthly premium is an important factor in your total costs. Some plans include extra fees or offer financial aid through the Low-Income Subsidy (LIS) program. The following table details the premium costs for this 2025 plan by Wellcare.
Basic Part D Premium: | $53.40 |
Supplemental Part D Premium: | $49.00 |
Total Part D Premium: | $102.40 |
Low Income Premium Subsidy: | $22.77 |
Low Income Premium Subsidy CMS Pays: | $22.80 |
Low Income Subsidy Premium: | $79.60 |
TIP: To learn more about the Low-Income Subsidy (LIS) program, also known as "Extra Help," and how it can assist with your prescription drug costs in Illinois, visit the Social Security Extra Help page.
Understanding the Plan’s Deductible
This plan's Medicare Part D annual deductible is $590.00. You will need to pay this deductible amount before Wellcare begins covering your prescription drug costs at the pharmacy.
Out-of-Pocket Costs in this Drug Plan
Beyond the monthly premium and deductible, Wellcare Medicare Rx Value Plus includes copayments (fixed amounts) and/or coinsurance (a percentage of the cost) that you'll need to pay when filling your prescriptions. The table below outlines these costs in detail.
Drug Tier | Retail | Mail Order | |
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Preferred Generic* | $0.00 | $5.00 | |
Generic* | $4.00 | $10.00 | |
Preferred Brand* | 15.00% | 15.00% | |
Non-Preferred Drug | 50.00% | 50.00% | |
Specialty Tier | 25.00% | 25.00% | |
*Deductible does not apply. |
What the CMS 5-Star Rating Means
The CMS assigns Medicare Part D plans a star rating, ranging from 1 to 5 stars, based on several factors, including customer service, member satisfaction, and prescription drug safety. This annual rating helps you evaluate the quality of a plan before enrolling. A 5-star rating indicates top-tier performance. Below, you’ll find the CMS rating for the Wellcare Medicare Rx Value Plus plan.
CMS Measure | Star Rating |
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Overall Plan Rating | |
Drug Plan Customer Service | |
Complaints and Changes in the Drug Plan | |
Member Experience with the Drug Plan | |
Drug Safety and Accuracy of Drug Pricing |
When to Enroll in Medicare Part D
Timing your enrollment in Medicare Part D is critical. Here are the key periods when you can sign up for or make changes to your plan:
- Initial Enrollment Period (IEP): Your first chance to enroll in Medicare Part D typically starts three months before the month you turn 65 and lasts for seven months. Learn more about when your Initial Enrollment Period begins.
- Annual Enrollment Period (AEP): Every year from October 15 to December 7, you can join, switch, or drop your Medicare Part D plan. Get details about the Medicare Annual Enrollment Period.
- Medicare Advantage Open Enrollment Period (MA-OEP): From January 1 to March 31, you can change your Medicare Advantage plan or switch back to Original Medicare (with or without Part D), so long as you are currently enrolled in a Medicare Advantage plan. Explore the Medicare Advantage Open Enrollment Period.
- Special Enrollment Period (SEP): Certain events, like moving or losing other coverage, may qualify you for a Special Enrollment Period, allowing you to enroll or change plans outside the usual periods.
How to Enroll in Wellcare Medicare Rx Value Plus
Ready to enroll in Wellcare Medicare Rx Value Plus or another Medicare Part D plan? Here are your options:
- Online via MedicareEnrollment.com: Easily compare and enroll in plans by visiting MedicareEnrollment.com.
- Call HealthCompare: Get expert help from HealthCompare by calling 833-748-3201 (TTY 711). They can assist you in finding the right plan for your needs (Mon-Fri 5am-6pm, Sat 6am-5pm PST).
- Call 1-800-MEDICARE: For additional guidance, contact Medicare at 1-800-MEDICARE (1-800-633-4227). TTY users can call 1-877-486-2048.
- Call the Plan Directly: Alternatively, reach out to the plan directly using the contact information provided below.
Contact Wellcare
Website: | Wellcare Plan Page |
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Formulary: | Wellcare Formulary Page |
Pharmacy: | Wellcare Pharmacy Page |
Prospective Part D Members: | (800)270-5320 |
Prospective Part D TTY Users: | 711 |
Plans Offered Through Medicare.org
Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Baylor Scott & White Health Plan, Capital Blue Cross, Cigna Healthcare, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, GlobalHealth, Health Care Service Corporation, Healthy Blue, HealthSun, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.
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