Wellcare Medicare Rx Value Plus A 2025 Medicare Part D Plan Available in Maine
Wellcare Medicare Rx Value Plus A 2025 Medicare Part D Plan Available in Maine
Welcome to your guide to the Wellcare Medicare Rx Value Plus Medicare Part D plan for 2025. This page covers key details about the plan, including its benefits, costs, and CMS star rating. We’ve also provided enrollment options to help you secure prescription drug coverage in Maine.
The Wellcare Medicare Rx Value Plus plan offers valuable coverage to help reduce 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 Maine.
Wellcare Medicare Rx Value Plus : Part D Plan Overview | |
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Part D Plan ID: | S4802-204 |
Plan Year: | 2025 |
Total Part D Premium: | $112.40 |
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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Understanding Medicare Part D Plan Costs
Wellcare Medicare Rx Value Plus has a range of costs, including monthly premiums, deductibles, copayments, and coinsurance. Understanding how each of these components impacts your overall expenses is key to managing your prescription drug costs effectively. The sections below will guide you through each cost factor.
Monthly Premium Overview
Your monthly premium for the Wellcare Medicare Rx Value Plus plan is bundled into the total plan cost. Depending on the plan, you may face additional expenses or qualify for Low-Income Subsidy (LIS) support. The table below outlines the premium structure for this 2025 Wellcare plan.
Basic Part D Premium: | $63.10 |
Supplemental Part D Premium: | $49.30 |
Total Part D Premium: | $112.40 |
Low Income Premium Subsidy: | $33.77 |
Low Income Premium Subsidy CMS Pays: | $33.80 |
Low Income Subsidy Premium: | $78.60 |
IMPORTANT: If you qualify for the Low-Income Subsidy (LIS) program, known as "Extra Help," you could receive assistance with your prescription drug plan costs in Maine. For more details, visit the Social Security Extra Help page.
Understanding the Plan’s Deductible
The annual Medicare Part D deductible for this plan is $590.00. You are responsible for paying this amount before Wellcare starts sharing the cost of your prescriptions.
Prescription Drug Plan Out-of-Pocket Costs
Along with the plan's monthly premium and deductible, Wellcare Medicare Rx Value Plus requires you to pay copayments (a set dollar amount) or coinsurance (a percentage of the drug cost) when picking up your medications. The table below provides a breakdown of these out-of-pocket expenses.
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. |
CMS 5-Star Rating Overview
Every year, the Centers for Medicare & Medicaid Services (CMS) rates Medicare Part D plans on a 5-star scale, with 5 stars representing excellent quality and performance. These ratings consider factors like customer service, member experience, and the safety of prescription drugs. A higher rating reflects better overall quality, helping you choose the best plan for your needs. The table below shows 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 a Medicare Part D Plan
It's important to enroll in a Medicare Part D plan during specific periods to avoid penalties and ensure continuous coverage. Here are the key times to sign up:
- 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
There are several ways to enroll in Wellcare Medicare Rx Value Plus or another Medicare Part D plan, allowing you to choose the method that works best for you:
- 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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