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Wellcare Classic A 2025 Medicare Part D Plan Available in Ohio
Wellcare Classic A 2025 Medicare Part D Plan Available in Ohio
Welcome to your guide to the Wellcare Classic 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 Ohio.
The Wellcare Classic 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 Ohio.
Wellcare Classic : Part D Plan Overview | |
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Part D Plan ID: | S4802-085 |
Plan Year: | 2025 |
Total Part D Premium: | $24.30 |
Annual Deductible: | $590.00 |
Part D Benefit Type: | Basic |
No Deductible Drug Tier: | Not Applicable |
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 Classic 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.
Plan Premium Details
Your monthly premium for the Wellcare Classic 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: | $24.30 |
Supplemental Part D Premium: | $0.00 |
Total Part D Premium: | $24.30 |
Low Income Premium Subsidy: | $39.30 |
Low Income Premium Subsidy CMS Pays: | $24.30 |
Low Income Subsidy Premium: | $0.00 |
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 Ohio, visit the Social Security Extra Help page.
Understanding the Plan’s Deductible
This plan has a Medicare Part D annual deductible of $590.00. You must pay this amount upfront at the pharmacy before Wellcare begins contributing to your prescription costs.
Out-of-Pocket Expenses with this Part D Plan
In addition to the monthly premium and deductible, you'll also be responsible for copayments (fixed amounts) and/or coinsurance (a percentage of the drug cost) under the Wellcare Classic plan. The following table details these out-of-pocket costs.
Drug Tier | Retail | Mail Order | |
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Preferred Generic | $0.00 | $3.00 | |
Generic | $5.00 | $8.00 | |
Preferred Brand | 21.00% | 22.00% | |
Non-Preferred Drug | 35.00% | 36.00% | |
Specialty Tier | 25.00% | 25.00% | |
*Deductible does not apply. |
CMS 5-Star Rating Overview
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 Classic 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 |
Important Medicare Part D Enrollment Periods
Knowing when to enroll in a Medicare Part D plan is crucial to ensuring you have the coverage you need. Below are the main enrollment periods:
- Initial Enrollment Period (IEP): This seven-month period begins three months before your 65th birthday month. Discover more about your Medicare Initial Enrollment Period.
- Annual Enrollment Period (AEP): Every year between October 15 and December 7, you can make changes to your Medicare Part D plan. Learn about the Annual Enrollment Period.
- Medicare Advantage Open Enrollment Period (MA-OEP): From January 1 to March 31, you can switch Medicare Advantage plans or return to Original Medicare, , so long as you are currently enrolled in a Medicare Advantage plan. Learn more about the MA Open Enrollment Period.
- Special Enrollment Period (SEP): Life events such as relocating or losing coverage can trigger a Special Enrollment Period, allowing changes outside the usual enrollment windows.
How to Sign Up for Wellcare Classic
Here are a few ways to enroll in Wellcare Classic or a different Medicare Part D plan:
- Online via MedicareEnrollment.com: Compare and get enrolled online by visiting MedicareEnrollment.com.
- Call HealthCompare: Speak with a licensed insurance agent by calling HealthCompare at 833-748-3201 (TTY 711) for personalized assistance (Mon-Fri 5am-6pm, Sat 6am-5pm PST).
- Call 1-800-MEDICARE: You can also call 1-800-MEDICARE (1-800-633-4227) for help with enrollment. TTY users should dial 1-877-486-2048.
- Call the Plan Directly: Contact the plan directly using the information provided below to enroll by phone.
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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