
Wellcare Medicare Rx Value Plus A 2025 Medicare Part D Plan Available in Ohio
Wellcare Medicare Rx Value Plus A 2025 Medicare Part D Plan Available in Ohio
Welcome to the 2025 Wellcare Medicare Rx Value Plus Medicare Part D plan guide for Ohio. 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 Ohio.
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 Ohio.
Wellcare Medicare Rx Value Plus : Part D Plan Overview | |
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Part D Plan ID: | S4802-217 |
Plan Year: | 2025 |
Total Part D Premium: | $102.30 |
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
Wellcare Medicare Rx Value Plus has various costs beyond just the monthly premium. From deductibles to copayments and coinsurance, it's essential to understand how these expenses work so you can effectively manage your prescription drug costs. The sections below break down each cost component to help you navigate these financial details with ease.
Monthly Premium Overview
The Wellcare Medicare Rx Value Plus plan's monthly premium plays a significant role in determining your overall costs. Some plans may also include supplemental charges or offer Low-Income Subsidy (LIS) options. Below is a breakdown of the premium details for this 2025 plan from Wellcare.
Basic Part D Premium: | $49.80 |
Supplemental Part D Premium: | $52.50 |
Total Part D Premium: | $102.30 |
Low Income Premium Subsidy: | $39.30 |
Low Income Premium Subsidy CMS Pays: | $39.30 |
Low Income Subsidy Premium: | $63.00 |
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 Ohio. For more details, 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.
Prescription Drug Plan Out-of-Pocket Costs
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. |
CMS 5-Star Rating Overview
The CMS evaluates Medicare Part D plans each year and assigns a star rating from 1 to 5 based on their overall quality and performance. These ratings are determined by factors like member experiences, customer service, and how well the plan ensures prescription drug safety. Higher ratings indicate better quality, making it easier for you to choose the right plan. Below is the star 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
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 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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