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Wellcare Medicare Rx Value Plus A 2025 Medicare Part D Plan Available in Virginia
Wellcare Medicare Rx Value Plus A 2025 Medicare Part D Plan Available in Virginia
Welcome to the 2025 Wellcare Medicare Rx Value Plus Medicare Part D plan guide for Virginia. 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 Virginia.
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 Virginia.
Wellcare Medicare Rx Value Plus : Part D Plan Overview | |
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Part D Plan ID: | S4802-210 |
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
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 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: | $57.60 |
Supplemental Part D Premium: | $44.70 |
Total Part D Premium: | $102.30 |
Low Income Premium Subsidy: | $30.70 |
Low Income Premium Subsidy CMS Pays: | $30.70 |
Low Income Subsidy Premium: | $71.60 |
NOTE: Want to know more about the Low-Income Subsidy (LIS) or "Extra Help" program? This benefit can lower your prescription drug costs in Virginia. Visit the Social Security Extra Help page to learn more.
Part D Prescription Drug Plan 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
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 Medicare Rx Value Plus plan. The following table details these out-of-pocket costs.
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
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
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): 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: Visit MedicareEnrollment.com to compare plans and enroll online quickly and securely.
- Call HealthCompare: For personalized assistance, call HealthCompare at 833-748-3201 (TTY 711) to get expert help with finding the right plan (Mon-Fri 5am-6pm, Sat 6am-5pm PST).
- Call 1-800-MEDICARE: Speak with a Medicare representative by calling 1-800-MEDICARE (1-800-633-4227). TTY users can call 1-877-486-2048.
- Call the Plan Directly: You can also contact the plan directly using the details provided below to enroll over the 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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