As a reminder, Wellcare members set to be disenrolled from their Medicaid plans will need your help to obtain new coverage and maintain continuity of coverage, as the redetermination process has resumed after three years of being paused due to the COVID pandemic. Nearly every state has begun contacting members, or will begin soon, to initiate this redetermination process. Up to 15 million individuals are at risk of losing their Medicaid coverage.
What you can do to help
Review our comprehensive Redetermination Resource Page to help you in guiding members through this process. You'll find timelines, state-specific guidelines, and broker/agent training resources all conveniently organized in one location.
Our members trust us for coverage that goes beyond basic Medicare. Part D coverage, available on many of our MAPD and PDP plans, allows members to get their covered drugs through one of our network pharmacies. When they use a preferred retail pharmacy, beneficiaries can save even more on prescriptions.
In 2023, Amazon joined CVS, Walgreens, and most large grocers in our preferred retail network. A supplemental Pharmacy flyer is being mailed to our members by many of our health plans with insight into this exciting new Pharmacy option. While not every member will receive this flyer, please review the Part D Amazon Member Mailer for assistance in addressing any member questions you may receive.
For more information, refer to the Preferred Pharmacy Network One-Pager and other tools at the AEP Resources Landing Page.
Wellcare utilizes text messaging as one mode of communicating Requests For Information (RFI) and other notifications important to your business. Recently a change to the phone number from which these texts are sent has occurred. Take steps now to ensure that you are able to receive these important communications.
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Get Your FREE Site >Just a reminder that Scope of Appointment forms must be completed and recorded with the beneficiary 48 hours before the marketing appointment.
Many recent changes may seem like a challenge, they're also an opportunity — a chance to adapt, refocus, and set your business up for long-term growth.
This tool is designed to streamline your process in determining an individual's Medicaid and LIS levels
Easily submit SSBCI verification in JarvisEnroll, October trainings and more
Flexible Choice Dental, Vision & Hearing (DVH) insurance has been enhanced
In accordance with the State Medicaid Agency Contract (SMAC), the broker MUST obtain a signed Acknowledgment Form
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