MedicareWire

Shop and compare Medicare plans nationwide.

Speak to a Licensed Advisor[1]

1-855-266-4865

Mon-Fri: 8:30 a.m. to 8:00 p.m. ET

  • Medicare Advantage
  • Medicare Part D
  • Medigap
  • Special Needs
  • More➲
    • Senior Dental Insurance
    • Best Medicare Plans
    • MedicareWire Blog
      • Latest Posts
      • Medicare Insurance Plans
      • What Does Medicare Cover?
    • Important Resources
    • Frequently Asked Questions
    • Medicare Glossary
Medicare Advantage
 » 
Louisiana
 » 
Cameron Parish
 » 
Wellcare Absolute

Wellcare Absolute Cameron Parish, LA — 2021 Medicare Advantage Plan

This page provides PPO health plan information about Wellcare Absolute, a 2021 Medicare Advantage plan available to beneficiaries in Cameron Parish, Louisiana. If you join this plan you agree to allow WellCare to provide your Medicare health benefits.
If you need assistance, call us at 1-855-266-4865
WellCare logo

This page contains editorial content that is not endorsed or approved by WellCare[2]. This is not a solicitation of insurance.

Contact the Plan
Medicare Rating:
☆☆☆☆☆
CMS Plan ID:H3047-002
CMS Plan Year:2021
Premium:$0.00/mo
Premium Valid:Until 2021-12-31
Drug Plan:Yes
Rx Deductible:$195.00/year
Online Pharmacy:No
Rx Gap Coverage:Yes
Availability:Cameron County, LA
Policy Valid:2021-1-1 to 2021-12-31
Insured By:WellCare

Wellcare Absolute
2021 Copays in Cameron Parish, LA

Healthcare ServiceMember Cost
Primary Care Doctor:$0 co-pay
Mental Health Specialist (individual):$40 co-pay
Mental Health Specialist (group):$40 co-pay
Chiropractic Services as a supplemental benefit:None
Occupational Therapy Specialist:$40 co-pay
Podiatrist Services (Medicare Covered):None
Telehealth Services:$0-40 co-pay
Emergency Room Care:$90 co-pay
(waived if admitted within 24 days)
Urgent Care:$40 co-pay
(waived if admitted within 24 days)
Ambulance Services:$245 co-pay
Hospital Inpatient Stay:$350 per day for days 1 through 5
$0 per day for days 6 through 90
$0 per day for days 91 and beyond
Outpatient Lab Services:$0 co-pay
Outpatient Diag Services:$0-40 co-pay
Routine Eye Exams:Covered
(limited coverage, no additional premium)
Eye Glasses:Upgrades: Yes
Contact lenses: Yes
Eyeglasses (lenses & frames): Yes
Eyeglass lenses: Yes
Eyeglass frames: Yes
Limits Apply
No additional premium
Hearing Exams:Routine Exams: Yes
(limits and co-pay/insurance apply)
Aid Eval/Fitting: Yes
(limits and co-pay/insurance apply)
Hearing Aids:Over the ear: Yes
Outer ear: No
Inner ear: No
(limits and co-pay/insurance apply)

Wellcare Absolute
Prescription Copays in Cameron Parish, LA

TierPreferredStandard
Cost data not available.
In addition to the monthly premium and Part D deductible, Wellcare Absolute has copayments (fixed dollar amount) and/or coinsurances (percentage) that you must pay when you pickup your medications. The table above shows you those costs.

Plan Ratings

Wellcare Absolute is a new plan for 2021. As such it has not been rated by CMS.

NOTE: Many new plans enter the market with low premiums and low co-pays. Remember, it's important to evaluate plans every year. This is particularly true with new plans.

Wellcare Absolute 2021 Medicare Advantage PPO Plan for Cameron Parish, LA

Wellcare Absolute is a Medicare Advantage plan from WellCare that's available to Medicare beneficiaries living in Cameron Parish, Louisiana.

  1. It is a Preferred Provider Organization (PPO) health plan.
  2. It includes a prescription drug plan (Part D).
  3. It has the same health insurance benefits as Original Medicare.
  4. It offers extras that Medicare does not cover.
  5. The maximum out-of-pocket cost with this plan is $7,550 .
  6. The monthly premium is $0.00 (plus your Part B premium).

Wellcare Absolute vs. Traditional Medicare in Cameron Parish

This PPO plan replaces your Original Medicare coverage in Cameron Parish. If you join this plan, you must agree to let WellCare manage your Medicare benefits, including:

  1. Medicare Part A (hospital insurance).
  2. Medicare Part B (medical insurance).
  3. Medicare Part D (prescription drug coverage).
  4. Additional benefits included in the plan not covered by Medicare.

This PPO health insurance allows you to choose your own primary care doctor, specialists, and other healthcare providers in Cameron Parish. If you're on a budget you can lower your out-of-pocket costs by using the plan's provider network.

Wellcare Absolute Review

These are the areas of the plan that are important to compare and review:

  • Premium: This is the amount you will pay monthly, above and beyond your Medicare Part B.
  • Maximum-Out-Of-Pocket (MOOP): This is the most you will pay for co-pays and co-insurance before the plan pays 100%.
  • CMS Ratings: Important measurements across 9 different areas that will help you understand how well this plan will care for you.
  • Prescription Coverage: Medications are expensive, so you'll want to know how this plan covers your prescriptions.
  • Co-pays & Co-insurance: If you see the doctor regularly, including specialists, you need to know what you'll pay for each visit.

IMPORTANT: Unlike Original Medicare, your out-of-pocket expenses are capped with this plan. As a result, you won't be vulnerable to excessive medical bills due to an accident or a critical illness.

CRITICAL: Wellcare Absolute includes a Medicare drug plan with its own deductible and co-pays. If you have regular prescriptions, make sure your medications are covered at a favorable price before you join this plan. Prescription drug plans vary significantly by plan. Make sure you have the best coverage.

Monthly Premium

Wellcare Absolute's monthly premium in Cameron Parish is $0.00. That includes your prescription coverage, as well. Plus, you must continue to pay your monthly Medicare Part B premium. Co-payments and/or co-insurances also apply with most healthcare services, except preventive care mandated by CMS (see H3047-002 Summary of Benefits).

Although the health plan itself does not have a deductible, the prescription drug plan does. It's $195.00 per year. That means you pay 100% of your prescription costs until you've spent $195.00, then the plan will begin paying it's share.

IMPORTANT: When evaluating Wellcare Absolute, look past the monthly premium. Identify the costs of the healthcare services you use most. Only then will you uncover the plan's value for your personal situation.

Maximum Out-of-Pocket (MOOP) Limit

Unlike Original Medicare, Medicare Advantage plans must set an annual Maximum Out-of-Pocket limit on inpatient and outpatient healthcare services. The Wellcare Absolute plan MOOP is $7,550 . Once you reach this amount of spending on your co-payments, all of your Medicare Part A and Part B services will be covered at no additional charge.

Plans can set their MOOP at a voluntary level of $0 to $3,400 (for in-network services) or a mandatory $3,401 to $6,700 (in-network). Combined totals for in-network and out-of-network are generally higher.

NOTE: MOOP does not include what you spend on monthly premiums. It also does not apply to your prescription drugs or Part D deductible.

CRITICAL: It is important to evaluate the combined annual MA/MAPD premiums and MOOP versus what you might expect to pay for a Medicare Supplement in Cameron Parish. Some Medicare Supplements offer less overall financial risk than Medicare Advantage.

Contact WellCare

For more information about this plan, and other plans on this site, call 1-855-266-4865. You may also contact the plan:

Prospective Members:(866)527-0056
TTY Users:(711)-
Plan Website:http://www.wellcare.com/medicare
Formulay Information:WellCare Formulary Page
Pharmacy Information:WellCare Pharmacy Page

For assistance 24 hours a day, call 800-633-4227. TTY users should call 877-486-2048. If you qualify for Medicare but have not yet enrolled or verified your enrollment status, you can do so on the Social Security Administration website. You can learn more about the Medicare Advantage program on www.medicare.gov. To learn more about this plan, visit the WellCare Medicare website.

Compare Plan Options

The average Louisiana senior compares three or more plan options before making an enrollment decision.

Additional Medicare Plan Options in Cameron Parish

Are you eligible for a Cameron Parish, LA Medicare Special Needs Plan (SNP)? SNPs are a special type of Medicare Advantage plan designed to help people with special needs. Here are some of the SNP plans in your area:

  • Vantage DUAL PLUS (Local HMO), for Dual-Eligible beneficiaries
  • Peoples Health Secure Complete (Local HMO), for Dual-Eligible beneficiaries
  • WellCare Access (Local HMO), for Dual-Eligible beneficiaries
  • Humana Gold Plus SNP-DE H1951-041 (Local HMO), for Dual-Eligible beneficiaries
  • Peoples Health Secure Health (Local HMO), for Dual-Eligible beneficiaries

Not qualified for an SNP? Here are some additional plans you might consider:

  • Humana Value Plus H5216-161 (PPO)
  • Vantage PREMIUM (HMO-POS)
  • Humana Gold Plus H1951-049 (HMO)
  • Blue Advantage (PPO)
  • WellCare Endurance (HMO)

RELATED: Top 9 Advantages and Disadvantages of Medicare Advantage Plans

The Medicare Part C information on this page originates from CMS Landscape Source Files, is maintained by David Bynon, and was last updated on January 26, 2021.

Related Topics

[1] Licensed Sales Agent

Licensed sales agent (“advisor”) services are provided by HealthPlanOne, LLC, MedicareWire’s trusted partner. Read our full sales agent disclosure.

[2] Trademark Notice

MedicareWire uses legal U.S. trademarks to identify and describe Medicare and other insurance products for shoppers. See our full trademark use disclosure.

About MedicareWire

  • About
  • Contact
  • Connect with Us!
  • Privacy
  • Disclosure
  • Medicare Supplement Reviews

Copyright © 2021 MedicareWire.com - All Rights Reserved

Who is MedicareWire?
David Bynon
Chief Petty Officer David Bynon re-enlisting 15 September 2001.

Hello, my name is David Bynon.

I founded MedicareWire in 2011 after retiring from the Navy. I’ve made helping people like you my full-time retirement profession.

My goal is to help you see all the rates offered by insurance companies that sell Medigap policies in your area.

I am not an insurance agent.

My job is to make sure that you have the information you need to be comfortable with your plan decision. When it comes to choosing a Medigap plan, I want you to be able to see all rates and carriers before speaking with an agent.

To provide you with this free service, I need to ask you to provide your age, gender, zip code, and email address. I promise to keep your information secure. You can count on me not to share, sell, or otherwise divulge your information to anyone.

Yours in Better Medicare.

David Bynon

Medigap Quotes by Email: Compare and Save!


Complete this form and MedicareWire will send you a complete rate analysis on Medigap plans in your area. This is a free service with no obligations.

Answers to the following questions will allow us to get accurate information for you. These are some of the same questions you will be asked when you apply for insurance. We will not sell, provide, or otherwise disclose the information you provide to anyone.

  • This field is for validation purposes and should be left unchanged.