Wellcare Medicare Rx Value Plus New York Part D Plan S4802-206 by Wellcare
Wellcare Medicare Rx Value Plus is a 2024 Enhanced Medicare Part D plan from Wellcare that's available to individuals enrolled in a Medicare Advantage plan without prescription drug plan benefits or Medicare Part A and/or Part B.
This plan has a monthly premium of $91.80, an initial coverage limit of $5,030, an out-of-pocket threshold of $8,000, and a $0.00 deductible that must be paid before cost-sharing begins. CMS rated this plan 3.5 (Above Average) out of 5 stars.
See more 2024 Medicare Part D Plans in New York.
Part D Plan Basics | |
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Plan ID: | S4802-206 |
Plan Type: | PDP |
Plan Year: | 2024 |
Premium: | $91.80/mo |
Deductible: | $0.00/yr |
Benefit Type: | Enhanced |
Rx Gap Coverage: | No |
Low Income Subsidy: | No |
Availability: | New York |
Insured By: | Wellcare |
Prescription Drug Plan Premium
Although Wellcare Medicare Rx Value Plus's monthly premium is bundled with the total plan cost, some plans have supplemental costs and/or offer low-income subsidy (LIS) assistance. The following table outlines the premium details of this Wellcare plan.
Basic Part D Premium: | $47.50 |
Supplemental Part D Premium: | $44.30 |
Total Part D Premium: | $91.80 |
Part D Premium with Full LIS Assistance: | $44.30 |
For more information about the Low-Income Subsidy (aka, "Extra Help") program, refer to the Social Security Extra Help page.
Prescription Drug Plan Deductible
The Medicare Part D annual deductible with this plan is $0.00. This is the amount you must pay at the pharmacy before Wellcare begins paying its share.
Prescription Drug Plan Out-of-Pocket Costs
In addition to the plan's monthly premium and deductible, Wellcare Medicare Rx Value Plus has copayments (a fixed dollar amount) and/or coinsurances (a percentage amount) that you must pay when you pick up your prescriptions. The following table shows you those costs.
Tier | Preferred | Standard |
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1 (Preferred Generic) | $0.00 copay | $5.00 copay |
2 (Generic) | $4.00 copay | $10.00 copay |
3 (Preferred Brand) | $47.00 copay | $47.00 copay |
4 (Non-Preferred Drug) | 50% | 50% |
5 (Specialty Tier) | 33% | 33% |
6 (Select Care Drugs) | $11.00 copay | $11.00 copay |
A Brief Review and CMS 5-Star Rating Marks
The following table shows the quality ratings for this Wellcare plan. Each year CMS rates drug plans (Part D) in four broad categories. We do not recommend joining a plan with an overall rating of less than 3.0.
This Medicare Part D plan gets 3.5 out of 5 stars overall. Here's our quick summary of how well Wellcare Medicare Rx Value Plus performs.
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 |
On most measures, this Part D plan performs well. But it's good to know where it could use some improvement. Wellcare Medicare Rx Value Plus delivers an excellent customer care experience when members call for help. When it comes to member complaints to Medicare, this plan does an average job. Medicare beneficiaries enrolled in this Wellcare plan enjoy a good member experience. Measuring drug safety and the accuracy of drug pricing are one way we can measure quality, and this plan scores good at both.
Every plan covers drugs differently, so it's important to look at your total cost. There are enhanced benefit plans with a lower monthly premium than this one. That's okay if the plan covers your prescriptions at a better overall price. This plan has a zero-dollar deductible. That means you have first-dollar coverage.
Additional Enhanced Medicare Part D Plan Options in New York
Here are some additional plans in your area that might be worth reviewing:
- Cigna Extra Rx (S5617-248)
- Cigna Saver Rx (S5617-353)
- AARP Medicare Rx Walgreens from UHC (S5921-382)
- SilverScript Plus (S5601-007)
- Humana Walmart Value Rx Plan (S5552-006)
Contact Wellcare
Plan Website: | Wellcare Plan Information |
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Formulay Information: | Wellcare Formulary Information |
Pharmacy Information: | Wellcare Pharmacy Information |
Prospective Members: | (866)859-9084 |
TTY Users: | (711)- |
If you qualify for Original 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.
Plans Offered
Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross Blue Shield, Aspire Health Plan, Dean Health Plan, Devoted Health, GlobalHealth, Health Care Service Corporation, Cigna Healthcare, Humana, Molina Healthcare, Mutual of Omaha, Premera Blue Cross, Medica Central Health Plan, SCAN Health Plan, Scott and White Health Plan now part of Baylor Scott & White Health, UnitedHealthcare(R), and Wellcare.
Citations & References
- Wellcare, "http://www.wellcare.com/PDP", Last Accessed March 11, 2024
- Medicare.gov, "Explore your Medicare coverage options", Last Accessed March 2, 2024
- Medicare.gov, "What Medicare Part D drug plans cover", Last Accessed March 1, 2024
- Medicare.gov, "Catastrophic coverage", Last Accessed March 13, 2024
- SSA.gov, "Understanding the Extra Help With Your Medicare", Last Accessed March 9, 2024
- CMS.gov, "Landscape Source Files", Last Accessed January 3, 2024
- CMS.gov, "Medicare Part C & D Performance", Last Accessed January 3, 2024