Wellcare Value Script Part D Plan S4802-136 Details
Wellcare Value Script 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 $0.50, an initial coverage limit of $5,030, an out-of-pocket threshold of $8,000, and a $545.00 deductible that must be paid before cost-sharing begins. This plan has an overall rating of 3.5 (Above Average) out of 5 stars.
2025 Wellcare Value Script Cost and Coverage
The 2025 cost and coverage information for Wellcare Value Script will not be available until early October. We'll notify you when it is available from CMS.
Sign-Up for 2025 Medicare Part D Plan Notification. The 2025 Annual Enrollment Period starts October 15.
| Part D Plan Basics | |
|---|---|
| Plan ID: | S4802-136 |
| Plan Type: | PDP |
| Plan Year: | 2024 |
| Premium: | $0.50/mo |
| Deductible: | $545.00/yr |
| Benefit Type: | Enhanced |
| Rx Gap Coverage: | No |
| Low Income Subsidy: | No |
| Availability: | See List |
| Insured By: | Wellcare |
Prescription Drug Plan Premium
Although Wellcare Value Script'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: | -$17.30 |
| Supplemental Part D Premium: | $17.80 |
| Total Part D Premium: | $0.50 |
| Part D Premium with Full LIS Assistance: | $0.50 |
The Social Security Extra Help page has more information about the Low-Income Subsidy (“Extra Help”) program.
Prescription Drug Plan Deductible
This plan's Medicare Part D annual deductible is $545.00. You must pay this amount at the pharmacy before Wellcare begins paying its share
NOTE: The deductible does not apply to one or more drug tiers in this plan (see "Prescription Drug Plan Out-of-Pocket Costs" below).
Prescription Drug Plan Out-of-Pocket Costs
In addition to the plan's monthly premium and deductible, Wellcare Value Script 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 |
|---|---|---|
| 1 (Preferred Generic) | $0.00 copay (deductible does not apply) | $5.00 copay (deductible does not apply) |
| 2 (Generic) | $5.00 copay | $10.00 copay |
| 3 (Preferred Brand) | 25% | 25% |
| 4 (Non-Preferred Drug) | 50% | 50% |
| 5 (Specialty Tier) | 25% | 25% |
| 6 (Select Care Drugs) | $11.00 copay | $11.00 copay |
CMS Rating Marks for Plan Year 2024
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.
Overall, this Medicare Part D plan gets 3.5 out of 5 stars from CMS. Here's a quick summary of how well Wellcare Value Script performs.
| CMS Measure | Star Rating |
|---|---|
| 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 |
Every plan covers drugs differently, so it's important to look at your total cost. Most enhanced benefit plans have a higher premium than this one, but does it offer enhanced value on the medications you need? This plan does have an annual deductible, but one of the formulary tiers is excluded (see table above).
Plan Availability
Wellcare Value Script is available in the following states:
Additional Enhanced Medicare Part D Plan Options in
Here are some additional plans in your area that might be worth reviewing:
- Cigna Extra Rx (S5617-246)
- SilverScript SmartSaver (S5601-176)
- Cigna Saver Rx (S5617-351)
- Humana Walmart Value Rx Plan (S5884-181)
- AARP Medicare Rx Walgreens from UHC (S5921-384)
Contact Wellcare
| Plan Website: | Wellcare Plan Information |
|---|---|
| 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 at www.medicare.gov.
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, "How Part D works with other insurance", Last Accessed March 14, 2024
- Medicare.gov, "Medicare costs at a glance", Last Accessed March 11, 2024
- Medicare.gov, "Help with drug costs", Last Accessed February 19, 2024
- CMS.gov, "Landscape Source Files", Last Accessed January 3, 2024
- CMS.gov, "Medicare Part C & D Performance", Last Accessed January 3, 2024
Plans Offered
Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross Blue Shield, 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.