Wellcare Medicare Rx Value Plus: Part D Plan S4802-224 Review
Wellcare Medicare Rx Value Plus is a 2023 Enhanced Medicare Part D plan (Plan ID: S4802-224) from WellCare that's available to beneficiaries enrolled in a Medicare Advantage plan without Part D benefits or Medicare Part A and/or Part B.
This Part D plan has an initial coverage limit of $4,660 and a $0.00 deductible that must be paid before cost-sharing begins. This plan has an overall rating of 3.0 (Average) out of 5 stars.
GET NOTIFIED: 2024 Medicare Part D Plan Notification
Key Takeaways
- This is an enhanced benefit Medicare Part D plan from WellCare.
- Enhanced benefit plans, like Wellcare Medicare Rx Value Plus, have a higher actuarial value than basic benefit plans.
- Actuarial value refers to the percentage of cost covered by Wellcare Medicare Rx Value Plus.
- The premium is $71.30 per month. You pay this amount even if you don't have regular prescriptions.
- The deductible is $0.00 per year.
- This plan does not offer additional coverage in the donut hole (coverage gap).
- This plan does not qualify for the Extra Help program's full low-income subsidy.
- Costs can vary significantly between plans. If you have regular prescriptions, comparing costs carefully before enrolling is important.
- 2024 Medicare Prescription Drug Plan information for Wellcare Medicare Rx Value Plus will be published in early October. Sign-up to be notified.
| Plan Basics | |
|---|---|
| Plan ID: | S4802-224 |
| Plan Type: | PDP |
| Plan Year: | 2023 |
| Premium: | $71.30/mo |
| Deductible: | $0.00/yr |
| Benefit Type: | Enhanced |
| Rx Gap Coverage: | No |
| Low Income Subsidy: | No |
| Availability: | See List |
| Insured By: | WellCare |
WARNING: Before enrolling in a Part D plan, take the time to evaluate the cost of your regular prescriptions.
Please note that 2024 Medicare Part D information from WellCare will not be available until early October.
Sign-Up for 2024 Medicare Part D Plan Notification.
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: | $25.80 |
| Supplemental Part D Premium: | $45.50 |
| Total Part D Premium: | $71.30 |
| Part D Premium with Full LIS Assistance: | $45.50 |
| Part D Premium with 75% LIS Assistance: | $51.90 |
| Part D Premium with 50% LIS Assistance: | $58.40 |
| Part D Premium with 25% LIS Assistance: | $64.80 |
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 |
|---|---|---|
| 1 (Preferred Generic) | $0.00 copay | $10.00 copay |
| 2 (Generic) | $4.00 copay | $20.00 copay |
| 3 (Preferred Brand) | $47.00 copay | $47.00 copay |
| 4 (Non-Preferred Drug) | 50% | 50% |
| 5 (Specialty Tier) | 33% | 33% |
| 6 (Select Diabetic Drugs) | $11.00 copay | $11.00 copay |
A Brief Review and CMS 5-Star Rating Marks
This Medicare Part D plan gets 3.0 out of 5 stars overall. Here's our quick summary of how well Wellcare Medicare Rx Value Plus performs.
In terms of quality, safety, and customer service, this Part D plan is just average. Wellcare Medicare Rx Value Plus does an average job helping member when they call with an issue. 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. Drug safety and the accuracy of drug pricing with this plan are about average.
You can't judge a Part D plan on its monthly premium or annual deductible. You have to look at the overall cost of your prescriptions. 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 comes with a zero-dollar deductible, so you have first-dollar coverage.
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:
| 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 |
Plan Availability
Wellcare Medicare Rx Value Plus is available in the following states:
Contact WellCare
Call 1-855-728-0510 (TTY 711) to speak with a licensed insurance agent (Mon-Fri, 8am-9pm , Sat 8am-8pm EST) and learn more about this Medicare Part D plan and other plans on this site. You may also Enroll Online using our safe and secure online enrollment website or take advantage of the following plan resources:
| Plan Website: | WellCare Plan Information |
|---|---|
| Formulay Information: | WellCare Formulary Information |
| Pharmacy Information: | WellCare Pharmacy Information |
| Prospective Members: | (888)900-4307 |
| TTY Users: | (888)816-5252 |
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.
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, Centene Corporation, Dean Health Plan, Devoted Health, GlobalHealth, Health Care Service Corporation, Cigna-HealthSpring, Humana, Molina Healthcare, Mutual of Omaha, Oscar Health Insurance, Premera Blue Cross, Medica Central Health Plan, SCAN Health Plan, Scott and White Health Plan now part of Baylor Scott & White Health, and UnitedHealthcare.
Citations & References
- WellCare, "http://www.wellcare.com/PDP", Last Accessed October 15, 2023
- Medicare.gov, "Drug coverage (part D)", Last Accessed September 20, 2023
- Medicare.gov, "What Medicare Part D drug plans cover", Last Accessed July 1, 2023
- Medicare.gov, "Catastrophic coverage", Last Accessed June 13, 2023
- Medicare.gov, "Help with drug costs", Last Accessed June 19, 2023
- CMS.gov, "Landscape Source Files", Last Accessed January 15, 2023
- CMS.gov, "Medicare Part C & D Performance", Last Accessed January 15, 2023