Wellcare Classic Texas Part D Plan S4802-013 by Wellcare
Wellcare Classic is a 2024 Basic 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 $26.00, 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 is rated 3.5 (Above Average) stars by CMS.
See more 2024 Medicare Part D Plans in Texas.
Part D Plan Basics | |
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Plan ID: | S4802-013 |
Plan Type: | PDP |
Plan Year: | 2024 |
Premium: | $26.00/mo |
Deductible: | $545.00/yr |
Benefit Type: | Basic |
Rx Gap Coverage: | No |
Low Income Subsidy: | Yes |
Availability: | Texas |
Insured By: | Wellcare |
Prescription Drug Plan Premium
Although Wellcare Classic'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: | $26.00 |
Supplemental Part D Premium: | $0.00 |
Total Part D Premium: | $26.00 |
Part D Premium with Full LIS Assistance: | $0.00 |
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 $545.00. 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 Classic 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 | $3.00 copay |
2 (Generic) | $5.00 copay | $8.00 copay |
3 (Preferred Brand) | 22% | 22% |
4 (Non-Preferred Drug) | 42% | 42% |
5 (Specialty Tier) | 25% | 25% |
6 (Select Care Drugs) | $0.00 copay | $0.00 copay |
CMS Rating Marks and Our Review
Each year Medicare rates drug plans (Part D) in several major categories. These ratings are designed to help you understand the quality of care and service you can expect if you join this plan.
This Medicare Part D plan gets 3.5 out of 5 stars overall. Here's our quick summary of how well Wellcare Classic 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 |
Most Part D plans get average marks, including this one. Wellcare Classic 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.
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. Some basic benefit plans have a lower monthly cost than this one. If this plan covers your prescriptions at the best price, it's fine. Be aware of the deductible. This plan does not exempt any tiers from its formulary, including generics.
Additional Basic Medicare Part D Plan Options in Texas
Here are some additional plans in your area that might be worth reviewing:
- Mutual of Omaha Rx Plus (S7126-021)
- Blue Cross MedicareRx Basic (S5715-014)
- AARP Medicare Rx Saver from UHC (S5921-367)
- Clear Spring Health Value Rx (S6946-019)
- Cigna Secure Rx (S5617-108)
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, "Drug coverage (part D)", 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
- SSA.gov, "Apply for Medicare Part D Extra Help program", 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