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Medicare Part D prescription drug plans are also known as PDPs. Medicare Part D is a government program that offers prescription drug insurance to everyone who is entitled to Medicare Part A and/or enrolled in Medicare Part B.

When you are ready to decide on a plan, take the time to understand how the plans work. That way, you can make an informed decision and choose the plan that's right for you.

다양한 PDP가 다양한 약을 보장합니다

연방 정부에는 당사가 보장해야 하는 의약품의 유형뿐 아니라 당사가 따라야 하는 최소 혜택 기준에 대한 구체적인 지침이 있습니다.

각 플랜에는 법률이 요구하는 바와 같이 이런 요구 조건을 충족시키는 처방집(보장 약 목록)이 있습니다. 모든 플랜이 같지 않다는 점을 유의하십시오. 비용 또는 구체적인 보장 약이 다를 수 있습니다.

Medicare Part D 플랜에 가입하는 경우 플랜의 처방집을 검토하여 귀하의 처방약 보장 요구를 충족하는지 검토하십시오.

현재 Medicare Advantage 플랜이 있는 경우

Medicare Advantage 플랜에 처방약 보장이 포함되어 있고 Medicare PDP에 가입하는 경우 Medicare Advantage 플랜에서 탈퇴되고 귀하의 Medicare PDP가 포함된 Original Medicare로 되돌아갈 수 있습니다.

Medicare 의약품 보장(Part D) 등록 지연 벌금

등록 지연 벌금은 월별 Medicare 의약품 플랜(Part D) 보험료에 추가되는 금액입니다. 초기 등록 기간이 끝난 후 언제든지 Medicare 의약품 보장 또는 기타 신뢰할 만한 처방약 보장이 없는 기간이 63일 이상 이어지는 경우 등록 지연 벌금이 부과될 수 있습니다. Medicare 의약품 보장이 적용되는 한 일반적으로 벌금을 납부해야 합니다.

보장을 받으려면 선택을 해야 합니다.

  • Medicare PDP (Part D)를 통해 Medicare 처방약 보장을 받을 수 있습니다.
  • Medicare 처방약 보장을 제공하는 Medicare Advantage 플랜(HMO 또는 PPO) 또는 기타 Medicare 건강 플랜에 가입할 수 있습니다.

추가 할인. 추가 보장. 케어 서비스.

  • Wellcare는 가입한 경우 보험료와 코페이먼트를 전혀 내지 않거나 적은 금액을 납부하는 Extra Help(저소득 보조금) 자격이 있는 사람을 지원하고자 설계된 플랜을 제공합니다.
  • 모든 주에서 낮은 보험료 플랜을 제공하며 우대 약국에서 조제 시 코페이먼트는 $0에서 시작됩니다
  • Wellcare는 플랜 첫날부터 처방약 비용을 보장하는 공제액이 없는 플랜도 제공합니다.
  • Thousands of network pharmacies are available nationwide in our network including national, regional and local chains, grocers and independent pharmacies
  • 당사는 가입자가 비용을 절약할 수 있도록 우대 약국과 제휴합니다. 당사 네트워크의 우대 약국으로 잘 알려진 많은 국내 및 지역 소매점이 있습니다.
    서비스 제공자 찾기 도구를 이용하여 가장 가까운 곳에 있는 우대 약국을 찾으십시오.

Member Service representatives are ready to help you with any questions about your coverage or medications. For a complete list of drugs covered by our plan, please review our website or contact our member services department.

중요 정보

면책 조항

‘Ohana Health Plan, a plan offered by WellCare Health Insurance of Arizona, Inc.

WellCare는 Centene Corporation의 Medicare 브랜드로, Medicare와 계약을 맺은 HMO, PPO, PFFS, PDP 플랜이며 승인된 Part D 제공자입니다. 당사 D-SNP 플랜은 주 Medicaid 프로그램과 계약을 맺고 있습니다. 당사 플랜 등록은 계약 갱신에 따라 결정됩니다.

“Wellcare” is issued by WellCare Prescription Insurance, Inc.

Washington residents: “Wellcare” is issued by Wellcare of Washington, Inc.

Medicare는 매년 5개 별점 등급 시스템을 토대로 플랜을 평가합니다.

네트워크 비소속/비계약 의료 제공자는 응급 상황을 제외하고 플랜 가입자를 치료할 의무가 없습니다. 네트워크 비소속 서비스에 적용되는 비용 분담을 포함한 자세한 정보는 당사 고객 서비스부로 연락하거나 보장 범위 증명서를 참조하십시오.

Louisiana D-SNP members: As a Wellcare HMO D-SNP member, you have coverage from both Medicare and Medicaid. You receive your Medicare health care and prescription drug coverage through Wellcare and are also eligible to receive additional health care services and coverage through Louisiana Medicaid. Learn more about providers who participate in Louisiana Medicaid by visiting www.myplan.healthy.la.gov/en/find-provider or www.louisianahealthconnect.comFor detailed information about Louisiana Medicaid benefits, please visit the Medicaid website at https://ldh.la.gov/medicaid and select the “Learn about Medicaid Services” link. To request a written copy of our Medicaid Provider Directory, please contact us.

Louisiana D-SNP prospective enrollees: For detailed information about Louisiana Medicaid benefits, please visit the Medicaid website at https://ldh.la.gov/medicaid or www.louisianahealthconnect.com. To request a written copy of our Medicaid Provider Directory, please 연락 정보.

Notice: TennCare is not responsible for payment for these benefits, except for appropriate cost sharing amounts. TennCare is not responsible for guaranteeing the availability or quality of these benefits. Any benefits above and beyond traditional Medicare benefits are applicable to Wellcare Medicare Advantage only and do not indicate increased Medicaid benefits.

Wellcare (HMO and HMO SNP) includes products that are underwritten by WellCare of Texas, Inc., WellCare National Health Insurance Company, and SelectCare of Texas, Inc.

Wellcare’s pharmacy network includes limited lower-cost, preferred pharmacies in rural areas of Georgia, Hawaii, Missouri, and Nebraska. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use. For up-to-date information about our network pharmacies, including whether there are any lower-cost preferred pharmacies in your area, please call 1-866-892-8340 (TTY: 711) for Wellcare No Premium (HMO) in GA or consult the online pharmacy directory at www.wellcare.com/medicare; 1-877-457-7621 (TTY: 711) for Wellcare ‘Ohana No Premium (HMO) and Wellcare ‘Ohana Low Premium Open (PPO) in HI or consult the online pharmacy directory at www.wellcare.com/ohana; 1-833-444-9088 (TTY: 711) for Wellcare No Premium (HMO), Wellcare Giveback (HMO), and Wellcare Assist (HMO) in MO or consult the online pharmacy directory at www.wellcare.com/medicare; and 1-800-977-7522 (TTY: 711) for Wellcare No Premium (HMO), Wellcare Giveback (HMO), Wellcare No Premium Open (PPO), and Wellcare Assist Open (PPO) in NE or consult the online pharmacy directory at www.wellcarene.com.

Value-Added Items and Services (VAIS) are not plan benefits and are not covered by the plan. Plan enrollees are responsible for all costs.

Wellcare Dual Liberty (HMO-D-SNP) Plan

Wellcare Dual Liberty (HMO D-SNP) is a Fully Integrated Dual Eligible Special Needs Plan with a Medicare contract and a contract with the New Jersey Medicaid program. Enrollment in Wellcare Dual Liberty depends on contract renewal.

This information is not a complete description of benefits. Contact the plan for more information. Limitations and restrictions may apply. Benefits may change on January 1 of each year.

Your Part B premium is covered by Medicaid.

This plan is available to those who have both Medicare and full Medicaid benefits.

Wellcare uses a formulary.

Please contact Wellcare for details.

  • 고지 사항

    면책 조항

    ‘Ohana Health Plan, a plan offered by WellCare Health Insurance of Arizona, Inc.

    WellCare는 Centene Corporation의 Medicare 브랜드로, Medicare와 계약을 맺은 HMO, PPO, PFFS, PDP 플랜이며 승인된 Part D 제공자입니다. 당사 D-SNP 플랜은 주 Medicaid 프로그램과 계약을 맺고 있습니다. 당사 플랜 등록은 계약 갱신에 따라 결정됩니다.

    “Wellcare” is issued by WellCare Prescription Insurance, Inc.

    Washington residents: “Wellcare” is issued by Wellcare of Washington, Inc.

    Medicare는 매년 5개 별점 등급 시스템을 토대로 플랜을 평가합니다.

    네트워크 비소속/비계약 의료 제공자는 응급 상황을 제외하고 플랜 가입자를 치료할 의무가 없습니다. 네트워크 비소속 서비스에 적용되는 비용 분담을 포함한 자세한 정보는 당사 고객 서비스부로 연락하거나 보장 범위 증명서를 참조하십시오.

    Louisiana D-SNP members: As a Wellcare HMO D-SNP member, you have coverage from both Medicare and Medicaid. You receive your Medicare health care and prescription drug coverage through Wellcare and are also eligible to receive additional health care services and coverage through Louisiana Medicaid. Learn more about providers who participate in Louisiana Medicaid by visiting www.myplan.healthy.la.gov/en/find-provider or www.louisianahealthconnect.comFor detailed information about Louisiana Medicaid benefits, please visit the Medicaid website at https://ldh.la.gov/medicaid and select the “Learn about Medicaid Services” link. To request a written copy of our Medicaid Provider Directory, please contact us.

    Louisiana D-SNP prospective enrollees: For detailed information about Louisiana Medicaid benefits, please visit the Medicaid website at https://ldh.la.gov/medicaid or www.louisianahealthconnect.com. To request a written copy of our Medicaid Provider Directory, please 연락 정보.

    Notice: TennCare is not responsible for payment for these benefits, except for appropriate cost sharing amounts. TennCare is not responsible for guaranteeing the availability or quality of these benefits. Any benefits above and beyond traditional Medicare benefits are applicable to Wellcare Medicare Advantage only and do not indicate increased Medicaid benefits.

    Wellcare (HMO and HMO SNP) includes products that are underwritten by WellCare of Texas, Inc., WellCare National Health Insurance Company, and SelectCare of Texas, Inc.

    Wellcare’s pharmacy network includes limited lower-cost, preferred pharmacies in rural areas of Georgia, Hawaii, Missouri, and Nebraska. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use. For up-to-date information about our network pharmacies, including whether there are any lower-cost preferred pharmacies in your area, please call 1-866-892-8340 (TTY: 711) for Wellcare No Premium (HMO) in GA or consult the online pharmacy directory at www.wellcare.com/medicare; 1-877-457-7621 (TTY: 711) for Wellcare ‘Ohana No Premium (HMO) and Wellcare ‘Ohana Low Premium Open (PPO) in HI or consult the online pharmacy directory at www.wellcare.com/ohana; 1-833-444-9088 (TTY: 711) for Wellcare No Premium (HMO), Wellcare Giveback (HMO), and Wellcare Assist (HMO) in MO or consult the online pharmacy directory at www.wellcare.com/medicare; and 1-800-977-7522 (TTY: 711) for Wellcare No Premium (HMO), Wellcare Giveback (HMO), Wellcare No Premium Open (PPO), and Wellcare Assist Open (PPO) in NE or consult the online pharmacy directory at www.wellcarene.com.

    Value-Added Items and Services (VAIS) are not plan benefits and are not covered by the plan. Plan enrollees are responsible for all costs.

    Wellcare Dual Liberty (HMO-D-SNP) Plan

    Wellcare Dual Liberty (HMO D-SNP) is a Fully Integrated Dual Eligible Special Needs Plan with a Medicare contract and a contract with the New Jersey Medicaid program. Enrollment in Wellcare Dual Liberty depends on contract renewal.

    This information is not a complete description of benefits. Contact the plan for more information. Limitations and restrictions may apply. Benefits may change on January 1 of each year.

    Your Part B premium is covered by Medicaid.

    This plan is available to those who have both Medicare and full Medicaid benefits.

    Wellcare uses a formulary.

    Please contact Wellcare for details.

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Y0020_WCM_134133E Last Updated On: 10/1/2023