Wellcare Classic A 2025 Medicare Part D Plan for Illinois
Wellcare Classic A 2025 Medicare Part D Plan for Illinois
Welcome to the 2025 Wellcare Classic Medicare Part D plan guide for Illinois. Here, you’ll find all the information you need, including plan benefits, costs, and star ratings. We’ve also included enrollment options to assist you in securing the right prescription drug coverage in Illinois.
The Wellcare Classic plan provides valuable coverage for reducing your prescription drug costs, whether you're enrolled in Medicare Part A and/or Part B, or a Medicare Advantage plan without drug coverage in Illinois.
Wellcare Classic: Part D Plan Overview | |
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Part D Plan ID: | S4802-087 |
Part D Plan Type: | PDP |
Part D Plan Year: | 2024 |
Monthly Premium: | $27.90 |
Annual Deductible: | $545.00 |
Part D Benefit Type: | Basic |
Gap Coverage: | No |
Low Income Subsidy: | Yes |
Availability: | |
Insured By: | Wellcare |
Breaking Down Medicare Part D Plan Costs
When considering Wellcare Classic, it's important to look beyond the monthly premium. There are additional costs, such as deductibles, copayments, and coinsurance, that can affect your out-of-pocket expenses. The following sections explain each cost element to help you make informed decisions about your prescription drug coverage.
Monthly Premium Overview
The Wellcare Classic plan's monthly premium plays a significant role in determining your overall costs. Some plans may also include supplemental charges or offer Low-Income Subsidy (LIS) options. Below is a breakdown of the premium details for this 2024 plan from Wellcare.
Basic Part D Premium: | $27.90 |
Supplemental Part D Premium: | $0.00 |
Total Part D Premium: | $27.90 |
Part D Premium with Full LIS Assistance: | $0.00 |
If you qualify for the Low-Income Subsidy (LIS) program, known as "Extra Help," you could receive assistance with your prescription drug plan costs. For more details, visit the Social Security Extra Help page.
Part D Prescription Drug Plan Deductible
This plan has a Medicare Part D annual deductible of $545.00. You must pay this amount upfront at the pharmacy before Wellcare begins contributing to your prescription costs.
Out-of-Pocket Costs in this Drug Plan
Along with the plan's monthly premium and deductible, Wellcare Classic requires you to pay copayments (a set dollar amount) or coinsurance (a percentage of the drug cost) when picking up your medications. The table below provides a breakdown of these out-of-pocket expenses.
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) | 46% | 46% |
5 (Specialty Tier) | 25% | 25% |
6 (Select Care Drugs) | $0.00 copay | $0.00 copay |
CMS 5-Star Rating Overview
The CMS evaluates Medicare Part D plans each year and assigns a star rating from 1 to 5 based on their overall quality and performance. These ratings are determined by factors like member experiences, customer service, and how well the plan ensures prescription drug safety. Higher ratings indicate better quality, making it easier for you to choose the right plan. Below is the star rating for the Wellcare Classic plan.
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 |
When to Enroll in Medicare Part D
Knowing when to enroll in a Medicare Part D plan is crucial to ensuring you have the coverage you need. Below are the main enrollment periods:
- Initial Enrollment Period (IEP): This seven-month period begins three months before your 65th birthday month. Discover more about your Medicare Initial Enrollment Period.
- Annual Enrollment Period (AEP): Every year between October 15 and December 7, you can make changes to your Medicare Part D plan. Learn about the Annual Enrollment Period.
- Medicare Advantage Open Enrollment Period (MA-OEP): From January 1 to March 31, you can switch Medicare Advantage plans or return to Original Medicare. Learn more about the MA Open Enrollment Period.
- Special Enrollment Period (SEP): Life events such as relocating or losing coverage can trigger a Special Enrollment Period, allowing changes outside the usual enrollment windows.
How to Enroll in Medicare Part D
There are several ways to enroll in Wellcare Classic or another Medicare Part D plan, allowing you to choose the method that works best for you:
- Call HealthCompare: For personalized assistance, call HealthCompare at 877-388-0596 (TTY 711) to get expert help with finding the right plan.
- Online via MedicareEnrollment.com: Visit MedicareEnrollment.com to compare plans and enroll online quickly and securely.
- Call 1-800-MEDICARE: Speak with a Medicare representative by calling 1-800-MEDICARE (1-800-633-4227). TTY users can call 1-877-486-2048.
- Call the Plan Directly: You can also contact the plan directly using the details provided below to enroll over the phone.
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)- |
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.
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