Wellcare Classic A 2025 Medicare Part D Plan for Maryland
Wellcare Classic A 2025 Medicare Part D Plan for Maryland
Welcome to your guide to the Wellcare Classic Medicare Part D plan for 2025. This page covers key details about the plan, including its benefits, costs, and CMS star rating. We’ve also provided enrollment options to help you secure prescription drug coverage in Maryland.
The Wellcare Classic plan offers valuable coverage to help reduce 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 Maryland.
Wellcare Classic: Part D Plan Overview | |
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Part D Plan ID: | S4802-079 |
Part D Plan Type: | PDP |
Part D Plan Year: | 2024 |
Monthly Premium: | $37.40 |
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: | $37.40 |
Supplemental Part D Premium: | $0.00 |
Total Part D Premium: | $37.40 |
Part D Premium with Full LIS Assistance: | $0.00 |
Want to know more about the Low-Income Subsidy (LIS) or "Extra Help" program? This benefit can lower your prescription drug costs. Visit the Social Security Extra Help page to learn more.
Annual Deductible Information
This plan's Medicare Part D annual deductible is $545.00. You will need to meet this deductible before Wellcare begins covering your prescription drug costs at the pharmacy.
Out-of-Pocket Expenses with this Part D Plan
Beyond the monthly premium and deductible, Wellcare Classic includes copayments (fixed amounts) and/or coinsurance (a percentage of the cost) that you'll need to pay when filling your prescriptions. The table below outlines these costs in detail.
Tier | Preferred | Standard |
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1 (Preferred Generic) | $0.00 copay | $3.00 copay |
2 (Generic) | $5.00 copay | $9.00 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 |
What the CMS 5-Star Rating Means
Every year, the Centers for Medicare & Medicaid Services (CMS) rates Medicare Part D plans on a 5-star scale, with 5 stars representing excellent quality and performance. These ratings consider factors like customer service, member experience, and the safety of prescription drugs. A higher rating reflects better overall quality, helping you choose the best plan for your needs. The table below shows the CMS 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 |
Important Medicare Part D Enrollment Periods
Timing your enrollment in Medicare Part D is critical. Here are the key periods when you can sign up for or make changes to your plan:
- Initial Enrollment Period (IEP): Your first opportunity to join Medicare Part D typically begins three months before you turn 65 and continues for seven months. Find out more about the Initial Enrollment Period.
- Annual Enrollment Period (AEP): From October 15 to December 7 each year, you can change your Medicare Part D plan. Get details on the Medicare Annual Enrollment Period.
- Medicare Advantage Open Enrollment Period (MA-OEP): Between January 1 and March 31, you can change your Medicare Advantage plan or return to Original Medicare (with or without Part D). Learn more about the Medicare Advantage Open Enrollment Period.
- Special Enrollment Period (SEP): Specific situations, like moving or losing other coverage, may allow you to use a Special Enrollment Period to enroll or switch plans.
How to Sign Up for Wellcare Classic
Here are a few ways to enroll in Wellcare Classic or a different Medicare Part D plan:
- Call HealthCompare: Get expert help from HealthCompare by calling 877-388-0596 (TTY 711). They can assist you in finding the right plan for your needs.
- Online via MedicareEnrollment.com: Easily compare and enroll in plans by visiting MedicareEnrollment.com.
- Call 1-800-MEDICARE: For additional guidance, contact Medicare at 1-800-MEDICARE (1-800-633-4227). TTY users can call 1-877-486-2048.
- Call the Plan Directly: Alternatively, reach out to the plan directly using the contact information provided below.
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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