Wellcare Classic A 2025 Medicare Part D Plan for Ohio
Wellcare Classic A 2025 Medicare Part D Plan for Ohio
Welcome to the 2025 Wellcare Classic Medicare Part D plan guide for Ohio. 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 Ohio.
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 Ohio.
Wellcare Classic: Part D Plan Overview | |
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Part D Plan ID: | S4802-085 |
Part D Plan Type: | PDP |
Part D Plan Year: | 2024 |
Monthly Premium: | $36.60 |
Annual Deductible: | $545.00 |
Part D Benefit Type: | Basic |
Gap Coverage: | No |
Low Income Subsidy: | Yes |
Availability: | |
Insured By: | Wellcare |
An Overview of Medicare Part D Plan Costs
Wellcare Classic has a range of costs, including monthly premiums, deductibles, copayments, and coinsurance. Understanding how each of these components impacts your overall expenses is key to managing your prescription drug costs effectively. The sections below will guide you through each cost factor.
Plan Premium Details
The Wellcare Classic plan's monthly premium is an important factor in your total costs. Some plans include extra fees or offer financial aid through the Low-Income Subsidy (LIS) program. The following table details the premium costs for this 2024 plan by Wellcare.
Basic Part D Premium: | $36.60 |
Supplemental Part D Premium: | $0.00 |
Total Part D Premium: | $36.60 |
Part D Premium with Full LIS Assistance: | $0.00 |
To learn more about the Low-Income Subsidy (LIS) program, also known as "Extra Help," and how it can assist with your prescription drug costs, 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.
Prescription Drug Plan Out-of-Pocket Costs
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) | 40% | 41% |
5 (Specialty Tier) | 25% | 25% |
6 (Select Care Drugs) | $0.00 copay | $0.00 copay |
How the CMS 5-Star Rating Works
The CMS assigns Medicare Part D plans a star rating, ranging from 1 to 5 stars, based on several factors, including customer service, member satisfaction, and prescription drug safety. This annual rating helps you evaluate the quality of a plan before enrolling. A 5-star rating indicates top-tier performance. Below, you’ll find 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
It's important to enroll in a Medicare Part D plan during specific periods to avoid penalties and ensure continuous coverage. Here are the key times to sign up:
- 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 Enroll in 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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