Medicare Prescription Drug Plans (PDPs) are also known as Medicare Part D. 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.
Different PDPs Cover Different Drugs
The federal government has specific guidelines for the types of medications we must cover as well as a minimum standard of benefits we must follow.
Each plan has a formulary (a list of covered drugs) that meets these requirements as required by law. Keep in mind, not all plans are the same. They may vary in cost or specific drugs covered.
If you enroll in a Medicare Part D plan, please review the plan's formulary to ensure it will meet your prescription drug coverage needs.
If You Have a Current Medicare Advantage Plan
If your Medicare Advantage Plan includes prescription drug coverage and you join a Medicare PDP, you will be disenrolled from your Medicare Advantage Plan and returned to Original Medicare with your Medicare PDP.
Medicare Drug Coverage (Part D) Late Enrollment Penalty
The late enrollment penalty is an amount that’s added to your monthly Medicare drug plan (Part D) premium. You may owe a late enrollment penalty if at any time after your Initial Enrollment Period is over, there’s a period of 63 or more days in a row when you don’t have Medicare drug coverage or other credible prescription drug coverage. You will generally have to pay the penalty for as long as you have Medicare drug coverage.
When It Comes to Coverage, You Have Options:
- You can get Medicare prescription drug coverage through a Medicare PDP (Part D).
- You can sign up for a Medicare Advantage plan (HMO or PPO) or other Medicare health plan that offers Medicare prescription drug coverage.
More Savings. More Coverage. Caring Service.
- Wellcare offers plans designed to help those eligible for Extra Help (Low Income Subsidy) where members may pay no or low premiums and copays if enrolled
- Low premium plans are also available in all states with copays starting as low as $0 when filled at preferred pharmacies
- Wellcare also offers plans with no deductible which means the plan begins covering prescription drug costs on day one
- Thousands of network pharmacies are available nationwide in our network including national, regional and local chains, grocers and independent neighborhood pharmacies
- We partner with preferred pharmacies to help save member’s money. Preferred pharmacies in our network include many well-known national and regional retailers. Use our
Find a Provider tool to find a preferred pharmacy closest to you
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 call Customer Service.