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Wellcare will be performing maintenance on Saturday, January 22 (From 6 PM EDT to 6 AM EDT the next day). You might not be able to access systems or fax during this time. We are sorry for any issues this may cause. Thank you for your patience. If you need assistance, contact us.

Premium Payments

Under the cost-sharing provisions of Kentucky HEALTH, many WellCare members will be required to pay monthly premiums to:

  1. Remain enrolled in a benefit plan without co-pays OR
  2. Maintain active benefits

Premiums will typically be paid by the members themselves; however, third parties, including Medicaid providers, are allowed to make premium payments on behalf of members.

Third-party payers may make a payment on behalf of a member through the WellCare guest payment portal. Medicaid providers who are under contract with WellCare may also make a payment on behalf of members through the WellCare Provider Portal.

Prohibited Activities

Any Kentucky Medicaid provider or provider-related entity who wishes to make a premium payment for a member must ensure that their criteria for determining which members they will aid in premium payment meets the following conditions:

  • Premium payment may not be conditioned on the volume of services, or the payments received for services previously rendered to the member
  • Premium payment may not be conditioned on the likelihood that the member will receive ongoing services from the contributing provider(s) or class of providers(s)

IMPORTANT: The cost of Kentucky HEALTH premium contributions shall not be included in the cost of care for purposed of Medicare and Medicaid cost reporting or as part of a Medicaid shortfall or uncompensated care.

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Được Cập Nhật Lần Cuối Vào: 32/1/2020