CVS & Over-the-Counter (OTC) Benefits WellCare wanted to share a quick reminder about how members can access a key benefit that can make a big difference, their OTC benefit. This benefit gives members $15-$720 per quarter of OTC items from a plan-approved list of products (benefit coverage varies by plan). CVS is the OTC benefit vendor for several plans in 27 of WellCare’s Medicare markets. Members in plans with the OTC benefit can order covered products by mail order (phone or online) or in-store at a participating CVS location. When shopping from the catalog, items are shipped to members’ homes at no additional cost. (Reminder: Members are limited to three (3) in- store purchases per quarter). Find Participating CVS Locations Here’s how members can quickly find a local participating location: Go to http://www.CVS.com/ Select STORE LOCATOR, enter a zip […]
Molina: Debit Card added to 2021 OTC Benefit!
2021 Over-the-Counter Benefit Includes a Debit Card Option OTC items now easily purchased at Wal-Mart NEW For 2021! Members must request a Debit Card to be able to purchase OTC items while shopping in their local Wal-Mart store. Member can opt-in to the retail program by contacting the OTC fulfillment center: 1-866-420-4010 M-F, 8-5 EST. What will members be able to purchase at Wal-Mart*? *list below provided for sample, not a comprehensive list Allergy, cold, flu, decongestant & sinus Antacids & acid reducers Anti-fungal & anti-itch Dental & denture care Diabetes – diabetic socks Eye care First aid & medical supplies Incontinence supplies Motion sickness Pain relievers & fever reducers Supportive items Therapeutic skin & sun care Vitamins & minerals 5 convenient ways to order/purchase: NEW!! Debit Card: Purchase OTC items in store at Wal-Mart Order Online: MolinaHealthcareOTC.com […]
WellCare: Product Pointers – Insulin Savings & Resources
Part D Senior Savings Model (SSM) Great news! WellCare is taking the sting out of insulin costs. As you prepare for the 2021 Annual Enrollment Period (AEP), WellCare wants to highlight a way for members to save with the Senior Savings Model (SSM). New SSM for Insulin Medications Beginning January 1, 2021, select WellCare plans will participate in the new Part D Senior Savings Model (SSM) for insulin medications. Eligible members enrolled in participating plans will pay no more than $35 for a 30-day supply of select covered insulin medications in the deductible, initial coverage, and coverage gap phases. The goal of the SSM is to keep out-of-pocket costs low, consistent, and predictable. WellCare Plan Participation PDP: 102 PDP plans (3 PDP products) will participate in all regions Participating plans: Value Script, Wellness Rx, and Value Plus Insulin […]
Wellcare: New Health Risk Assessment (HRA) Online Portal!
As communicated, the Health Risk Assessment (HRA) is a very important initiative to improve the care Wellcare provides their members. Did you know that compliantly, agents are permitted to assist a new member with completing the HRA at point-of-sale when an electronic application was used as the method for enrollment? To provide a more seamless approach to collecting completed HRAs at point-of-sale, Wellcare has developed an online portal for agents to assist new members with the HRA. IMPORTANT: If a paper application was used as the method for enrollment, it is NOT COMPLIANT to assist the new member with the HRA until post-effective date of their coverage. Further, HRAs completed on the portal for electronically submitted DSNP applications are eligible for a one-time administrative payment of $20. These will be paid near the end of the month that follows the coverage […]
