Medicare Prescription Drug Plan Benefit Details in Plain Text |
The following Medicare Prescription Drug plan (PDP) benefits apply to the Wellcare Classic (PDP) (S4802 - 078) in CMS Region 4, which includes all counties in NJ. This plan is administered by WELLCARE PRESCRIPTION INSURANCE, INC., a national plan provider. This means that the insurance carrier offers Medicare Part D plan in most every state. To switch to a different Medicare Prescription Drug plan or to change your location, click here. |
Click here to see the Wellcare Classic (PDP) prescription drug benefit details in chart format
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Plan Premium |
The Wellcare Classic (PDP) has a monthly premium of $38.30. That is $459.60 for 12 months. There are a few factors that can increase or decrease this premium. If you qualify for extra help, your monthly premium will be $0. If you have a premium penalty, your premium will be higher. Or if you have a higher income you would be subject to the Income Related Adjustment Amount (IRMAA). |
Plan Membership and Plan Ratings |
The Wellcare Classic (PDP) (S4802 - 078) in CMS Region 4 currently has 92,288 members, and 2,258,323 members in the Wellcare Classic (PDP) nationwide. |
The Centers for Medicare and Medicaid Services (CMS) has given this plan carrier a summary rating of 3.5 stars. The detail CMS plan carrier ratings are as follows:
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Prescription Drug Coverage: Deductible, Cost-sharing, Formulary |
This plan has a $590 deductible. So, you are 100% responsible for the first $590 in medication costs. After you have met the deductible, the Wellcare Classic (PDP) will share the costs of your medications with you -- see cost-sharing below. $590 is the maximum deductible for 2025. There are other plans with a lower deductible or even a $0 deductible for all formulary drugs. Click here to review plans with a $0 deductible. |
The following information is about the Wellcare Classic (PDP) formulary (or drug list). There are 2976 drugs on the Wellcare Classic (PDP) formulary. The Wellcare Classic (PDP) does offer a mail order service. Click here to browse the Wellcare Classic (PDP) Formulary. |
The Initial Coverage Phase (ICP) can be thought of as the cost-sharing phase of the plan. During this phase, you and the insurance company share your prescription costs. Once you have spent $590, your initial coverage phase will start. All medication are divided into tiers within the plans formulary. This helps the plan to organize and manage the prescription cost-sharing. The Wellcare Classic (PDP)’s formulary is divided into 5 tiers. Every plan can name their tiers differently, and can place medications on any tier. The cost-sharing for this plan is divided as follows:
Click here to browse the Wellcare Classic (PDP) Formulary. |