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Información importante

Covered Medications

A formulary is a list of medications covered by a plan(s). We work with a team of health care providers to select prescription medications we believe are a necessary part of a quality treatment program.

We generally cover the medications listed in our formulary as long as they meet the following criteria:

  • Medically necessary
  • Filled at a WellCare network pharmacy
  • Other plan rules are followed

Note: There are three ways to locate a drug using the Formulary Tool: alphabetically, by name and/or therapeutic class. Download the Formulary Tool Guide Este documento PDF se abrirá en una ventana nueva. for further assistance.

WellCare Contacts

Access points of contact Este documento PDF se abrirá en una ventana nueva. related to your inquiries.

  • Formularies

    Covered Medications

    A formulary is a list of medications covered by a plan(s). We work with a team of health care providers to select prescription medications we believe are a necessary part of a quality treatment program.

    We generally cover the medications listed in our formulary as long as they meet the following criteria:

    • Medically necessary
    • Filled at a WellCare network pharmacy
    • Other plan rules are followed

    Note: There are three ways to locate a drug using the Formulary Tool: alphabetically, by name and/or therapeutic class. Download the Formulary Tool Guide Este documento PDF se abrirá en una ventana nueva. for further assistance.

  • WellCare Contacts

    WellCare Contacts

    Access points of contact Este documento PDF se abrirá en una ventana nueva. related to your inquiries.

Online Contracting for New Agents

All new agents interested in marketing WellCare Health Plans must complete an online contract.

1.  Please email ProducerContracting@wellcare.com and provide the following information:

  • First Name
  • Last Name
  • Phone Number
  • Email Address
  • National Producer Number (NPN)
  • Product: Medicare Advantage or PDP
  • States you are marketing in

You will receive an email from Producer Services via DocuSign®. Please select 'Resume Signing' and enter in the validation code provided. This step will take you into the contract. After the contract is complete, you will receive a confirmation email.

NOTE: 

  • If you are contracting as a company, you will need to provide your company information; FEIN, Business NPN, classification, etc.
  • If you would like to assign a hierarchy, you will need to provide the Producer ID (PID) of your immediate up-line.

Please remember to print your contract after completion and save for your records.

2.  Upon completion of the contract through the portal, a unique WellCare University login will be emailed to the agent within 48 hours. New agents must use that login to sign in to wellcare.csod.com and complete the WellCare’s online Agent Certification Training (ACT) and iCare training. Each agent is allowed up to three attempts and a score of 90% or better in order to pass the final exam and be certified.

3.  In addition, agents must complete the latest AHIP Medicare Training with a score of 90% or better.  Each agent is allowed up to three attempts to complete the section. Once the training has been completed, agents are required to submit their transcripts to WellCare through the AHIP website.

4.  Once both training modules are complete and the AHIP certification transcript has been received, WellCare will conduct a background and licensure check.

5.  Agents who successfully complete all requirements and pass background and license check will receive an email from WellCare stating that they are certified to sell. That email will include the agent's WellCare Producer ID.

Field Marketing Organization

If you are contracting under a Field Marketing Organization (FMO) or agency, please contact that organization to obtain their contracted name and Producer Number and ensure they are contracted with WellCare. Agents can only be contracted with one FMO. You will be assigned directly to WellCare if no information is provided.

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Last Updated On: 10/1/2023