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Wellcare Fidelis Dual Align (HMO D-SNP)

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Welcome to your Medicare Advantage Plan!

Thank you for being a Wellcare Fidelis Dual Align (HMO D-SNP) member! We want to help you get the most from your plan.

Use our website to explore plan information and benefits and review helpful plan documents such as the Evidence of Coverage, Summary of Benefits, and Annual Notice of Change.

Documentos específicos del plan

En este documento (el “Aviso anual de cambios”) se incluye todo cambio en la cobertura, los costos y el área de servicio entre los años del plan.

Este documento muestra algunas de las características de este plan. Para obtener una lista completa de los beneficios, consulte su Evidencia de Cobertura.

Este documento contiene una descripción legal y detallada de sus beneficios y costos como miembro.

Use este formulario para inscribirse en el plan Medicare Advantage.

Las evaluaciones por medio del número de estrellas que se otorgan, ayudan a calificar qué tan bueno es el desempeño de los planes de medicamentos y de salud de Medicare en las diferentes categorías. Medicare determina el número de estrellas. Medicare evalúa los planes en función de un sistema de calificación de 5 estrellas. La evaluación por medio del número de estrellas se calcula cada año y puede cambiar de un año a otro.

Materiales relacionados

If you speak a language other than English, free language assistance services are available to you. Appropriate auxiliary aids and services to provide information in accessible formats are also available free of charge. Call 1-877-374-4056 (TTY: 711).

Utilice este formulario para autorizarnos a retirar sus primas mensuales de su banco.

Llene este formulario para solicitar el reembolso de los servicios médicos cubiertos por los que usted pagó de su bolsillo.

Complete this form to request reimbursement/refund for covered prescription drugs that you paid full price for.

Cada miembro que solicite que se anule su inscripción debe completar su propio formulario.

Formulario de Solicitud de Reconsideración de la Penalización por Inscripción Tardía (LEP) en la Part D

Mediante este formulario se confirma su solicitud para que una persona en particular lo represente en relación con un reclamo.

Mediante este formulario se confirma su autorización para que WellCare pueda discutir o divulgar la información de salud protegida (PHI, Protected Health Information) con una persona en particular.

This form revokes your permission for Wellcare to discuss or disclose Protected Health Information (PHI) with a particular person.

Complete este formulario con su proveedor si desea cambiar su PCP. Luego, su proveedor le enviará este formulario a su plan de salud para informarle sobre el cambio.

Effective 01/01/2026: The drugs on this list require step therapy. Step therapy means you must try one drug before we will cover another drug.

Medicare Parts A & B Premiums and Deductibles

Información útil

Línea de asesoramiento de enfermería las 24 horas

One of the benefits of being a Wellcare Dual Liberty (HMO D-SNP) member is our 24-Hour Nurse Advice Line. Our nurses will give you answers to your medical questions and help you decide whether to see your doctor or go to the emergency room. Nurses are available 24 hours a day, seven days a week at 1-800-581-9952. (TTY users dial 711.)

HealthHub by WebMD Ignite

Trusted information to help you on your health journey.
WebMD Ignite provides clinically reviewed health & wellness education, resources, and tools.

Visit the HealthHub by WebMD Ignite.

Krames Health Library

The Krames Health library is the most up-to-date patient education resource. With Krames Health Library, you'll have access to over 4,000 topics relating to health and medication.

Visit the Krames Health Library.

Plan Information

Wellcare Fidelis Dual Align (HMO D-SNP) is a Fully Integrated Dual Eligible Special Needs Plan with a Medicare contract and a contract with the New Jersey Medicaid program. Enrollment in Wellcare Fidelis Dual Align depends on contract renewal. This information is not a complete description of benefits. Contact the plan for more information. Limitations and restrictions may apply. Benefits may change on January 1 of each year. Your Part B premium is covered by Medicaid. This plan is available to those who have both Medicare and full Medicaid benefits. Wellcare uses a formulary.
Please contact Wellcare for details.

When joining this plan: 

  1. You must use in-network providers, DME (durable medical equipment) suppliers, and pharmacies. 
  2. You will be enrolled automatically into Medicaid (NJ FamilyCare) coverage under our plan and disenrolled from any Medicaid (NJ FamilyCare) plan you are currently enrolled in. All of your Medicaid-covered services, items, and medications will then be covered under our plan, and you must get them from in-network providers.
  3. You will be enrolled automatically into Part D coverage under our plan, and you will be automatically disenrolled from any other Medicare Part D or creditable coverage plan in which you are currently enrolled. 
  4. You must understand and follow our plan’s rules on referrals.
 
  •                    Línea de asesoramiento de enfermería disponible las 24 horas

    Línea de asesoramiento de enfermería las 24 horas

    One of the benefits of being a Wellcare Dual Liberty (HMO D-SNP) member is our 24-Hour Nurse Advice Line. Our nurses will give you answers to your medical questions and help you decide whether to see your doctor or go to the emergency room. Nurses are available 24 hours a day, seven days a week at 1-800-581-9952. (TTY users dial 711.)

  • Health Libraries

    HealthHub by WebMD Ignite

    Trusted information to help you on your health journey.
    WebMD Ignite provides clinically reviewed health & wellness education, resources, and tools.

    Visit the HealthHub by WebMD Ignite.

    Krames Health Library

    The Krames Health library is the most up-to-date patient education resource. With Krames Health Library, you'll have access to over 4,000 topics relating to health and medication.

    Visit the Krames Health Library.

  • Plan Information

    Plan Information

    Wellcare Fidelis Dual Align (HMO D-SNP) is a Fully Integrated Dual Eligible Special Needs Plan with a Medicare contract and a contract with the New Jersey Medicaid program. Enrollment in Wellcare Fidelis Dual Align depends on contract renewal. This information is not a complete description of benefits. Contact the plan for more information. Limitations and restrictions may apply. Benefits may change on January 1 of each year. Your Part B premium is covered by Medicaid. This plan is available to those who have both Medicare and full Medicaid benefits. Wellcare uses a formulary.
    Please contact Wellcare for details.

    When joining this plan: 

    1. You must use in-network providers, DME (durable medical equipment) suppliers, and pharmacies. 
    2. You will be enrolled automatically into Medicaid (NJ FamilyCare) coverage under our plan and disenrolled from any Medicaid (NJ FamilyCare) plan you are currently enrolled in. All of your Medicaid-covered services, items, and medications will then be covered under our plan, and you must get them from in-network providers.
    3. You will be enrolled automatically into Part D coverage under our plan, and you will be automatically disenrolled from any other Medicare Part D or creditable coverage plan in which you are currently enrolled. 
    4. You must understand and follow our plan’s rules on referrals.
     
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Y0020_WCM_178064E_M Last Updated On: 11/10/2025