WellCare Premier (PPO)


Medicare Plan Details

2020 Plan
Monthly Premium
(select county for price)

 

by WellCare
Additional Coverage
Hearing Vision Dental
Overall Government Star Rating
No Rating
out of 5 stars

State: Florida

Select your county to view the price for this plan

 


Plan Type

Medicare Advantage (Part C) with Prescription Drug (Part D)

Medicare Advantage combines Part A and Part B. This plan = Part A + Part B + Part D

 

$0
$0
$0
$0
$10,000 In and Out-of-network
$5,000 In-network
No
Yes
Yes
Yes

Medical Benefits

Doctor Services

In-network: $5 per visit
Out-of-network: $0-300 per visit
In-network: $35 per visit
Out-of-network: $0-300 per visit

Tests, labs, & imaging

In-network: $0-100
Out-of-network: $0-300
In-network: $0 copay
Out-of-network: $0 copay
In-network: $0-250
Out-of-network: $0-300
In-network: $10
Out-of-network: $0-300
$90 per visit (always covered)
$30 per visit (always covered)

Hospital Services

In-network: $290 per day for days 1 through 5
$0 per day for days 6 through 90
Out-of-network: $290 per day for days 1 through 5
$0 per day for days 6 through 90
In-network: $250-300 per visit
Out-of-network: $0-300 per visit

Skilled nursing facility

In-network: $0 per day for days 1 through 20
$172 per day for days 21 through 100
Out-of-network: $0 per day for days 1 through 20
$172 per day for days 21 through 100

Preventive services

In-network: $0 copay
Out-of-network: $0 copay

Ambulance

In-network: $250
Out-of-network: $0-300

Therapy services

In-network: $40
Out-of-network: $0-300
In-network: $40
Out-of-network: $0-300

Mental health services

In-network: $40
Out-of-network: $0-300
In-network: $40
Out-of-network: $0-300
In-network: $40
Out-of-network: $0-300
In-network: $40
Out-of-network: $0-300

Opioid treatment services

Covered

Other services

In-network: 20% per item
Out-of-network: 20-50% per item
In-network: 20% per item
Out-of-network: 20-50% per item
In-network: 10% per item
Out-of-network: 20-50% per item

Prescription Drug Benefits

Tier drug costs for: Standard retail pharmacy drug cost for 1-month

TiersInitial coverage phaseGap coverage phase1Catastrophic coverage phase
Preferred Generic$0.00 copay$0.00 copay


Generic drugs :
$3.60 copay or 5% (whichever costs more)

Brand-name drugs :
$8.95 copay or 5% (whichever costs more)

Generic$10.00 copay
Preferred Brand$47.00 copay
Non-Preferred Drug$100.00 copay
Specialty Tier30%
1 For all other drugs, you pay 25% for generic drugs and 25% for brand-name drugs.

Part B Drugs

In-network: 20%
Out-of-network: 20-50%
In-network: 20%
Out-of-network: 20-50%

Extra Benefits

Hearing

In-network: $35
Out-of-network: $0-300
In-network: $0 copay
Out-of-network: 50%
In-network: $0 copay
Out-of-network: 50%

Preventive Dental

In-network: $0 copay
Out-of-network: 20-40%
In-network: $0 copay
Out-of-network: 20-40%
In-network: $0 copay
Out-of-network: 20-40%
In-network: $0 copay
Out-of-network: 20-40%

Comprehensive dental

Not covered
Not covered
In-network: $0
Out-of-network: 20-40%
Not covered
In-network: 20%
Out-of-network: 20-40%
In-network: 20%
Out-of-network: 20-40%
In-network: 20%
Out-of-network: 20-40%

Vision

In-network: $0 copay
Out-of-network: 50%
In-network: $0 copay
Out-of-network: 50%
In-network: $0 copay
Out-of-network: 50%
In-network: $0 copay
Out-of-network: 50%
In-network: $0 copay
Out-of-network: 50%
Not covered

Other benefits

Limited coverage
Limited coverage
Not covered
Not covered
Not covered
Limited coverage
Limited coverage
No Rating
No Rating
No Rating
No Rating
No Rating
No Rating
No Rating
No Rating
No Rating
No Rating
No Rating

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