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  • Well Sense Health Plan Non-participating Provider Activation Form - Wellsense

Get Well Sense Health Plan Non-participating Provider Activation Form - Wellsense

WELL SENSE HEALTH PLAN NON-PARTICIPATING PROVIDER ACTIVATION FORM You must submit this completed form and a copy of your W-9 via fax to 866-779-5948 or via e-mail to NHProvider.Enrollment WellSense.org.

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Electronic Claim set up is simple and only takes five minutes. Call the Provider Service Center at 877-957-1300 for more information.

A Medicare Advantage Plan is another way to get your Medicare Part A and Part B coverage. Medicare Advantage Plans, sometimes called “Part C” or “MA” Plans, are offered by Medicare-approved private companies that must follow rules set by Medicare. Most Medicare Advantage Plans include drug coverage (Part D).

Where's my WellSense member ID card? You will be receiving your ID card and Welcome Kit in the mail. Remember to bring your ID card to all of your doctors' appointments and whenever you pick up prescriptions.

Please contact the WellSense Prior Authorization Team at 877-957-1300 and Press 3 for questions related to authorization requirements for codes that may or may not be listed in this tool.

MassHealth is the Medicaid program in Massachusetts that offers coverage at no cost for those that qualify. WellSense offers two types of MassHealth plans. Both have the same benefits package and it is only the network of doctors that are different for each plan.

Together, UnitedHealthcare and Humana account for nearly half (47%) of all Medicare Advantage enrollees nationwide. In nearly a third of counties (32%; or 1,013 counties), these two firms account for at least 75% of Medicare Advantage enrollment.

If you don't know the name of your plan you can find it listed on your health insurance ID card. If you did not receive one or if you've misplaced it, please call Member Services at 888-566-0010.

WellSense has you covered with Medicare Advantage plan options that fit you, starting at $0 per month.

Medicare Advantage is an alternative to traditional Medicare offered by private health insurance companies. Medicare Advantage plans cover all the same services under Original Medicare Part A and Part B, but often include prescription drug coverage and extra benefits.

WellSense's Tax ID is 043373331.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232