Get Authorization Forms For Wellcare

WellCare Health Plans is a Tampa, Florida-based insurance provider that offers Medicare Advantage (Part C) and Medicare Part D (prescription drug) plans to Medicare beneficiaries in several states.

Traditional Medicare, in contrast, does not require prior authorization for the vast majority of services, except under limited circumstances, although some think expanding use of prior authorization could help traditional Medicare reduce inappropriate service use and related costs.

Available Plans. WellCare offers several types of Medicare Advantage plans. Most WellCare Medicare Advantage plans include extra benefits like dental, vision, hearing, and fitness.

Refer to the clinical prior authorizations approved for use in Medicaid mananged care. The following clinical prior authorizations apply to people enrolled in traditional Medicaid.

Prior approval is required for all services by a provider who is not in the Sunshine Health network. The only exception is for emergency care. Emergency room or urgent care visits do not require prior authorization.

WellCare (HMO) is a Medicare Advantage organization with a Medicare contract. Enrollment in WellCare (HMO) depends on contract renewal. You will need to keep your Medicare Parts A and B. When you enroll into one of our plans, WellCare pays for services covered by Medicare.

Best for Extra Benefits Aetna Medicare Advantage The Aetna Medicare Advantage plan is available as both an HMO and a PPO plan; for some services, you can see a health care provider that is out of network. With the PPO plan, you can select any provider that accepts Medicare, without a referral.

Is WellCare good insurance? WellCare received 3.57 stars out of 5 by Medicare's rating system. It has an A+ rating with the Better Business Bureau (BBB).

Prior approval is required for all services by a provider who is not in the Sunshine Health network. The only exception is for emergency care. Emergency room or urgent care visits do not require prior authorization.