Medication Assistance Programs and Resources

If you’re having a hard time paying for the prescription drugs you need, don’t stop taking your medicine or reducing the amount you take. Taking your medication like your doctor prescribed helps keep you healthy.

Below are options that can help with the cost of your medications.

Speak With Your Doctor About Generic Brand Drugs

Talk to your doctor about your medication options. Your doctor may be able to recommend drugs that would cost less and may work just as well for you.

Taking a generic drug can save you money on your medications. Generic drugs typically cost less than brand name drugs and have the same active ingredients as the brand-name medication. The Food & Drug Administration (FDA) reviews and approves all generic and brand name medications.

Some drugs may not have a generic version, but your doctor can see if there are other covered options available. Talk to your doctor and ask if there is a lower-cost medication, like a generic drug, that may work for you.

Use In-Network Care

Make sure to use a preferred, in-network pharmacy to save on out-of-pocket drug costs.

Set Up Mail Order Pharmacy

You can get a 3-month supply of your prescription drugs sent to your home with Express Scripts® Pharmacy. This service is included with your health plan at no extra cost to you.

Mail Order Pharmacy saves you time and trips to the pharmacy. Your prescriptions will be automatically refilled and renewed so you don’t run out of your medication. Plus, standard shipping is free!

Prescriptions are delivered to your door in discreet packaging. You can track your medication delivery and get updates by email, phone, or text to make sure you have your medications when you need them.

To get started, call Express Scripts at 1-833-750-0201 (TTY: 711) 24 hours a day, 7 days a week, or visit express-scripts.com/rx to register.

Resources

If you are having a hard time paying for medications, you may qualify for extra support.

Below are resources available to you that can help with the cost of your medications.

Medicare Prescription Payment Plan

The Medicare Prescription Payment Plan is a new payment option that works with your current drug coverage and can help you manage your drug costs by spreading them across monthly payments that vary throughout the year (Jan- Dec).

To learn more about this payment option, please contact us at 1-833-750-9969. (TTY only, call 1-800-716-3231). We are available for phone calls 24 hours a day, 7 days a week, 365 days a year, or visit www.wellcare.com/MPPP.

Community Connections Help Line (CCHL)

The Community Connections Help line can connect you with help to pay for food or bills. Calling the hotline can provide help with medication costs, transportation, financial planning, housing, meal delivery, education, and more. Using these resources may help you budget your money towards your monthly prescription drug needs.

Learn more by calling 1-866-775-2192 (TTY: 711). Available Monday- Friday, 9 a.m. to 6 p.m. ET.

Drug Manufacturer Program

Some pharmaceutical companies offer programs to help pay for prescriptions for people in a Medicare Part D Drug Plan. If you would like to see if you might be eligible:

Start by visiting the Pharmaceutical Assistance Program search page.
Type in the name of the medication drug you are taking. You can search for one drug at a time.
If the medication is on the list, call the phone number provided to see if you qualify.
If you can’t find a drug, make sure the spelling is correct. Otherwise, this means that the drug does not offer a program.

Social Security Low Income Subsidy (LIS)/ “Extra Help”

"Extra Help" is a program provided by the Social Security Administration to help pay for prescription drugs. The Social Security Administration will review your income to see if you qualify.

See if you qualify or apply for extra help with one of these options:

Online: Visit www.socialsecurity.gov/medicare/prescriptionhelp to get started.
Over the Phone: Call 1-800-772-1213, (TTY 1-800-325-0778) to apply over the phone or to request an application.
In-person: You can apply at your local Social Security Office.

Member Services

If you still have questions, we are happy to help. Please contact the Member Services number on the back of your Member ID card.

From April 1 to September 30, you can call between 8 am and 8 pm Monday thru Friday.
From October 1 to March 31, you can call between 8 am and 8 pm every day.

‘Ohana Health Plan, a plan offered by WellCare Health Insurance of Arizona, Inc.

Washington residents: “Wellcare” is issued by Coordinated Care of Washington, Inc.

Washington residents: “Wellcare” is issued by Wellcare of Washington, Inc.

Washington residents: Health Net Life Insurance Company is contracted with Medicare for PPO plans. “Wellcare by Health Net” is issued by Health Net Life Insurance Company.

Washington residents: “Wellcare” is issued by WellCare Health Insurance Company of Washington, Inc.

“Wellcare” is issued by WellCare Prescription Insurance, Inc

Texas D-SNP members: As a Wellcare HMO D-SNP member, you have coverage from both Medicare and Medicaid. You receive your Medicare health care and prescription drug coverage through Wellcare and are also eligible to receive additional health care services and coverage through Texas Medicaid. Learn more about providers who participate in Texas Medicaid by visiting wellcarefindaprovider.com. For detailed information about Texas Medicaid benefits, please visit the Texas Medicaid website at www.hhs.texas.gov/services/health/medicaid-chip/medicaid-chip-members/starplus. To request a written copy of our Medicaid Provider Directory, please contact us.

New York Dual Access D-Snp Plans: H2775 & H4868 NDN/MLI: wellcareca.com/medicare-disclaimers.html