![]() It explains how to get coverage for the health care services and prescription drugs you need. This booklet gives you the details about your Medicare health care and prescription drug coverage from January 1 – December 31, 2023. Health: Virtual primary care, mental health, chronic. ![]() For more information about this, and to see what emergency or urgently needed care means, see Section 3 of your Evidence of Coverage. Primary Care Mental Health Condition Management SpecialtyMembers in a Medicare plan (Wellcare by Fidelis. The plan covers emergency care or urgently needed care that you get from an out-of-network provider. In this situation, you will pay the same as you would pay if you got the care from a network provider. You will need to obtain “prior authorization” from us to get this care. We will work with any out-of-network commercial insurance plan as well. If you need medical care that Medicare requires our plan to cover and the providers in our network cannot provide this care, you can get this care from an out-of-network provider. Healthcare, Blue Cross and Blue Shield and Humana. ![]() CT scans, PET scans, MRI's, nuclear medicine) and Therapeutic Radiology (e.g. Outpatient Services including Surgery, X-rays, Outpatient Diagnostic Radiology (e.g.Durable Medicare Equipment & Prosthetic Devices.The following services are not covered out-of-network and you will be responsible for all of the costs if you obtain these services: $0 Prescriptions and Wellcare Spendables CardĢ024 Covered Diabetes Meters and Testing Supplies Our members receive all of the benefits that the Original Medicare Program offers but we also offer additional benefits to help you stay healthy.ĭental Benefit Details (NOT YET RECEIVED)ĭetalles de los Beneficios Dentales (NOT YET RECEIVED) For each benefit, you can see what our program covers and what the Original Medicare Program covers. The charts in this booklet list important health benefits. You can use this document to compare Wellcare By Fidelis Care Programs and the Original Medicare Program. It explains how to get coverage for the health care services and prescription drugs you need.Įvidencia de Cobertura (NOT YET AVAILABLE) This booklet gives you the details about your Medicare health care and prescription drug coverage from January 1 – December 31, 2024. List of Drugs Change Notice (Coming February 2024)
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