Wellcare of Georgia Enhances Offering of Affordable, Quality Medicare Advantage and Medicare Prescription Drug Plans in 2026
Wellcare (NYSE: CNC) announced its 2026 Medicare offerings, expanding Medicare Advantage (MA) to >51 million beneficiaries across 32 states and adding 51 counties in eight states, while Prescription Drug Plans (PDP) remain available nationwide to more than 8 million members. The company will transition certain Medicare‑Medicaid Plan demonstrations to integrated Dual Eligible Special Needs Plans (D‑SNPs) in five states and continue investments in member experience, digital tools, multilingual onboarding, and integrated benefits like the Wellcare Spendables® card.
Notable plan features include a monthly insulin cap of $35 or 25%, $0 primary care copays on all plans, >60,000 pharmacies in network, and 68 PDPs offered nationwide.
Wellcare (NYSE: CNC) ha annunciato le offerte Medicare per il 2026, espandendo Medicare Advantage (MA) a oltre 51 milioni di beneficiari in 32 stati e aggiungendo 51 contee in otto stati, mentre i Piani di Farmaci da Prescrizione (PDP) restano disponibili a livello nazionale per oltre 8 milioni di membri. L'azienda convertirà alcune dimostrazioni di Medicare‑Medicaid Plan in D‑SNP integrati in cinque stati e continuerà a investire nell'esperienza dei membri, negli strumenti digitali, nell'onboarding multilingue e in benefici integrati come la carta Wellcare Spendables®. I piani presentano caratteristiche notevoli tra cui un tetto mensile per l'insulina di 35$ o 25%, copay pari a 0 per le cure primarie su tutti i piani, oltre 60.000 farmacie in rete e 68 PDP offerti a livello nazionale.
Wellcare (NYSE: CNC) anunció sus ofertas de Medicare para 2026, expandiendo Medicare Advantage (MA) a más de 51 millones de beneficiarios en 32 estados y añadiendo 51 condados en ocho estados, mientras que los Planes de Medicamentos con Receta (PDP) siguen disponibles a nivel nacional para más de 8 millones de miembros. La empresa transferirá ciertas demostraciones de Medicare‑Medicaid Plan a D‑SNPs integrados en cinco estados y continuará invirtiendo en la experiencia del miembro, herramientas digitales, incorporación multilingüe y beneficios integrados como la tarjeta Wellcare Spendables®. Características destacadas del plan incluyen un tope mensual para la insulina de $35 o 25%, copagos de atención primaria de $0 en todos los planes, más de 60,000 farmacias en la red y 68 PDPs ofrecidos a nivel nacional.
Wellcare (NYSE: CNC)는 2026년 Medicare 제안을 발표했고, Medicare Advantage(MA)를 51백만 명이 넘는 수혜자에게 32개 주에서 확장하며 8개 주의 51개 카운티를 추가하고, 처방약 플랜(PDP)은 전국적으로 800만 명이 넘는 구성원에게 계속 제공됩니다. 이 회사는 다섯 주에서 Medicare‑Medicaid Plan 시연의 일부를 통합 이중혜택특정(D‑SNP)으로 전환하고 멤버 경험, 디지털 도구, 다국어 온보딩, Wellcare Spendables 카드와 같은 통합 혜택에 대한 투자를 계속할 예정입니다. 특징으로는 인슐린 상한선이 월간 $35 또는 25%, 모든 플랜에서 기본 진료비 Copay 0, 네트워크 내 약국 60,000+, 전국에서 제공되는 68 PDPs가 있습니다.
Wellcare (NYSE: CNC) a annoncé ses offres Medicare pour 2026, élargissant Medicare Advantage (MA) à plus de 51 millions de bénéficiaires dans 32 États et ajoutant 51 comtés dans huit États, tandis que les Plans de Médicaments sur ordonnance (PDP) restent disponibles à l’échelle nationale pour plus de 8 millions de membres. L’entreprise convertira certaines démonstrations de Medicare‑Medicaid Plan en D‑SNP intégrés dans cinq États et continuera d’investir dans l’expérience des membres, les outils numériques, l’intégration multilingue et les prestations intégrées telles que la carte Wellcare Spendables®. Caractéristiques notables du plan : plafond mensuel pour l’insuline de 35 $ ou 25%, copaiement zéro pour les soins primaires sur tous les plans, plus de 60 000 pharmacies en réseau et 68 PDPs proposés au niveau national.
Wellcare (NYSE: CNC) kündigte seine Medicare-Angebote für 2026 an und erweitert Medicare Advantage (MA) auf mehr als 51 Millionen Begünstigte in 32 Staaten und fügt 51 Landkreise in acht Bundesstaaten hinzu, während Prescription Drug Plans (PDP) landesweit für mehr als 8 Millionen Mitglieder verfügbar bleiben. Das Unternehmen wird bestimmte Medicare‑Medicaid Plan‑Demonstrationen in integrierte Dual Eligible Special Needs Plans (D‑SNPs) in fünf Staaten überführen und weiterhin in das Mitgliedererlebnis, digitale Werkzeuge, mehrsprachige Einführung und integrierte Leistungen wie die Wellcare Spendables®-Karte investieren. Wichtige Planmerkmale sind ein monatlicher Insulin-Topf von 35 $ oder 25%, 0 Copay für Primärversorgung in allen Plänen, über 60.000 Apotheken im Netzwerk und 68 PDPs landesweit angeboten.
Wellcare (NYSE: CNC) أعلنت عن عروض Medicare لعام 2026، موسّعة Medicare Advantage (MA) إلى أكثر من 51 مليوناً من المستفيدين في 32 ولاية وإضافة 51 مقاطعة في ثماني ولايات، بينما تظل خطط الأدوية بوصفة (PDP) متاحة على مستوى البلاد لأكثر من 8 ملايين عضو. ستقوم الشركة بتحويل بعض عروض Medicare‑Medicaid Plan إلى خطط احتياجات خاصة مدمجة (D‑SNPs) في خمس ولايات وتواصل الاستثمار في تجربة الأعضاء، والأدوات الرقمية، والتسجيل متعدد اللغات، والمزايا المتكاملة مثل بطاقة Wellcare Spendables®. تشمل الميزات البارزة للخطة سقفاً شهرياً للأنسولين بقيمة $35 أو 25%، وبدل رعاية أولية صفري في جميع الخطط، وأكثر من 60,000 صيدلية ضمن الشبكة و< |>68 PDP متاحة على مستوى البلاد.
- MA available to >51 million beneficiaries in 32 states
- Added 51 counties across eight states for 2026
- PDP coverage continued nationwide to >8 million members
- Offering 68 PDPs across all 50 states and DC
- Monthly insulin capped at $35 or 25%, whichever is lower
- $0 primary care copay across all Medicare Advantage plans
- Network of >60,000 pharmacies including major retail chains
- Phase out of VBID limits extra social‑support benefits for many members
- Additional benefits available only to members meeting specific health criteria
- Members not eligible for extra benefits limited to OTC and out‑of‑pocket items
Insights
Wellcare's 2026 expansion meaningfully grows MA/PDP reach and deepens dual-eligibles integration, supporting scale and enrollment growth.
Wellcare expands Medicare Advantage to more than 51 million beneficiaries across 32 states and adds 51 counties, while PDPs serve over 8 million members nationwide. This increases available membership and geographic scale across more than 1,850 counties, which directly enlarges potential premium revenue and distribution for its Medicare products.
Key dependencies include enrollment conversion during the
The shift from MMP demonstrations to integrated D‑SNPs and broad PDP availability increases administrative complexity but strengthens dual‑eligible service alignment.
Transitioning Medicare‑Medicaid Plan demonstrations to integrated Dual Eligible Special Needs Plans in five states creates a single plan structure for Duals, which should streamline benefits coordination and compliance under Medicare rules. Maintaining nationwide PDPs with two product lines and meeting CMS benchmarks for the Classic product addresses affordability for Low‑Income Subsidy‑eligible members.
Risks include eligibility gating for extra benefits after VBID phase‑out and ensuring network adequacy with preferred pharmacies; monitor CMS guidance on D‑SNP conversions and the plan-level enrollment and churn metrics over the next enrollment cycle for evidence of success.
Medicare Advantage plans will be available to more than 51 million beneficiaries in 32 states; Prescription Drug Plans will continue to be offered nationwide.
New in 2026
Wellcare to transition Medicare-Medicaid Plans (MMPs) demonstrations to integrated Dual Eligible Special Needs Plans (D-SNPs) in five states
"At Peach State Health Plan and Wellcare of
The company's multi-year journey to maximize Centene's unique market position focuses on creating a seamless integrated experience for D-SNP members, caregivers, and their providers. Medicare provides coverage primarily based on a member being 65 and older or eligible through disability, while Medicaid typically offers coverage to individuals and families who meet specific income and financial eligibility requirements. Members eligible for both programs are referred to as "Dual Eligibles" or "Duals."
"We are deeply committed to offering a diverse range of plans that support our members' health and well-being," said Wellcare Chief Executive Officer, Michael Carson. "We're especially excited about the continued growth and integration of our dual-eligible plans, in collaboration with our federal and state partners, which help us better serve individuals who are eligible for both Medicare and Medicaid. Supporting the health of our aging population isn't just a priority – it's a responsibility. These offerings reflect our dedication to delivering quality care, improving health outcomes and creating a seamless experience for some of the most vulnerable populations in our communities."
The company also continues to invest in member experience with digital tools and resources for members and prospective members. This includes:
- Delivering a modernized, supportive and engaging onboarding experience to new and renewing members.
- Providing member onboarding videos in eight languages: Spanish, Vietnamese, Russian, Tagalog, Chinese Traditional, Chinese Taiwan, Chinese Hong Kong and Korean.
- Proactively engaging and communicating with members on understanding their benefits and access to services and providers.
- Leveraging data, analytics and technology to adjust to meet members' needs and improve the overall experience.
- Conducting frequent member surveys to better understand what matters most to them and where we can improve to make their experience better.
For more details about Wellcare's MA plans, visit WellcareNow.com and Medicare PDPs, visit pdpWellcare.com.
Wellcare's 2026 Plan Offerings
For 2026, Wellcare will offer plans to more than 51 million beneficiaries, which accounts for more than
MAPD Highlights:
In 2026, a variety of plan offerings for value-conscious beneficiaries are available with predictable copays and extra benefits:
- The Wellcare Spendables® card continues to offer eligible members a single card with preloaded funds available at more than 66,000 nationwide retailers across Wellcare's 32-state footprint. Eligible members may use their Wellcare Spendables® card on multiple benefits. Depending on the plan, benefits may include an allowance for over-the-counter health items and covered out-of-pocket dental, vision and hearing costs. Members who are eligible may use the allowance for other benefits to support their overall well-being. Additionally, an integrated experience combines the Wellcare Spendables® card and Wellcare Rewards™ programs into one platform.
- Members earn rewards for health actions, including annual preventive visits, using the member portal, flu shots and health screenings.
- With the phase out of the Value-Based Insurance Design (VBID) program, extra benefits like assistance with groceries, gas, rent and utilities will only be available to members who meet specific health conditions under a different program, but we've made the process easier for members to check if they are eligible. Members who aren't eligible for additional benefits will be limited to certain types of care, like over-the-counter items or out-of-pocket medical costs.
$0 - Dario's digital mental health and social support resources (formerly Twill Therapeutics) provide online behavioral health support and is available 24/7 across all Medicare Advantage plans. Services include peer-to-peer support, self-guided behavioral health programs and access to Centene health plan resources.
- Monthly cost for insulin under Medicare plans will be capped at either
$35 25% of the drug's negotiated or maximum fair price, whichever is lower. $0 - The Part D benefit will continue to consist of three phases with members' out-of-pocket costs capped at no more than
$2,100 - Preferred retail pharmacy networks will include Walgreens*, CVS* and select grocers*. A robust network is expected with more than 60,000 total pharmacies.
- Express Scripts® Pharmacy home delivery will continue to be the preferred mail order (Home Delivery) pharmacy focusing on providing convenient and efficient service for prescriptions that are filled for more than 35 days.
- Benefits also include
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Medicare Prescription Drug Plans (PDP) Highlights:
Wellcare's Prescription Drug Plans (PDP) will continue to be available nationwide with competitive benefits:
- Two products (Classic and Value Script) will be offered in all 34 regions across all 50 states and the
District of Columbia ; 68 PDPs nationwide. - We continue to offer products to meet the unique needs of Medicare beneficiaries including:
- Dual eligibles
- Low premium "value" shoppers
- A competitive formulary design will be offered across both plans.
- The Value Script plan will continue to offer members a cost-effective option, with one of the lowest premiums in the nation.
- The Classic plan will be under the Centers for Medicare and Medicaid Services (CMS) benchmark in all regions making this plan a great option for members receiving a Low-Income Subsidy (LIS).
- Both plans feature a
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About Wellcare
Wellcare offers a range of Medicare products, including Medicare Advantage and Medicare Prescription Drug Plans (PDP), which offer affordable coverage beyond Original Medicare. Wellcare is the Medicare brand of Centene Corporation, a leading healthcare enterprise committed to helping people live healthier lives. Beginning Jan. 1, 2022, Centene's Medicare brands, including Allwell, Health Net, Fidelis Care, Trillium Advantage, 'Ohana Health Plan and TexanPlus transitioned to the Wellcare brand. For more information about Wellcare, visit www.Wellcare.com.
Benefits and allowance amounts vary by plan. Please call for more details. Allowance amounts cannot be combined with other benefit allowances which may be on the prepaid card. Limitations and restrictions may apply.
Wellcare is the Medicare brand for Centene Corporation, an HMO, PPO, PFFS, PDP plan with a Medicare contract and is an approved Part D Sponsor. Our D-SNP plans have a contract with the state Medicaid program. Enrollment in our plans depends on contract renewal. Benefits mentioned are a part of Special Supplemental Benefits for the Chronically Ill. Not all members will qualify. In addition to being high-risk, you must have one or more of the following chronic conditions: cancer, cardiovascular disorders, chronic and disabling mental health conditions, chronic lung disorders, diabetes. There are other eligible conditions not listed. Eligibility for this benefit cannot be guaranteed based solely on your condition. All applicable eligibility requirements must be met before the benefit is provided. For details, please contact us or see the plan's Evidence of Coverage/Member Handbook.
*Other Pharmacies/Physicians/Providers are available in our network.
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SOURCE Peach State Health Plan
FAQ
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