Talking to Your Doctor

Before seeing a provider you should...
  • Verify that your provider will accept WellCare's PFFS plans. Your health care providers have the right to choose whether to accept a Private Fee-for-Service plan's payment terms and conditions every time you visit them.
  • If your provider decides not to accept the plan, find another provider that will.
    • They should not provide services to you except in an emergency.
    • If they choose to provide services, they may not bill you. They must bill the Private Fee-for-Service plan for your covered health care services. You must pay the appropriate copayments and coinsurance.

When you go to the doctor or hospital... 

  • Show your WellCare ID card and let them know you have chosen WellCare for your Medicare health plan.
  • Do not show your red, white, and blue Medicare card.
  • Pay any WellCare copayments or coinsurance at the time of service.

The doctor or hospital will bill WellCare for the rest.

  • Health care providers must bill the Private Fee-for-Service plan.
 

 

Last modified: 09/25/2007