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Member FAQs
Frequently Asked Questions From Members

Members often ask questions about their health plan when visiting their provider. They may also call Customer Service at 1 (800) 951-7719 (TTY/TDD 1-877-247-6272) for help. Here is a list of the some of the questions that are asked.

Q: I've lost my member ID card. How can I get a new card?
Call Customer Service at 1 (800) 951-7719 (TTY/TDD 1-877-247-6272) to request a new ID card.

Q: Do I need a referral to see a specialist?
Medical and specialty visits are arranged by your PCP by referral.  Referrals to specialists in the Ohio WellCare network do not require written approval or authorization. Please see your member handbook for information on specialist services to which you can self-refer.

Q: Where can I get my prescriptions filled?
Prescriptions written by WellCare providers must be filled at a participating pharmacy. A list of Pharmacies is available on our website. You can also call Customer Service at 1 (800) 951-7719 (TTY/TDD 1-877-247-6272) to obtain a list of pharmacies you can use.

Q: What is a Preferred Drug List (PDL)?
The PDL is a list of medications developed by WellCare that providers use when prescribing medications for members. WellCare will only pay for medications listed on the PDL with a few exceptions. The PDL is updated frequently. Providers have access to this list and can tell you if a certain drug is on the PDL.

Q: How much do services cost?
There are no co-pays or costs to you for prescriptions or preventive care services.

Q: What happens if I need care over a weekend when your office is closed? Should I go to the emergency room?
If it is an emergency, go to the emergency room immediately. If it is not, your PCP can be reached 24 hours a day 7 days a week. After-hours care may be provided by a 24-hour answering service.


 

Last modified: 08/19/2007
 
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