Dear Provider,
WellCare Health Plans, Inc. would like to inform you of a change in how redeterminations (appeals) will be processed beginning January 1, 2010.
In order to facilitate redetermination requests and to offer better service to our providers and members, WellCare has made the decision to have medical benefit claim redeterminations and medication benefit redeterminations processed separately.
Beginning January 1, 2010, if you would like to request a redetermination (appeal) for a medication benefit, please utilize the following contact information to submit a redetermination request.
To request a medication appeal for a Medicare member:
WellCare Health Plans, Inc. Fax: 1-866-388-1766
Attn: Pharmacy Appeals
P.O. Box 31383
Tampa, FL 33631-3383
Please download the attached notice and the new Medication Appeal Request form.
Thank you,
WellCare Health Plans, Inc.
If you are unable to view PDFs, please download Adobe Reader.