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Wellcare Value Script (PDP)

WellCare Health Plans, Inc.
Wellcare Value Script (PDP) S4802-163 Plan Details
3 out of 5 stars

Wellcare Value Script (PDP) is a plan offered by WellCare Health Plans, Inc..
Plan ID: S4802-163.

$8.30
Monthly Premium

Wellcare Value Script (PDP) is a plan offered by WellCare Health Plans, Inc..
Plan ID: S4802-163.

WellCare Health Plans, Inc.
Wellcare Value Script (PDP) S4802-163 Plan Details
3 out of 5 stars

Wellcare Value Script (PDP) is a plan offered by WellCare Health Plans, Inc..
Plan ID: S4802-163.

$8.30
Monthly Premium

California Counties Served

Alameda Amador Contra Costa Fresno Kern Los Angeles Marin Napa Orange Placer Riverside Sacramento San Benito San Diego San Francisco San Joaquin San Luis Obispo San Mateo Santa Barbara Santa Clara Santa Cruz Shasta Solano Sonoma Stanislaus Ventura Alpine Butte Calaveras Colusa Del Norte El Dorado Glenn Humboldt Imperial Inyo Kings Klamath Lake Madera Mariposa Mendocino Merced Modoc Mono Monterey Nevada Plumas San Bernardino Sierra Siskiyou Sutter Tehama Trinity Tulare Tuolumne Yolo Yuba

Basic Costs and Coverage

Coverage Cost
Monthly Deductible $505
Out of Pocket Max In-Network: $-1
Out-of-Network: N/A
Initial Coverage Limit $4660
Catastrophic Coverage Limit $7,400

Prescription Drug Costs and Coverage

The Wellcare Value Script (PDP) plan offers the following prescription drug coverage, with an annual drug deductible of $505 (excludes Tiers 1 and 2) per year.

Coverage
Cost
Coverage & Cost
Annual Drug Deductible $505 (excludes Tiers 1 and 2)
Preferred Generic
  • Preferred cost-share retail $0.00
  • Standard retail $8.00
  • Preferred cost-share mail order $0.00
  • Standard mail order $8.00
Generic
  • Preferred cost-share retail $5.00
  • Standard retail $15.00
  • Preferred cost-share mail order $5.00
  • Standard mail order $15.00
Annual Drug Deductible $505 (excludes Tiers 1 and 2)
Preferred Generic
  • Preferred cost-share retail $0.00
  • Standard retail $16.00
  • Preferred cost-share mail order $0.00
  • Standard mail order $16.00
Generic
  • Preferred cost-share retail $10.00
  • Standard retail $30.00
  • Preferred cost-share mail order $10.00
  • Standard mail order $30.00
Annual Drug Deductible $505 (excludes Tiers 1 and 2)
Preferred Generic
  • Preferred cost-share retail $0.00
  • Standard retail $24.00
  • Preferred cost-share mail order $0.00
  • Standard mail order $24.00
Generic
  • Preferred cost-share retail $15.00
  • Standard retail $45.00
  • Preferred cost-share mail order $15.00
  • Standard mail order $45.00
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