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WellCareAre you considering a WellCare health insurance policy and not sure where to begin? We at Vista Health Solutions help you compare WellCare with other leading health insurers in your area. We work only with reliable health insurers that offer quality health plans. Most importantly, we make the health insurance shopping and comparing process easy for you. Start by entering your zip code, which will display all available plans in your region. Then select and compare plans side by side. That’s it if we can help, call our customer service dept. and our agents will gladly assist you.

 

WellCare

About WellCare

Wellcare focuses on providing government-sponsored managed care services to families, children, seniors, and individuals with complex medical needs. This is done primarily through Medicaid, Medicare Advantage, and Medicare Prescription Drug Plans, as well as the Individual Health Care Marketplace. As of September 30, 2018, Wellcare serves over 5.5 million members nationwide.  They are committed to continuously improving the quality of care and services that they provide to their members, to help them get the right care in the right setting.

 

 

WellCareGeneral Contact Information 

To contact Wellcare, below are their most common departments or you can visit them online

 

 

 

WellCareTypes of Health Insurance Plans Sold by WellCare 

Wellcare is a health plan that if know for focusing on Medicaid type plans, including Medicaid, child health plus, the new york essential plan, and the HARP program

 

  • HMO
  • PPO
  • POS

 

 

WellCareWellcare Health Insurance markets 

Wellcare provides Health plans to the following markets throughout

 

  • Medicaid
  • Medicare
  • Child Health Plus
  • Essential Plan

 

 

WellCareCounty listing of  where Wellcare Health plans are sold vs other New York State Health Insurance Carriers

CountyCostInsurance company & Plan NameMetal Level
Alameda$397.48Kaiser Bronze 60 HDHP HMOBronze
Alpine$474.20 Blue Shield Bronze 60 HDHP PPOBronze
Amador$387.26Kaiser Bronze 60 HDHP HMOBronze
Butte$474.20Blue Shield Bronze 60 HDHP PPOBronze
Calaveras$474.20Blue Shield Bronze 60 HDHP PPOBronze
Colusa$474.20Blue Shield Bronze 60 HDHP PPOBronze
Contra Costa$387.26 Kaiser Bronze 60 HDHP HMOBronze
Del Norte$474.20Blue Shield Bronze 60 HDHP PPOBronze
El Dorado$387.26Kaiser Bronze 60 HDHP HMOBronze
Fresno$283.04Blue Shield Bronze 60 HDHP PPOBronze
Glenn$474.20Blue Shield Bronze 60 HDHP PPOBronze
Humboldt$474.20Blue Shield Bronze 60 HDHP PPOBronze
Imperial$368.92Molina Health Care Bronze 60 HMOBronze
Inyo$503.13Blue Shield Bronze 60 HDHP PPOBronze
Kern$284.16Health Net Bronze 60 Ambetter HMOBronze
Kings$283.04Blue Shield Bronze 60 HDHP PPOBronze
Lake$474.20Blue Shield Bronze 60 HDHP PPOBronze
Lassen$474.20Blue Shield Bronze 60 HDHP PPOBronze
Los Angeles$268.43LA Care Bronze 60 HMOBronze
Madera$283.04Blue Shield Bronze 60 HDHP PPOBronze
Marin$394.68Kaiser Bronze 60 HDHP HMOBronze
Mariposa$406.07Anthem Blue Cross Bronze 60 HDHP EPOBronze
Mendocino$474.20Blue Shield Bronze 60 HDHP PPOBronze
Merced$406.07Anthem Blue Cross Bronze 60 HDHP EPOBronze
Modoc$474.20Blue Shield Bronze 60 HDHP PPOBronze
Mono$503.13Blue Shield Bronze 60 HDHP PPOBronze
Monterey$359.82Valley Health Bronze 60 HMOBronze
Napa$394.68Kaiser Bronze 60 HDHP HMOBronze
Nevada$474.20Blue Shield Bronze 60 HDHP PPOBronze
Orange$320.04Kaiser Bronze 60 HDHP HMOBronze
Placer$387.26Kaiser Bronze 60 HDHP HMOBronze
Plumas$474.20Blue Shield Bronze 60 HDHP PPOBronze
Riverside$288.35Health Net Bronze 60 HDHP Ambetter PPOBronze
Sacramento$387.26Kaiser Bronze 60 HDHP HMOBronze
San Benito$359.82Valley Health Bronze 60 HMOBronze
San Bernardino$288.35Health Net Bronze 60 HDHP Ambetter PPOBronze
San Diego$323.65Kaiser Bronze 60 HDHP HMOBronze
San Francisco$419.16Kaiser Bronze 60 HDHP HMOBronze
San Joaquin$346.39Kaiser Bronze 60 HDHP HMOBronze
San Luis Obispo$420.47Blue Shield Bronze 60 HDHP PPOBronze
San Mateo$428.13Kaiser Bronze 60 HDHP HMOBronze
Santa Barbara$420.47Blue Shield Bronze 60 HDHP PPOBronze
Santa Clara$324.90Valley Health Bronze 60 HMOBronze
Santa Cruz$397.48Kaiser Bronze 60 HDHP HMOBronze
Shasta$474.20Blue Shield Bronze 60 HDHP PPOBronze
Sierra$474.20Blue Shield Bronze 60 HDHP PPOBronze
Siskiyou$474.20Blue Shield Bronze 60 HDHP PPOBronze
Solano$394.68Kaiser Bronze 60 HDHP HMOBronze
Sonoma$394.68Kaiser Bronze 60 HDHP HMOBronze
Stanislaus$346.39Kaiser Bronze 60 HDHP HMOBronze
Sutter$474.20Blue Shield Bronze 60 HDHP PPOBronze
Tehama$474.20Blue Shield Bronze 60 HDHP PPOBronze
Trinity$474.20Blue Shield Bronze 60 HDHP PPOBronze
Tulare$401.50Blue Shield Silver 70 Trio HMOSilver
Tuolumne$474.20Blue Shield Bronze 60 HDHP PPOBronze
Ventura$384.83Kaiser Bronze 60 HDHP HMOBronze
Yolo$387.26Kaiser Bronze 60 HDHP HMOBronze
Yuba$474.20Blue Shield Bronze 60 HDHP PPOBronze

 

 

WellCareSpecial Programs offered by Wellcare Health Plans

Almost all health insurance companies provide discount programs to their members. Below are some of the more popular special programs offered by Wellcare.

 

  • Gym Reimbursement
  • Care Management Program
  • Disease Management
  • Free Flu Shots
  • Healthy Rewards Program
  • Behavioral Health

 

 

Affinity HealthComplaints against Wellcare Health Plan and Other Health Insurance Carriers by consumers

Once a year the NYS Department of Financial Services ( DFS) compiles a listing of complaints it receives from consumers against their health insurance companies. These complaints involve issues such as medical and hospital claim issues, coverage issues, physician network issues,  rates, and premium issues. The Table below is an excerpt from the most recent annual complaint from 2018.  This information can be found in the New York Consumer Guide to Health Insurers

Insured (2021)35,674,800
Uninsured (2021)2,704,300
Ave. cost of Health Insurance (2023)$432
Change from Prev. Year's Ave. Premium (2022-2023)3.5%

 

 

Affinity Health plan Wellcare Individual Insurance plans offered for Sale

The only products that Wellcare sells on the New York State of Health Exchange are its Essential plans. Please contact us for additional information or to assist in setting up your Essential plan (888)215-4045

 

 

 

Affinity Health hospital listingList Of Hospitals and network size per county

The hospitals and facility listing below applies to all plans sold on the New York State of Health Exchange, using the Wellcare Network.  If you’re a current Wellcare member or are shopping plans. before receiving  any hospital care, your  should contact the insurance company just to verify that the hospital is participating in their network and for the health plan you have or the plan you’re considering

Metal LevelCostPlan Name
Bronze$298.20AnthemBronze Pathway X HMO 9100
Silver$390.20AnthemSilver Pathway X HMO 5800
Gold$428.14OscarGold Classic Select
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