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WellCare 2008 Medicare Part D Prescription Drug Plan - Enrollment Form

Ready to enroll in a WellCare Medicare Part D Prescription Drug Plan (PDP)?
The WellCare 2008 Medicare Part D Prescription Drug Plan Enrollment Form is available through the link below. Once completed, your Medicare Part D Enrollment Form can be faxed for quick processing (fax: 1-412-782-2868). If you are eligible for enrollment in a Medicare Part D plan, coverage usually begins on the first day of the next full month (or, if you apply early, on the first day of your Birthday month).

The same WellCare Enrollment Form can be used to enroll in the WellCare Classic Plan or the WellCare Signiture Plan.

 Click Here for WellCare 2008 Medicare Advantage Personal Care Plus / Walgreens Benefit List   Looking for Products Covered under the WellCare 2008 Medicare Advantage Personal Care Plus / Walgreens Benefit? Click Here
 Click Here for WellCare claim forms or pharmacy / provider information   Looking for WellCare claim forms or WellCare pharmacy / provider information? Click Here.

As always, if you need assistance with the completion of your WellCare Enrollment Form, please give us a call at 904-461-8994 (9:00 AM until 9:00 PM EST - Monday through Saturday) or send us an eMail: Team@q1group.com

Please Note: We can provide assistance with the completion of your WellCare PDP enrollment form. However, we are usually not able to provide support or assistance if you have already enrolled through another agency.

2008's Annual Enrollment Period is from November 15, 2007 through December 31, 2007. Your new plan will begin on January 1, 2008.



To review our 2008 Medicare Part D Plans, choose from one of these links:

:: 2008 Medicare Part D Plan Overview by State -
      Compare all Stand-alone National Plans in your state

:: 2008 Part D Plan Finder -
      Search by Plan Features and Premiums across all Stand-alone Medicare Part D Plans
      in your state (National and Regional)

:: 2007/2008 Part D Plan Finder Comparison -
      Compare all Stand-alone Part D plans in your state by Features and Premiums


WellCare 2008 Enrollment Quick Links:

:: General Medicare Part D Enrollment Information
:: Download the WellCare Medicare Prescription Drug Plan (PDP) Enrollment Form
:: Additional WellCare Medicare Part D Enrollment Information
:: Forms, Pharmacy and Provider Resources


General Medicare Part D Enrollment Information

Need a WellCare Medicare Part D Enrollment Kit?...

Both WellCare plans (WellCare Classic and WellCare Signature,) use the same Well Care Enrollment Form.

You can either download your WellCare PDP enrollment kit below on this page or download your Medicare Part D support materials from our individual State pages:

:: 2008 Part D Plan Comparison per State

Our State Plan Comparison pages lets you review features of various PartD plans available in your state (plans are in alphabetical order Well-Care is at the bottom of the page) and download the plan documents you need. You can:
  • compare premiums,
  • view/download the Summary of Benefits,
  • view/download the drug Formularies (list of covered drugs); so that you can make sure the drugs you take will be covered in your plan,
  • download plan Enrollment Forms so that you can easily enroll in a new plan should you find a plan that more affordably provides you with prescription drug coverage.

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Download the WellCare Medicare Prescription Drug Plan (PDP) Enrollment Form

You can download the WellCare Prescription Drug Plan (PDP) Enrollment Form using the link below or from any of our State pages.

Enroll in Medicare Part D Click here to Download the WellCare Medicare Part D Enrollment Form



Please Fax your completed enrollment form to us using the FAX cover page provided with the enrollment form (Fax: 1-412-782-2868).

If you wish, you can mail the completed enrollment form us at
National Insurance Markets, Inc.
Attn: WellCare Part D Enrollment
915 Saxonburg Blvd, Suite 217
Pittsburgh, PA 15223


Please also don't forget to check over your Prescription Drug Plan Enrollment Application - (make sure all of your information is provided), sign and date the application, and make a copy of your completed enrollment form for your records. Again, please give us a call if you have any questions.

Enroll in Medicare Part D Download the WellCare Enrollment Form

Remember to review all of the Medicare Part D plan information before enrolling. The WellCare monthly premiums, WellCare Part D plan Summary of Benefits, and WellCare Part D plan Formularies (or a listing of covered prescription medications) can be found on each of our State specific pages. Please click on the link below to select your particular State to get this information.

:: Click here to select your State


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Additional WellCare Medicare Part D Enrollment Information

Please refer to the following WellCare PDP. Company links for additional enrollment information.
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Forms, Pharmacy and Provider Resources

Claims Reimbursement Form
Coverage Determinations / Drug Evaluation Reviews, Exception Requests, and Appeals & Grievances Processes & Form
2008 Pharmacy Directory
Additional WellCare Provider Resources
WellCare Provider Contact Information
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Last updated on: 07/18/2008

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