INSURASALES

Wellcare

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Available in: AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VI, VT, WA, WI, WV, WY

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WellCare Health Plans, Inc. was founded in 1985 in Tampa, Florida, originally focusing on providing managed care services to Medicaid beneficiaries. Over the years, WellCare expanded its services and product offerings, making strategic acquisitions and partnerships that have enabled it to establish a robust presence in the healthcare market. In 2020, WellCare was acquired by Centene Corporation, a leading multi-national healthcare enterprise that provides government-sponsored healthcare programs.

The acquisition significantly enhanced WellCare's capabilities and market reach, allowing it to tap into Centene's extensive resources and infrastructure. This partnership has positioned WellCare as a key player in the Medicare market, particularly in the Medicare Advantage segment.

WellCare primarily focuses on government-sponsored healthcare programs, including Medicare Advantage and Medicare Prescription Drug Plans. Although WellCare does not directly offer Medicare Supplement Insurance (Medigap), its Medicare Advantage plans often include benefits that cater to seniors' needs, addressing gaps in traditional Medicare coverage. The company aims to provide comprehensive and affordable health insurance solutions that enhance the quality of care for its members.

Following its acquisition by Centene, WellCare significantly improved its financial position, benefitting from Centene's extensive financial backing and operational efficiencies. WellCare has consistently demonstrated strong financial performance, evidenced by positive revenue growth and profitability. The company's integration into Centene's broader business model enhances its ability to invest in innovative healthcare solutions and technology, positioning it for continued success in the competitive Medicare market.

One notable aspect of WellCare's history is its commitment to community engagement and outreach programs. The company has implemented various initiatives aimed at improving healthcare access for underserved populations, reflecting its mission to enhance the health of its members and communities. This focus on social responsibility not only benefits the community but also strengthens WellCare's brand image and customer loyalty.

Pros and Cons

Pros:
- Strong Parent Company: WellCare's acquisition by Centene provides it with robust financial support, allowing for innovation and improved services.

- Focus on Medicare: The company’s dedication to government-sponsored programs, particularly Medicare Advantage, allows it to tailor its offerings to meet the specific needs of seniors.

- Community Engagement: WellCare's outreach programs and commitment to community health enhance its reputation and customer trust.

Cons:
- Limited Medigap Offerings: WellCare does not provide traditional Medicare Supplement Insurance, which may be a drawback for consumers specifically seeking that coverage.

- Integration Challenges: As part of a larger corporate structure, WellCare may face challenges in maintaining its operational identity and agility compared to smaller, specialized insurers.


WellCare Health Plans, a subsidiary of Centene Corporation, has evolved into a prominent player in the Medicare Advantage market. Its strong financial backing and focus on government-sponsored healthcare programs enable it to provide comprehensive services that address the needs of seniors. However, the company's lack of traditional Medigap offerings and potential integration challenges may impact its competitive edge. Overall, WellCare remains a significant force in the healthcare landscape, committed to enhancing the health and well-being of its members and communities.

Exciting news! We have extended our Broker Support Call Center hours during AEP for your convenience. From Oct. 11 through Dec. 7, 2025 our Broker Support Call Center will be open seven days a week, 8 a.m. to 8 p.m. EST at 1 (866) 822-1339 for any support or questions you may have.

We’re here to support you every step of the way and we wish you a very successful AEP!

Carrier Operations Oct 01, 2025

CustomPoint Will Open for PY 2026 AEP Sales Material Ordering on Sept. 30, 2025

Attention Valued Partner,

We are excited to announce that CustomPoint will open to all certified brokers on Tuesday, Sept. 30, 2025, for PY 2026 material ordering. 

Important! All PY 2026 ACT & AHIP or NABIP certifications must be completed in order to utilize CustomPoint material ordering on Sept. 30.

If you were not able to pre-order, this is your opportunity to get in and place orders for sales materials to begin the AEP season! CustomPoint can be accessed through your Single Sign-On portal.

The turnaround time for receiving materials is 5-7 business days once the order is placed. Please note: The vendor may still be working on the translated materials at the opening of CustomPoint, so translated materials may take a little longer to receive.

Carrier Operations Sep 19, 2025

Annual Hierarchy Change Suspension

Attention Valued Partner,  

Please be advised that, in preparation for the upcoming Medicare Advantage 2026 Annual Enrollment Period (AEP), new hierarchy change requests will be suspended per the following schedule:

  • Effective Sept. 15, all pending hierarchy change requests will be placed on hold.
  • From Sept. 15 through Dec. 31, hierarchy and subtype change requests will not be accepted.
 

 

Contracting Sep 15, 2025

 In 2026, Wellcare will offer Medicare Advantage (MA) products in 32 states, including Oklahoma. 

Product Aug 28, 2025

Special Enrollment Period: Texas Emergency Declaration – Inclement Weather

Details:

Impacted Counties: Bandera, Coke, Comal, Concho, Gillespie, Kendall, Kerr, Kimble, Llano, Mason, McCulloch, Menard, Reeves, San Saba, Tom Green, Anderson, Angelina, Austin, Bandera, Bastrop, Bell, Bexar, Blanco, Bosque, Brazos, Burleson, Burnet, Caldwell, Cherokee, Colorado, Comal, Coryell, DeWitt, Falls, Fayette, Gillespie, Gonzales, Gregg, Guadalupe, Hamilton, Hardin, Hays, Henderson, Houston, Jasper, Jefferson, Johnson, Karnes, Kendall, Kerr, Kimble, Lampasas, Lavaca, Lee, Llano, Mason, Medina, Milam, Nacogdoches, Newton, Orange, Panola, Robertson, Rusk, Sabine, San Augustine, Shelby, Smith, Travis, Van Zandt, Waller, Washington, Williamson, and Wilson counties.

Incident Period: The incident period is July 4, 2025, through August 3, 2025. The declaration was declared on July 4, 2025. Additional counties were added on July 6, 2025.

Timeframe: Effective immediately, individuals meeting the requirements listed above can enroll, dis-enroll, or switch MAPD or PDP plans until October 31, 2025.

Enrollment Jul 24, 2025