Wellcare: Urgent: Attachment of IRA for Inclusion with 2023 AEP Sales Materials

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Sourced from WellCare’s Broker Bulletin on 9/23/22:

Urgent: Attachment of IRA for Inclusion with 2023 AEP Sales Materials

Attention Valued Partner,

We would like to inform you that due to the passage of the Inflation Reduction Act (IRA) on August 16, 2022, your 2023 AEP Enrollment Guides, Comprehensive Formulary, and/or Benefit Highlights will now include the following separate standalone documents:

  • Important Message About What You Pay for Vaccines and Insulin
  • Notice of Changes to the Formulary (Drug List) or Cost Sharing that affect your drug coverage (Comprehensive Formulary – List of Covered Drugs 2023)

The above separate attachment(s) must be included with all of your 2023 Enrollment Guides, Comprehensive Formulary, and/or Benefit Highlights to prospects. If you did not receive a printed addendum in your order, please print the attachments and provide to your prospects per CMS guidance.

Please note: The above referenced documents will be available for digital download on 10/4/2022 via Custom Point and will be pre-merged into your Digital Download 2023 AEP Enrollment Guides, Comprehensive Formulary, and Benefit Highlights.

 

Important Message About What You Pay for Vaccines and Insulin – effective 01/01/2023

  • Plan covers most Part D vaccines at no cost.
  • Member will not pay more than $35 for a one-month supply of each insulin product covered by the plan, no matter what cost-sharing tier it’s on.

Please select the specific attachment for more detailed information.
Wellcare
Health Net of California
Ascension Complete

Comprehensive Formulary Update – effective 01/01/2023

  • Plan covers most Part D vaccines at no cost, even if member has not paid their deductible.
  • Member will not pay more than $35 for a one-month supply of each insulin product covered by the plan, no matter what cost-sharing tier it’s on, even if the member has not paid the deductible. Refer to Evidence of Coverage and other plan materials for any deductible that may apply.

Please select the below attachment for more detailed information.
Wellcare – Comprehensive Formulary Attachment

 

If you have any questions or concerns, please reach out to your CSM Service Rep