Skip to Main Content
- Shop for Plans show Shop for Plans menu
- I'm a Member show I'm a Member menu
-
Pharmacy Benefits
show Pharmacy Benefits menu
-
- Find a Doctor or Pharmacy
- List of Drugs (Formulary)
- Medication Therapy Management (MTMP)
- Mail Order Service
- Specialty Pharmacy
- Coverage Determinations and Redeterminations
- Prior Authorization, Step Therapy & Quantity Limitations
- Out-of-Network Pharmacies
- Medication (Drug) Management and Safety
- Drug Transition Policy
- Pharmacy Forms
- Medicare Prescription Payment Plan
-
Main Menu
- Shop for Plans show Shop for Plans menu
- I'm a Member show I'm a Member menu
-
Pharmacy Benefits
show Pharmacy Benefits menu
-
- Find a Doctor or Pharmacy
- List of Drugs (Formulary)
- Medication Therapy Management (MTMP)
- Mail Order Service
- Specialty Pharmacy
- Coverage Determinations and Redeterminations
- Prior Authorization, Step Therapy & Quantity Limitations
- Out-of-Network Pharmacies
- Medication (Drug) Management and Safety
- Drug Transition Policy
- Pharmacy Forms
- Medicare Prescription Payment Plan
-
Additional Member Forms |
Additional Forms
Use this form when you want to allow us to share your health information with a person or group:
- PHI Authorization Form (PDF) coming soon
- Member Reimbursement Claim Form - English (PDF) - coming soon
- Member Reimbursement Claim Form - Spanish (PDF) - coming soon
Additional Forms
Use this form when you want to allow us to share your health information with a person or group:
If you have questions please, contact Member Services.
www.fm.formularynavigator.com,www.medicare.entrykeyid.com,www.member.membersecurelogin.com,www.wellcare.callidusinsurance.net,www.wellcare.isf.io,www.wellcare.com,www.policies-wellcare.com,www.seminars.wellcare.com,www.allwellmedicare.com,ww.wellcarefindaprovider.com/navigate-a-network.html,https://www.wellcarefindaprovider.com/,https://www.wellcarefindaprovider.com,www.wellcarefindaprovider.com,
Please Note
By clicking on this link you will be leaving the plan website.