On Feb. 21, 2024, Change Healthcare experienced a cyber security incident. Any individuals impacted by this incident will receive a letter in the mail. Learn more about this from Change Healthcare, or reach out to the contact center at 1-866-262-5342.
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On Feb. 21, 2024, Change Healthcare experienced a cyber security incident. Any individuals impacted by this incident will receive a letter in the mail. Learn more about this from Change Healthcare, or reach out to the contact center at 1-866-262-5342.
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 Authorication, Step Therapy & Quantity Limitations
- Out-of-Network Pharmacies
- Medication (Drug) Management and Safety
- Drug Transition Policy
- Pharmacy Forms
- Medicare Prescription Payment Plan
-
Helpful Resources
- File a complaint directly with CMS
- Submit feedback about your Medicare plan directly to Medicare.gov.
- Stop Medicare Fraud, Waste and Abuse
- Learn how to identify, prevent and report Medicare fraud, waste or abuse.
- Office for Civil Rights
- The OCR protects your health information privacy rights and right to nondiscrimination.
- The Office of the Medicare Ombudsman (OMO)
- The Medicare Beneficiary Ombudsman helps you with Medicare-related complaints, grievances, and information requests.
- Best Available Evidence (BAE)
- This is a CMS policy that allows for changes to cost-sharing for low-income beneficiaries when there is evidence that information from a beneficiary is not up-to-date or accurate.
- Krames Health Library
- The Krames Health Library provides access to articles and fact sheets on health topics. Search health topics, such as cold or flu symptoms, dementia, and diabetes.
- Krames/StayWell Library! We have added a new set of tools to help you. This site has added assessments for wellness and lifestyle improvements. View the new Krames/StayWell Library.
Note: The links above on this page go to a website managed by a third party. Once you have left our website, you may be able to access portions of the company's website that are not related to your Wellcare By Health Net plan.
- Findhelp Member How-To-Guide - English (PDF) - coming soon
- Findhelp Member How-To-Guide - Spanish (PDF)
- Findhelp Member How-To-Guide - Chinese (PDF)
If you have questions please, contact Member Services.
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