Wellcare by Allwell Product Information
Wellcare By Allwell is proud to offer a comprehensive selection of Medicare plans in your area. We're committed to supporting our providers with a wide variety of Medicare plan options designed to enhance members’ care and simplify processes for you.
Our Medicare Advantage (MA) health maintenance organization (HMO) plans focus on cost-effective, coordinated care. By connecting members with a trusted network of providers, we make it easy for them to work closely with their primary care providers to determine the appropriate specialists for their needs.
Wellcare by Allwell's Duals Special Needs Plans (DSNP) cater to individuals who qualify for both Medicare and Medicaid, offering additional benefits to assist with expenses for little to no cost. Our DSNP plans are an integrated approach to care coordination and offer other benefits that cannot be received through original Medicare, including preventative dental and vision care, prescription drug benefits, coverage for over-the-counter health items, and more.
Our Preferred Provider Organization (PPO) plans offer flexibility and choice as members navigate their care journeys. Wellcare by Allwell covers all Medicare-covered Part A and Part B services from a broad network of in-network providers yet offers the flexibility for members to use providers outside the plan’s network. PPO members do not need a referral from a primary care physician for specialist or hospital visits. However, using providers in the vast Wellcare by Allwell network may cost less than choosing one out-of-network. Medicare providers who do not contract with Wellcare by Allwell are under no obligation to treat our members except in emergency situations.
If you provide services to a Wellcare by Allwell PPO member, whether you are in- or out-of-network, we make it easy to seek prior authorizations and submit claims. Please reference the table below for the web links and phone numbers to do so.
- Referrals or authorizations to see out-of-network providers are not required, however, they are highly encouraged.
- Wellcare By Allwell Payer ID: 68069
- Secure Provider Portal: Buckeye Health Plan/providers
- Prior Authorization Form: Prior Auth - Medicare
- Prior Authorization Fax (Medical): 833-660-1992
- Prior Authorization Fax (Behavioral Health):
Inpatient: 833-320-2895/Outpatient: 833-320-2892 - Transplant Requests Fax: 1-844-974-3115
- Expedited Prior Authorization Phone Number: 855-766-1851
- Provider Services: 855-766-1851
These phone numbers can be found in the top right corner of the form.
Note: Out-of-network providers should bill Wellcare by Allwell first. However, if the member has already paid, we will reimburse the member for our share of the cost for covered services.