S4802-209: Wellcare Medicare Rx Value Plus – 2025 Medicare Part D Plan Available in Pennsylvania
S4802-209: Wellcare Medicare Rx Value Plus – 2025 Medicare Part D Plan Available in Pennsylvania
CMS 5-Star Rating: (3.5 out of 5 stars*)
The Wellcare Medicare Rx Value Plus (PDP ID: S4802-209) is a Medicare Part D prescription drug plan offered in Pennsylvania for 2025, based on CMS Landscape data.
* The Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system.
| Part D Plan Overview | |
|---|---|
| Part D Plan ID: | S4802-209 |
| Plan Year: | 2025 |
| Total Part D Premium: | $107.40 |
| Annual Deductible: | $590.00 |
| Part D Benefit Type: | Enhanced |
| No Deductible Drug Tier: | Yes |
| Low Income Subsidy: | Yes |
| Insured By: | Wellcare |
Plan Costs
Premium Details
| Basic Part D Premium: | $58.40 |
| Supplemental Part D Premium: | $49.00 |
| Total Part D Premium: | $107.40 |
| Low Income Premium Subsidy: | $48.36 |
| Low Income Premium Subsidy CMS Pays: | $48.40 |
| Low Income Subsidy Premium: | $59.00 |
Did you know? The Extra Help program (LIS) can reduce premiums, deductibles, and copays for eligible Medicare Part D enrollees in Pennsylvania. Check eligibility at the Social Security Extra Help page.
Deductible
The deductible for the 2025 Wellcare Medicare Rx Value Plus PDP (S4802-209) is $590.00, based on the CMS Landscape dataset.
Out-of-Pocket Costs
| Drug Tier | Retail | Mail Order | |
|---|---|---|---|
| Preferred Generic* | $0.00 | $5.00 | |
| Generic* | $4.00 | $10.00 | |
| Preferred Brand* | 15.00% | 15.00% | |
| Non-Preferred Drug | 50.00% | 50.00% | |
| Specialty Tier | 25.00% | 25.00% | |
| *Deductible does not apply. | |||
CMS 5-Star Rating Data for Plan S4802-209
CMS assigns Medicare Part D plans a 1–5 star rating each year, based on service, satisfaction, and drug safety. Higher stars reflect stronger performance.
| CMS Measure | Star Rating |
|---|---|
| Overall Plan Rating | |
| Drug Plan Customer Service | |
| Complaints and Changes in the Drug Plan | |
| Member Experience with the Drug Plan | |
| Drug Safety and Accuracy of Drug Pricing |
Contact Wellcare
| Website: | Wellcare Plan Page |
|---|---|
| Formulary: | Wellcare Formulary Page |
| Pharmacy: | Wellcare Pharmacy Page |
| Prospective Part D Members: | (800)270-5320 |
| Prospective Part D TTY Users: | 711 |
Last update: .