S4802-069: Wellcare Classic – 2025 Medicare Part D Plan Available in Virginia
S4802-069: Wellcare Classic – 2025 Medicare Part D Plan Available in Virginia
CMS 5-Star Rating: (3.5 out of 5 stars*)
2025 Wellcare Classic Part D plan (S4802-069) is a CMS-listed PDP available in Virginia, with published data on costs and benefits.
* The Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system.
| Part D Plan Overview | |
|---|---|
| Part D Plan ID: | S4802-069 |
| Plan Year: | 2025 |
| Total Part D Premium: | $11.30 |
| Annual Deductible: | $590.00 |
| Part D Benefit Type: | Basic |
| No Deductible Drug Tier: | Not Applicable |
| Low Income Subsidy: | Yes |
| Insured By: | Wellcare |
Plan Costs
Premium Details
| Basic Part D Premium: | $11.30 |
| Supplemental Part D Premium: | $0.00 |
| Total Part D Premium: | $11.30 |
| Low Income Premium Subsidy: | $30.70 |
| Low Income Premium Subsidy CMS Pays: | $11.30 |
| Low Income Subsidy Premium: | $0.00 |
Did you know? The Extra Help program (LIS) can reduce premiums, deductibles, and copays for eligible Medicare Part D enrollees in Virginia. Check eligibility at the Social Security Extra Help page.
Deductible
CMS data lists the deductible for the 2025 Wellcare Classic PDP (S4802-069) as $590.00.
Out-of-Pocket Costs
| Drug Tier | Retail | Mail Order | |
|---|---|---|---|
| Preferred Generic | $0.00 | $3.00 | |
| Generic | $5.00 | $8.00 | |
| Preferred Brand | 22.00% | 22.00% | |
| Non-Preferred Drug | 36.00% | 36.00% | |
| Specialty Tier | 25.00% | 25.00% | |
| *Deductible does not apply. | |||
CMS 5-Star Rating Data for Plan S4802-069
The CMS 5-star system measures Medicare Part D plan quality, including service, member experience, and drug safety. A 5-star rating is the highest score.
| 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: .