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Wellcare's Expansion of Medicare Advantage Plans in Texas

In a significant move to enhance healthcare accessibility, Wellcare has announced that it will offer Medicare Advantage and Medicare Prescription Drug Plans across 205 counties in Texas starting from 2026. This expansion reflects Wellcare's commitment to providing quality healthcare and is a crucial step in supporting the healthcare needs of residents in key Texas cities, including Austin, Dallas, El Paso, Houston, and San Antonio.

The Medicare Annual Enrollment Period (AEP) for 2026 will begin on October 15, 2025, and run through December 7, 2025. Texans who choose to enroll by the deadline will see their coverage commence on January 1, 2026. As part of its mission, Wellcare aims to deliver comprehensive healthcare solutions by expanding its coverage to individuals who qualify for both Medicare and Medicaid, ensuring a seamless experience for beneficiaries.

Commitment to Quality Healthcare

Mitch Wasden, President and CEO of Superior HealthPlan, expressed pride in the company’s longstanding service to Texans over the past 15 years. He emphasized that the upcoming plans are their most comprehensive yet, showcasing a commitment to evolving product offerings that cater to the diverse needs of their members.

The transition from traditional plans to Dual Eligible Special Needs Plans (D-SNP) represents a significant evolution in how Wellcare manages care for those who are eligible for both Medicare and Medicaid. This integrated approach is designed to provide a streamlined experience for members and their caregivers, ultimately enhancing health outcomes while simplifying service delivery.

Enhanced Integrated Care for Dual Eligibles

One of the standout features of the new plans will be the Wellcare Superior HealthPlan Dual Align (HMO D-SNP), which will launch in Dallas and Hidalgo Counties. This model is part of a broader initiative that replaces existing Medicare-Medicaid structures with more integrated solutions aimed at improving coordination of care. By January 1, 2026, current members enrolled in the traditional plans will be automatically migrated to the new D-SNP model, provided they do not opt-out.

“This transition signifies our commitment to supporting members through enhanced integrated care options,” said Michael Carson, CEO of Wellcare. The company recognizes its role in serving vulnerable populations and aims to ensure that their health needs are met efficiently and compassionately.

Modernizing Member Services

In an effort to improve the overall member experience, Wellcare is investing heavily in digital tools and resources. Features for members will include:

• - An upgraded onboarding experience for new members with support available in eight languages, including Spanish and Vietnamese.
• - Ongoing communications to help members navigate their benefits effectively, thus facilitating better utilization of services.
• - A focus on leveraging data and analytics to continuously improve operational performance and service delivery.

This initiative is underscored by a commitment to respond to member feedback through regular surveys, helping to determine their needs and areas for improvement.

Comprehensive Plan Offerings for 2026

Wellcare is set to provide coverage for over 51 million beneficiaries across the nation in 2026, which amounts to over 75% of eligible beneficiaries in 32 states and 1,850 counties. In conjunction with the expansion in Texas, Wellcare is introducing plans that come with predictable co-pays and enhanced benefits for value-conscious beneficiaries. Key highlights include:

• - The Wellcare Spendables® card, which offers eligible members preloaded funds usable at over 66,000 retailers nationwide for health-related products.
• - $0 or low copay for primary care visits across all plans, making healthcare more accessible.
• - Access to digital mental health resources and support offered 24/7 across all Medicare Advantage plans.
• - For prescription drug plans, the Value Script will feature competitive pricing, catering to those seeking low premiums.

Conclusion

As Wellcare prepares to roll out its new offerings in Texas, it underscores a commitment to evolving healthcare solutions that address the needs of its members. With innovative programs that support the health and well-being of the aging population, Wellcare not only aims to improve health outcomes but also to create a more effective and compassionate healthcare environment. For detailed information about Wellcare’s Medicare plans, you can visit WellcareNow.com and pdpwellcare.com for prescription drug plans.