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SC Emergency (Wildfires)

To support South Carolina's ongoing response to wildfires burning across the state, Governor Henry McMaster has declared a State of Emergency. Your health and safety are our primary concerns. If you leave your home to avoid this emergency, we do not want any undue barriers to keep you from getting your medication or to seeing a medical professional.

For our members, we have removed the refill too soon edits for your Part D Prescription Drugs and removed the out-of-network authorization requirements for out-of-network providers. You must still use Medicare certified facilities and providers.Prior authorization for medical services or medication may still be needed for medical necessity. 

This change is in effect until 4/06/2025, unless otherwise amended.

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 (TTY users call 1-866-262-5342) Monday through Friday, 8 a.m. to 8 p.m. CT.

Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan) is a healthplan that contracts with both Medicare and South Carolina Healthy Connections Medicaid to provide benefits of both programs to enrollees. The goal of this program is to improve the experience in accessing care and to improve the quality of healthcare. Enrollment in Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan) depends on contract renewal. There are zero premiums and cost-sharing with this plan.

This plan is available to seniors who are enrolled in Medicare Parts A, B and D and receives full Healthy Connections Medicaid benefits.

This information is available for free in other languages. Please call Member Services at 1-855-735-4398 (TTY: 711). Hours are from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on federal holidays, you may be asked to leave a message. Your call will be returned within the next business day.

Wellcare Prime by Absolute Total Care's (Medicare-Medicaid Plan) Service Area Includes the following Counties in South Carolina:

  • Upstate Region: Abbeville, Aiken, Allendale, Anderson, Bamberg, Barnwell, Cherokee, Chester, Edgefield, Fairfield, Greenville, Greenwood, Kershaw, Lancaster, Laurens, Lexington, McCormick, Newberry, Oconee, Pickens, Richland, Saluda, Spartanburg, Sumter, Union and York.
  • Coastal Region: Beaufort, Berkeley, Calhoun, Charleston, Chesterfield, Clarendon, Colleton, Darlington, Dillon, Dorchester, Florence, Georgetown, Hampton, Horry, Jasper, Lee, Marion, Marlboro, Orangeburg and Williamsburg.

We are here to help you get the healthcare you need, when you need it and to keep you healthy.

We Offer:

Now is the time to think about what you want to get out of your healthcare plan. It is your choice!

More information on Medicare benefits and services can be found 24 hours a day, seven days a week at: http://www.medicare.gov/. Or call 1-800-MEDICARE (1-800-633-4227) (TTY: 1-877-486-2048). Calls to this number are free.


If you have a complaint about us or any provider (including a non-network or network provider), you can submit an online form.

The Interoperability and Patient Access Rule

You are now able to view your health information from a third-party app on a mobile device or PC!  Check out the Interoperability page to learn more.

 

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Last updated:  10/01/2024
Material ID:  H1723_WEBSITE_2025_Approved_11042024

Wellcare Prime by Absolute Total Care
(Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and South Carolina Healthy Connections Medicaid to provide benefits of both programs to enrollees.

This is not a complete list. The benefit information is a brief summary, not a complete description of benefits. For more information contact the plan or read the Wellcare Prime Member Handbook.

Out-of-network/non-contracted providers are under no obligation to treat Wellcare Prime members, except in emergency situations. Please call our Member Services number or see your Member Handbook for more information, including the cost-sharing that applies to out-of-network services.


Last updated:  10/01/2024
Material ID:  H1723_WEBSITE_2025_Approved_11042024

Wellcare Prime by Absolute Total Care
(Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and South Carolina Healthy Connections Medicaid to provide benefits of both programs to enrollees.

This is not a complete list. The benefit information is a brief summary, not a complete description of benefits. For more information contact the plan or read the Wellcare Prime Member Handbook.

Out-of-network/non-contracted providers are under no obligation to treat Wellcare Prime members, except in emergency situations. Please call our Member Services number or see your Member Handbook for more information, including the cost-sharing that applies to out-of-network services.

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