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Rights and Responsibilities

Member Rights

  • To receive information in a way that works for you (in languages other than English, in Braille, in large print or other alternate formats).
  • To be treated with fairness and respect at all times.
  • To get timely access to your covered services and drugs.
  • To have the privacy of your personal health information protected.
  • To receive information about the plan, its network of providers and your covered services.
  • To be supported in your right to make decisions about your care.
  • To make complaints and to ask us to reconsider decisions we have made.

Member Responsibilities

  • To get familiar with your covered services and the rules you must follow to get these covered services.
  • To tell us if you have any other health insurance coverage or prescription drug coverage in addition to our plan.
  • To tell your doctor and other healthcare providers that you are enrolled in our plan.
  • To help your doctors and other providers help you by giving them information, asking questions and following through on your care.
  • To tell us if you move.

Call Wellcare Prime by Absolute Total Care's (Medicare-Medicaid Plan) Member Services to receive a complete list of Member Rights and Responsibilities.

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If you have any questions, 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.

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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.

Other pharmacies/physicians/providers are available in our network.

If you need help finding a network provider and/or pharmacy, please call 1-855-735-4398 (TTY: 711) or visit mmp.absolutetotalcare.com to access our online searchable directory. If you would like a Provider/Pharmacy Directory mailed to you, you may call the number above, request one at the website link provided above, or email ATC_SC_MMP@centene.com.


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.

Other pharmacies/physicians/providers are available in our network.

If you need help finding a network provider and/or pharmacy, please call 1-855-735-4398 (TTY: 711) or visit mmp.absolutetotalcare.com to access our online searchable directory. If you would like a Provider/Pharmacy Directory mailed to you, you may call the number above, request one at the website link provided above, or email ATC_SC_MMP@centene.com.