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Eligibility Requirements

If all of the following apply to you, you may be able to sign up for Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan). If they do not, you are not eligible to participate.

Wellcare Prime is available to individuals who:

  • Live in our service area; and
  • Are age 65 or older at the time of enrollment; and
  • Have Medicare Parts A, B and D; and
  • Are eligible for full Healthy Connections Medicaid benefits; and
  • Are a United States citizen or are lawfully present in the United States.

You are not eligible to participate if you:

  • Are part of the Healthy Connections Medicaid spend-down population; or
  • Have comprehensive third-party insurance; or
  • Live in an Intermediate Care Facility for people with Intellectual Disabilities (ICF/IID) or Nursing Facility at the time of eligibility determination; or
  • Are in a hospice program or are getting end-stage renal disease (ESRD) services at the time of eligibility determination; or
  • Are participating in a community long-term care waiver program other than the Community Choices Waiver, HIV/AIDS Waiver or Mechanical Ventilation Waiver.

You may choose to either enroll or remain in Wellcare Prime if you:

  • Are currently enrolled in a Medicare Advantage plan or in Program of All-inclusive Care for the Elderly (PACE). Enrolling in Healthy Connections Prime will automatically disenroll you from your existing program and any Medicare Part D plan; or
  • Transition from a nursing facility or ICF/IID into the community; or
  • Are already enrolled in this plan but later enter a nursing facility; or
  • Are enrolled in this plan but enter a hospice program or become eligible for ESRD services.


If you have any questions, call South Carolina Healthy Connections Choices Customer Service Center at 1-877-552-4642 (TTY: 1-877-552-4670). Hours are from 8 a.m. to 6 p.m., Monday through Friday, excluding South Carolina state holidays. A member service representative will assist you.

Or you may 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.,,,,,,,,,,