Staywell Insurance Review: Everything You Need to Know

Are you looking for an insurance company that provides affordable and reliable healthcare coverage? Look no further than Staywell Insurance. In this comprehensive review, we will explore everything you need to know about Staywell Insurance, including its history, plans, benefits, and more.

History of Staywell Insurance

Staywell Insurance, also known as WellCare Health Plans, Inc., is a Fortune 500 company that provides government-sponsored managed care services to families, children, seniors, and individuals with complex medical needs.

The company was founded in 1985 and is headquartered in Tampa, Florida. It operates in all 50 states, the District of Columbia, and internationally in several countries, including Canada and the United Kingdom.

Staywell Insurance is committed to improving healthcare outcomes and reducing healthcare costs for its members. It achieves this by focusing on preventive care, care coordination, and chronic disease management.

Staywell Insurance Plans

Staywell Insurance offers several health insurance plans to meet the diverse needs of its members. These plans include:

Plan Name
Coverage Type
Cost
Medicaid Health Plan
Managed Care
$0 to $5 co-payment
Medicare Advantage Plan
Managed Care
$0 to $100 monthly premium
Children’s Health Insurance Program (CHIP)
Managed Care
$0 to $10 co-payment
Marketplace Plan
Health Insurance
Varies by state and plan level

Staywell Insurance also offers additional benefits to its members, including dental, vision, and hearing coverage, transportation assistance, and wellness programs.

Medicaid Health Plan

The Medicaid Health Plan is designed for individuals and families who qualify for Medicaid. It provides comprehensive coverage for medical, behavioral health, and prescription drug services.

Members of the Medicaid Health Plan also have access to case management services, which help coordinate their healthcare needs and ensure they receive the most appropriate and cost-effective care.

The plan has no monthly premium and low co-payments for most services, making it an affordable option for those who qualify.

Medicare Advantage Plan

The Medicare Advantage Plan is an all-in-one plan that provides both medical and prescription drug coverage to Medicare beneficiaries. It offers several plan options, including HMO, PPO, and Special Needs Plans, depending on the member’s needs and location.

Members of the Medicare Advantage Plan have access to additional benefits, such as dental, vision, and hearing coverage, as well as fitness programs and transportation assistance.

The plan has low monthly premiums and co-payments, making it an affordable option for Medicare beneficiaries.

Children’s Health Insurance Program (CHIP)

The Children’s Health Insurance Program (CHIP) is designed for children and teens up to age 19 who do not qualify for Medicaid but cannot afford private insurance. It provides comprehensive coverage for medical, dental, and vision services.

Members of CHIP also have access to case management services, which help coordinate their healthcare needs and ensure they receive the most appropriate and cost-effective care.

The plan has low co-payments for most services and no monthly premium, making it an affordable option for families.

Marketplace Plan

The Marketplace Plan is designed for individuals and families who do not have access to employer-sponsored health insurance or government-sponsored programs like Medicaid or Medicare. It offers several plan options, including Bronze, Silver, Gold, and Platinum, depending on the member’s needs and budget.

Members of the Marketplace Plan have access to additional benefits, such as dental, vision, and hearing coverage, as well as wellness programs and transportation assistance.

The plan has varying monthly premiums and co-payments, depending on the level of coverage selected, making it an affordable option for those who do not qualify for government-sponsored programs.

Staywell Insurance Benefits

Staywell Insurance offers several benefits to its members, including:

Preventive Care

Staywell Insurance emphasizes the importance of preventive care, such as annual check-ups and screenings, to help members maintain their health and detect potential health problems early.

Members of Staywell Insurance have access to a comprehensive network of healthcare providers, including primary care physicians, specialists, and hospitals, to ensure they receive timely and appropriate preventive care services.

Care Coordination

Staywell Insurance also emphasizes the importance of care coordination, which involves working with healthcare providers to ensure that members receive the most appropriate and cost-effective care based on their individual needs.

The company provides case management services to its members, which help coordinate their healthcare needs and ensure they receive the most appropriate and cost-effective care. Case managers also assist members with navigating complex healthcare systems and connecting them to community resources.

Chronic Disease Management

Staywell Insurance recognizes the importance of managing chronic conditions, such as diabetes, asthma, and heart disease, to improve health outcomes and reduce healthcare costs.

The company provides disease management programs to its members, which help them manage their chronic conditions and improve their health outcomes. These programs include education, coaching, and resources to help members understand and manage their conditions.

Staywell Insurance FAQ

1. How do I enroll in Staywell Insurance?

You can enroll in Staywell Insurance by visiting the company’s website or calling its toll-free customer service number. You can also enroll during open enrollment periods or if you experience a qualifying life event, such as a job loss or a change in marital status.

2. How do I find a healthcare provider in the Staywell Insurance network?

You can search for healthcare providers in the Staywell Insurance network on the company’s website or by calling its toll-free customer service number. You can also ask your healthcare provider if they participate in the Staywell Insurance network.

3. What should I do if I have a problem with my Staywell Insurance coverage?

If you have a problem with your Staywell Insurance coverage, you should contact the company’s customer service department as soon as possible to resolve the issue. You can reach the department by phone, email, or mail.

4. Does Staywell Insurance cover prescription medications?

Yes, Staywell Insurance provides prescription drug coverage to its members. The coverage varies depending on the plan selected and the medication needed.

5. Does Staywell Insurance offer dental, vision, and hearing coverage?

Yes, Staywell Insurance offers dental, vision, and hearing coverage to its members. The coverage varies depending on the plan selected.

Conclusion

Staywell Insurance is a reliable and affordable insurance company that provides comprehensive healthcare coverage to individuals and families. It offers several health insurance plans to meet the diverse needs of its members, as well as additional benefits, such as dental, vision, and hearing coverage, transportation assistance, and wellness programs.

The company is committed to improving healthcare outcomes and reducing healthcare costs for its members by focusing on preventive care, care coordination, and chronic disease management. It offers case management services to help coordinate members’ healthcare needs and ensure they receive the most appropriate and cost-effective care.

Whether you are in need of Medicaid or Medicare coverage, CHIP, or a Marketplace Plan, Staywell Insurance has a plan that can meet your needs and budget. Visit the company’s website or call its toll-free customer service number to learn more about its plans and benefits.