Wellcare 2025 Sales Materials Ordering starts tomorrow (Sept 30)

[aheff]

Their playbook is fairly obvious, IMO. They are buying this biz, screwing the agent, and their call centers will have tens of millions of prospects to try to convert to MAPD in 2025. Don't understand how any agent would write WC MAPD or D, but to each his own.

 

[wehotex]

I did speak to a wellcare rep at a FMO AEP kick off meeting and she responded there is a good chance wellcare will start paying renewals again in 2026 for the agents of record. I was told they initially submitted to CMS a $0 premium and once commission structure was changed, they went back to CMS to get clearance to change their premium to at least $5,mth or so as to cover the commissions, but CMS would not let them. She was real sincere and seemed to be concerned about the whole situation. For this reason, at least for another year, I'll continue to write Wellcare pdp plans when its the best fit for a client and hope for the best in 2026. I'm still upset like everyone else over my renewals this year, for I have a good bit of Wellcare pdp business on the books.

Considering that the

I did speak to a wellcare rep at a FMO AEP kick off meeting and she responded there is a good chance wellcare will start paying renewals again in 2026 for the agents of record. I was told they initially submitted to CMS a $0 premium and once commission structure was changed, they went back to CMS to get clearance to change their premium to at least $5,mth or so as to cover the commissions, but CMS would not let them. She was real sincere and seemed to be concerned about the whole situation. For this reason, at least for another year, I'll continue to write Wellcare pdp plans when its the best fit for a client and hope for the best in 2026. I'm still upset like everyone else over my renewals this year, for I have a good bit of Wellcare pdp business on the books.

Considering that the 25 FMV is $4.58 PMPM, that means that they would have paid over and above everyone else. Those are some generous guys.

 

[Evan]

Their playbook is fairly obvious, IMO. They are buying this biz, screwing the agent, and their call centers will have tens of millions of prospects to try to convert to MAPD in 2025. Don't understand how any agent would write WC MAPD or D, but to each his own.

Can't really convert anyone or call if you don't provide emails and or phone numbers..

 

[Yagents]

I did speak to a wellcare rep at a FMO AEP kick off meeting and she responded there is a good chance wellcare will start paying renewals again in 2026 for the agents of record. I was told they initially submitted to CMS a $0 premium and once commission structure was changed, they went back to CMS to get clearance to change their premium to at least $5,mth or so as to cover the commissions, but CMS would not let them. She was real sincere and seemed to be concerned about the whole situation. For this reason, at least for another year, I'll continue to write Wellcare pdp plans when its the best fit for a client and hope for the best in 2026. I'm still upset like everyone else over my renewals this year, for I have a good bit of Wellcare pdp business on the books.

Sorry, the math doesn't add up.

They have $0 premium now, and pay commissions of about $48 yr now I believe (?). Commissions went up on renewals very little with new regulations. Cigna is paying $12 year on one of their PDP plans.

They filed with no commissions built in, otherwise they could have kept the commissions at a lower amount that they filed for, just like Cigna.

They only changed their mind when Biden came in with some newly found cash to subsidize PDP premiums. "Oh, we found $$ to pay agents, can we refile?"

 

[Russ]

Just ordered 10 PDP booklets from the no-commission company. Waste of money to send them Wellcare.,.......

 

[axeman462]

is all the WC PDPs non-commissionable next year, or just the WC VS?

 

[Truce]

All WC pdp plans non commissionable.

It looks like many people using WC Value Script for expensive meds will be better (higher premium but much lower OOP) on an enhanced plan with a tier 3 copay, so they ditch some of their high utilization people who can go to another carrier. Brilliant.

They dropped Humira (among other meds) from formulary so they lose some of those people. Well played.

They keep the no meds/cheap generic/price sensitive PDP people while saving on compensation, and retain their marketing pool of healthy PDP people for MAPD. It's like underwriting without actually underwriting.

Too bad agents despise them and their MAPD isn't so hot anywhere I've looked, but I don't run their business so maybe they have a plan for that.