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Standard EHB Zero Copay Table All medications, including specified OTC items (e. Products – Wellfleet Protecting people against risk throughout every stage of life It’s our corporate mission and what drives us every day. , aspirin, contraceptives, folic acid), included on the Wellfleet Rx EHB Zero Copay table are covered at zero copay if the member has a valid prescription; however, some medications are only covered at a zero copay for the population specified (e. 482. 25 Years in student health 150 K Students Insured 200 + Client Schools 1 Welcome to Wellfleet Student's page for University of Incarnate Word student members! Wellfleet Group, LLC, in conjunction with Pinnacle Student Insurance and University of Incarnate Word, has customized this health insurance plan to meet the needs of students. Wellfleet works to protect people against risk throughout every stage of life – from grade school to college to the workplace. Wellfleet Rx will monitor for ACA-related guidance and updates to ensure compliance with all regulations. For more details, visit wellfleetinsurance. 1 Table of Contents ANTI - INFECTIVES. Wellfleet Rx will provide an authorization number, specific for the medical need, for all approved requests. See how we’re changing the game with an exclusive plan built around students’ budgets, lives, and clinical needs. Wellfleet Student products solve the challenges faced by university administrators and meet the ever-changing needs of the college student population. 7884 and providing all necessary information requested. Welcome to Wellfleet Student's page for Johns Hopkins University student members! Wellfleet Group, LLC, in conjunction with Johns Hopkins University, has customized this health insurance plan to meet the needs of students. Pharmacy customers need not be Outer Cape Health Services patients. Contact Customer Service; Contact Sales; Get in touch. This unique approach to pharmacy is an example of our commitment to improving access, lowering costs, and enhancing the healthcare experience for our members. Resulting from this process, we recently explored how we can optimize generic medication savings, improve our $0. Phone Number (877) 657-5030. COM zone. It’s our corporate mission and what drives us every day. LEARN MORE. 1. Wellfleet Rx; Protecting people against risk throughout every stage of life. For all other medications not listed below, refer to the July 2022 Student Formulary for *For Texas plans: State laws in Texas require your plan to cover your medications at your current benefit level until your plan. LEARN MOREWellfleet, formerly known as Consolidated Health Plans, delivers customer-centric accident and health insurance, with quality service and uncompromising ethics. 790. From this page you can access important information about your plan using the links provided. New York UniversityWellfleet Rx updates. 0000 0. Standard EHB Zero Copay Table All medications, including specified OTC items (e. Read More. Wellfleet works to protect people against risk throughout every stage of life – from grade school to college to the workplace. 1 Allergy. Wellfleet works to protect people against risk. Find A Provider. Wellfleet operates a comprehensive PPO offering of student health insurance plans to colleges and universities throughout the country. 1. The prescriber must provide information to support the appeal on the basis of medical necessity. How do I find a participating pharmacy? To locate a participating pharmacy, visit Wellfleet Rx online: Continue How do I find a listing of covered prescription drugs? View the Wellfleet Student Rx Formulary online: Continue Wellfleet Rx Drug Stores & Pharmacies · Massachusetts, United States · 32 Employees Since 1993, Wellfleet has provided health insurance solutions to colleges and universities across the U. i The Wellfleet Rx Student Formulary is proprietary to Wellfleet Group, LLC and protected by applicable copyright, trademark, and trade secrets laws. Student Formulary This formulaDrug list created 1/1/2019. Learn moreIn fact, 99. To initiate an exception request, contact 800-788-2949 for Wellfleet Rx/KPP (ID Card BIN: 012882) or contact 877-640-7938 for Wellfleet Rx/ESI (ID Card BIN: 003858). , Wellfleet offers products, services and solutions under four distinct brand lines: Wellfleet Student (formerly CHP Student Health), Wellfleet Workplace, Wellfleet Special Risk, and Wellfleet Rx. Wellfleet Rx Pharmacy and Therapeutics (P&T) and Value Assessment Committees, in collaboration with Express Scripts (ESI), to provide physicians and pharmacists with a method to evaluate the safety, efficacy and cost-effectiveness of commercially available drug products. All medications, including specified OTC items (e. This is accomplished through the auspices of the P&T Committees with input. Designed to make sure our student members have access to behavioral health. Information contained therein may not be published, distributed, or reproduced, in part or whole, without express written consent of Wellfleet Group, LLC. Our team is devoted to providing customer service that exceeds expectations of our members and clients. Medications under the formulary maywith Express Scripts (Wellfleet Rx) Preauthorization Statistics by Provider Type and Specialty Provider Type and Specialty Approvals Denials Appeals Overturned Denials Overturned by Independent Review Organization (IRO) Allergy & Immunology 3 0 0 0 Child & Adolescent Psychiatry 2 0 0 0 Dermatology 15 2 0 0The Formulary is a list of medications available to Wellfleet Rx members under their pharmacy benefit. If you paid out-of-pocket for a covered prescription medication at a participating pharmacy without using your pharmacy benefits, you can submit your claim for reimbursement. Read on to learn what updates we made to the Student Formulary in July. com Mail: PO Box 15369 Springfield, MA 01115-5369 Claims Fax: (413) 733-4612 Sales Fax: (413) 747-8418 Provider Relations Fax: (413) 781-1958 Hours of Operation:• Alternatively, you can contact Wellfleet Rx at the number on your ID card for assistance. All drugs are listed by their generic names and most common proprietary (branded) name. 0000 792. Recent Editions. com. Information contained therein may not be published, distributed, or reproduced, in part or whole, without express written consent of Wellfleet Group, LLC. Contact. For Colorado PlansWellfleet Workplace is a division of Wellfleet. This information is kept private and confidential. Wellfleet Rx will provide an authorization number, specific for the medical need, for all approved requests. 1 Products, documents and materials provided by Wellfleet, including the material contained therein, are proprietary to Wellfleet Group, LLC and protected by applicable copyright or trade secrets laws. , specified age range). Wellfleet Rx is a solution that accompanies plans from Wellfleet Student, and offers student-focused features, tools, and resources. Next planned update 1/1/2022 All Previous versions of this document are no longer active or in effect. Write down your notes and questions ahead of time so you remember to mention the important points. Wellfleet, formerly known as Consolidated Health Plans, delivers customer-centric accident and health insurance, with quality service and uncompromising ethics. Wellfleet Rx; Student Health Members. Wellfleet, a Berkshire Hathaway insurance carrier, is allowing current student health plan members one dose per year of either Narcan nasal spray or a generic naloxone injectable from in-network pharmacy providers at no out-of-pocket cost, effective Jan. Wellfleet Rx EHB Zero Copay table are covered at zero copay if the member has a valid prescription; however, some medications are only covered at a zero copay for the population specified (e. i The Wellfleet Rx Student Formulary is proprietary to Wellfleet Group, LLC and protected by applicable copyright, trademark, and trade secrets laws. COM Q4. The Wellfleet Rx Student Formulary is proprietary to Wellfleet Group, LLC and protected by applicable copyright, trademark, and trade secrets laws. Home - Wellfleet RxColorSpace > >> /Contents 8 0 R /CropBox [0. PART 1 *Indicates required information Primary Member/Cardholder ID Number* Group Number Name of Health Plan/Insurance Primary Subscriber Name* DOB: (mm/dd/yyyy)*CareConnect from Wellfleet Student is an integrated behavioral health program offering student members easy access to licensed behavioral health clinicians 24/7/365 via telephone. This is accomplished through the auspices of the P&T Committees with input. Non-approved requests may be appealed. com. The prescriber must provide information to support the appeal on the basis of medical necessity. This is accomplished through the auspices of the P&T Committees with input. Prior authorization guidelines will be made available to the member, member’s authorization representative, prescribing physician and other authorized prescriber upon. The prescriber must provide information to support the appeal on the basis of medical necessity. Write down your notes and questions ahead of time so you remember to mention the important points. These updates include both positive changes to existing formulary statuses and updates for newly approved medications. Employee Health Members. 1 . Drug or Vaccine Edit CommentsDrug list created 1/1/2019. , specified age range). com. Search for a provider in your health plan. Since 1993, Wellfleet (operating as Consolidated Health Plans and, later, CHP), has delivered innovative insurance solutions to the student health market. Wellfleet Rx will provide an authorization number, specific for the medical need, for all approved requests. Learn more about our lines of coverage below. expand_more Discover your benefits Patient Protections Against Surprise Billing Welcome School of Visual Arts Account Login / Waiver Form Discover your benefits Find health professionals Welcome Welcome to Wellfleet Student's page for School of Visual Arts student members! Wellfleet Group, LLC, in conjunction with School of Visual Arts, has customized this health insurance plan to meet the needs of students. Wellfleet works to protect people against risk throughout every stage of life – from grade school to college to the workplace. Updated 1/1/2021. Harwich Port. From this page you can access important information about your plan using the links provided. 1. , aspirin, contraceptives, folic acid), included on the Wellfleet Rx EHB Zero Copay table are covered at zero copay if the member has a valid prescription; however, some medications are only covered at a zero copay for the population specified (e. Wellfleet Rx Pharmacy and Therapeutics (P&T) and Value Assessment Committees, in collaboration with Express Scripts (ESI), to provide physicians and pharmacists with a method to evaluate the safety, efficacy and cost-effectiveness of commercially available drug products. About National Guardian Life Insurance CompanyWellfleet is the marketing name used to refer to the insurance and administrative operations of Wellfleet Insurance Company, Wellfleet New York Insurance Company, and Wellfleet Group, LLC. All drugs are listed by their generic names and most common proprietary (branded) name. Pharmacies across the United States are currently experiencing a shortage on the generic versions of Adderall, Adderall XR, and Concerta. Wellfleet Rx Student Formulary; Student Behavioral Health Suite; Providers; Contact . Next planned update 1/1/2022 All Previous versions of this document are no longer active or in effect. Requested drug is not included in the Wellfleet Rx Plan Prior Authorization (PA) Guidelines, but requires PA on the formulary, AND 3. Contact us by phone: Customer Service for Employers & Associations: (877) 657-5035. , aspirin, contraceptives, folic acid), included on the Wellfleet RxEnhancing the pharmacy benefits experience. i The Wellfleet Rx Student Formulary is proprietary to Wellfleet Group, LLC and protected by applicable copyright, trademark, and trade secrets laws. If your ID card lists Wellfleet Rx/ESI with BIN 003858, download the. This is accomplished through the auspices of the P&T Committees with input. Non-approved requests may be appealed. With Wellfleet Student, you don’t just have any pharmacy benefits plan. Contacting Wellfleet Rx at 888. Be mentally prepared Just as you would do before any in-person appointment, go to your virtual doctor’s visit with a clear mind and a plan of what you’d like to discuss with the provider. According to the CDC, roughly 34. A leader in Student Health Carrying more than a quarter century’s worth of experience in the student health market, Wellfleet Student provides unmatched expertise in the administration of health plans designed exclusively for the college student population. 0000] /Tabs /S /StructParents 14 /Rotate 0 /MediaBox [0. Cambridge CollegeWellfleet Rx; AM Best affirms 2021 A++ (Superior) credit ratings for MedPro Group and affiliate, Wellfleet. Who is Wellfleet Rx. Welcome to Wellfleet Student's page for Bryant University student members! Wellfleet Group, LLC, in conjunction with Bryant University, has customized this health insurance plan to meet the needs of students. PriorCollege health's only student formulary. HIPAA Release Form. Our provider efforts help increase. Wellfleet Student Nurseline was designed to fit the needs and schedules of the college student population. Dec. Wellfleet is a Berkshire Hathaway company focused on delivering customer-centric insurance solutions through flexible product offerings and quality service. Employee Health Members. Headquarters. Non-approved requests may be appealed. The table below contains the specific drug list contained in the EHB Zero Copay Table. This is accomplished through the auspices of the P&T Committees with input. 265. First Name. You can obtain morewellfleetrx. 1285 and providing all necessary information requested. Next planned update 1/1/2021 All Previous versions of this document are no longer active or in effect. • Contacting Wellfleet Rx at 888. If your provider recommends a non-formulary alternative that is medically necessary, an exception will be approved. therapy. UMASS AmherstWelcome to Wellfleet Student's page for William Peace University student members! Wellfleet Group, LLC, in conjunction with William Peace University , has customized this health insurance plan to meet the needs of students. i The Wellfleet Rx Student Formulary is proprietary to Wellfleet Group, LLC and protected by applicable copyright, trademark, and trade secrets laws. Medications under the formulary may also require step therapy. LOG IN. UMASS AmherstSWITCH YOUR PRESCRIPTION TO ACCREDO® Get exceptional clinical support and mobile medication management at no additional charge!1 Accredo® is a home delivery pharmacy that specializes in helping patients manage complex and chronic conditions including cancer,Step Therapy directs members to clinically safe and cost-effective medications. AllergyWellfleet offers products, services, and solutions under four distinct brand lines that cover members for life: CHP Student Health, Wellfleet Workplace, Wellfleet Special Risk, and Wellfleet Rx. LOG IN. As President & CEO of Wellfleet, Drew DiGiorgio is driving expansion and diversification of product offerings by providing unique health care. 7884 and providing all necessary information requested. Is Mail Order Service available? If your ID card lists Wellfleet Rx/KPP with BIN 012882 and your plan covers medication through mail order, you have access to PPS, a full-service mail-order pharmacy. g. The Wellfleet Rx Student Formulary is proprietary to Wellfleet Group, LLC and protected by applicable copyright, trademark, and trade secrets laws. The new logo and brand identity, unveiled at the company’s 25th-anniversary celebration event on Nov. To initiate an exception request, contact 800-788-2949 for Wellfleet Rx/KPP (ID Card BIN: 012882) or contact 877-640-7938 for Wellfleet Rx/ESI (ID Card BIN: 003858). Information contained therein may not be published, distributed, or reproduced, in part or whole, without express written consent of Wellfleet Group, LLC. • Contacting Wellfleet Rx at 877-640-7938 and providing all necessary information requested. HIPAA Release Form Student Claim Form Accident Claim Form COB Questionnaire Accident Injury Questionnaire A Berkshire Hathaway company. DSGHP and Dartmouth College Health Service are committed to protecting your privacy. The Formulary is a list of medications available to Wellfleet Rx members under their pharmacy benefit. Requested drug is not included in the Wellfleet Rx Plan Prior Authorization (PA) Guidelines, but requires PA on the formulary, AND 3. Email. Wellfleet, formerly known as Consolidated Health Plans, delivers customer-centric accident and health insurance, with quality service and uncompromising ethics. See the back for instructions and complete all information. We. If students require assistance, we’re here to answer questions about their care. Next planned update 1/1/2021 All Previous versions of this document are no longer active or in effect. Welcome to Wellfleet Student's page for Carleton College student members! Wellfleet Group, LLC, in conjunction with Carleton College, has customized this health insurance plan to meet the needs of students. Successful team members continually look for ways. Wellfleet Rx EHB Zero Copay table are covered at zero copay if the member has a valid prescription; however, some medications are only covered at a zero copay for the population specified (e. As a health plan focused exclusively on college health, we’ve worked hard to find solutions to problems faced by students and client administrators. ii For California PlansFor Wellfleet Rx/ESI Only (ID Card BIN: 003858) Revised: 7/1/2021. S. Wellfleet works to protect people against risk throughout every stage of life – from grade school to college to the workplace. 482. With Wellfleet Rx, we’ve moved beyond the cookie-cutter approach to pharmacy care and built a solution that aligns with students’ budgets, lives, and clinical needs. Be mentally prepared Just as you would do before any in-person appointment, go to your virtual doctor’s visit with a clear mind and a plan of what you’d like to discuss with the provider. A leader in Student Health Carrying more than a quarter century’s worth of experience in the student health market, Wellfleet Student provides unmatched expertise in the administration of health plans designed exclusively for the college student population. If you’re seeking information for Accident Insurance, Critical Illness Insurance, Short Term Disability Income Insurance, or Hospital Indemnity Insurance, please contact us by dialing 855. Wellfleet Rx Student Formulary that will go into effect as of 7/1/2020*. The Formulary is a list of medications available to Wellfleet Rx members under their pharmacy benefit. i For California Plans Student Formulary – January 2020 This document represents the efforts of the Remedy-One Pharmacy and Therapeutics (P&T) Committees, on behalf of Wellfleet Rx, a pharmacy solution provided by Wellfleet Group, LLC dba Wellfleet Administrators, LLC (Wellfleet), in collaboration with KrogerUC Berkeley Student Health Insurance Plan members can sign up for access to your MySHIP Online account beginning July 29, 2019. The Formulary may be accessed by using the index, either by generic or proprietary name (in capital letters) and by therapeutic drug category. Contact us by mail: Wellfleet 77 Mark Drive, Suite 26 San Rafael, CA 94903. For all other medications not listed below, refer to the January 2020 for information on formulary status. The prescriber must provide information to support the appeal on the basis of medical necessity. g. With more than 40 free drugs, incentives to steer students away from high-cost generics, and controls to prevent opioid abuse, the Wellfleet Rx Student Formulary is taking college health to the next frontier. Student Formulary For Californiv For Massachusetts Plans Student Formulary - January 2020 • Faxing a completed Medication Request Form to 858.