Centene Medicare Advantage Plans Arkansas 2025

Centene Medicare Advantage plans in Arkansas, also known as Centene Medicare advantage plans Arkansas, provide essential health benefits through providers like Wellcare by Allwell and Arkansas Total Care.

This article outlines the advantages and enrollment details of choosing Centene for your health care needs, delivering the information clearly and concisely without overwhelming you with details.

 

Key Takeaways

  • Centene Corporation offers Medicare Advantage plans in Arkansas through WellCare by Allwell and Arkansas Total Care, which provide a range of options including special needs plans for diverse healthcare requirements.

 

 


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Centene Corporation’s Medicare Advantage in Arkansas

 

Centene Medicare Advantage Plans Arkansas 2025, Centene Corporation's Medicare Advantage in Arkansas

 

When it comes to providing affordable healthcare options in Arkansas, Centene Corporation stands tall. With roots dating back to 1996, Centene has shown a steadfast commitment to the state. The corporation is not just a provider of healthcare solutions but a major employer, with over 1,020 dedicated employees serving the Arkansas communities as of the end of 2023.

Centene Corporation’s dedication extends beyond employment numbers. The company’s primary role lies in offering Medicare Advantage plans that aim to provide affordable healthcare options for Arkansas residents.

These plans are offered to residents through providers like Wellcare by Allwell and Arkansas Total Care, each delivering a unique set of benefits to cater to different healthcare needs.

 

Wellcare by Allwell

Wellcare by Allwell is a key provider of Medicare Advantage plans in Arkansas. Committed to fairness and equality, Wellcare by Allwell complies with all applicable Federal civil rights laws, ensuring that it does not discriminate on the grounds of:

  • national origin

 

  • age

 

  • sex

 

  • disability

 

Beyond its commitment to non-discrimination, Wellcare by Allwell provides members with an array of benefits. For example, members can purchase everyday personal care and wellness products like vitamins, bandages, and toothpaste at no cost through an over the counter (OTC) benefit.

The provider also welcomes brokers who align with their commitment to compliance and ensuring member satisfaction, further enhancing its service delivery.

 

Arkansas Total Care

Arkansas Total Care, another provider under Centene Corporation, offers specialized healthcare solutions to Medicaid beneficiaries.

With a particular focus on individuals with Intellectual and Developmental Disabilities (IDD) and Behavioral Health (BH) needs, Arkansas Total Care brings over 20 years of experience to the table, designing support services that contribute to the enhanced quality of life for individuals under their care.

Adopting a unique, person-centered approach, Arkansas Total Care ensures that each member receives comprehensive care designed to meet their individual needs.

This whole-person approach, coupled with comprehensive care coordination, ensures health solutions are uniquely tailored to the specific needs of Medicaid beneficiaries, particularly those with IDD and BH challenges.

Comprehensive Benefits of Centene Medicare Advantage Plans

 

Centene Medicare Advantage Plans Arkansas 2025, Comprehensive Benefits of Centene Medicare Advantage Plans

 

Centene Medicare Advantage plans in Arkansas offer a comprehensive range of benefits catering to different health needs. These plans, provided by WellCare by Allwell and Arkansas Total Care, include:

  • Dental services

 

  • Vision services

 

  • Telehealth services

 

  • Coverage for over-the-counter medications

 

  • Prescription drug coverage

 

These benefits are designed to enhance the well-being of members and help manage out-of-pocket expenses.

 

Dental, Vision, and Telehealth Services

Dental and vision care are crucial components of overall health, and Centene understands this. Wellcare and Wellcare by Allwell in Arkansas provide Medicare Advantage Prescription Drug plans that include dental and vision services.

These plans offer comprehensive care, catering to members’ dental and vision needs, thus enhancing their overall health and wellness.

In addition to dental and vision benefits, telehealth services are available to members through Centene’s Medicare Advantage Prescription Drug plans. These telehealth visits enhance the convenience and accessibility of healthcare for Centene plan members, supplementing their routine dental and vision care.

 

Over-the-counter medications and Prescription Drug Coverage

Managing personal care needs can be a challenging task without the right resources. Members can manage their personal care needs by checking their Summary of Benefits to understand the specifics of their OTC benefits, including the allowable amount and frequency of use.

To ensure ease of access, over-the-counter items are easily accessible to members through online or phone orders, with the added convenience of direct home shipments. This provision not only offers convenience but also helps manage out-of-pocket expenses effectively.

 

Diabetes Prevention Program

Healthcare is not just about treating existing conditions, it’s also about preventing potential health issues. The Medicare Diabetes Prevention Program, available once in a lifetime for those who qualify based on specific pre-diabetes test results and a body mass index (BMI) that meets a defined threshold, embodies this preventive approach.

The program includes 6 months of weekly group sessions emphasizing lifestyle changes, exercise, and weight control, followed by an additional 6 months of monthly sessions to support ongoing healthy behaviors. This focus on prevention and lifestyle modifications underscores Centene’s commitment to holistic health care.

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Navigating the Health Insurance Marketplace

 

Centene Medicare Advantage Plans Arkansas 2025, Navigating the Health Insurance Marketplace

 

Navigating the health insurance marketplace to find the right plan can seem daunting. However, with tools like Medicare.gov’s plan finder and the assistance of the Arkansas Insurance Department, Arkansas residents can identify and compare different Medicare Advantage plans available within their specific ZIP code area.

 

Comparing Plans

Medicare Advantage plans in Arkansas are provided by nine private health insurance providers, including Centene Corporation’s Wellcare by Allwell, with availability varying by ZIP code.

When comparing Medicare Advantage plans in Arkansas, key factors to consider include plan availability, monthly premium rates, and in-network maximum out-of-pocket costs.

A downloadable checklist is available to assist consumers in Arkansas with the Medicare Advantage enrollment process, which helps compare different plans by outlining various important aspects.

Moreover, members enrolled in Medicare Advantage Plans, like those offered by Centene, can contact their plan to learn how to access valuable services such as the Diabetes Prevention Program.

 

Enrollment Process

Enrolling in a Medicare Advantage plan is not a one-time event; it is a process that varies based on specific timelines and eligibility criteria. Arkansas residents can enroll in Medicare Advantage plans during the Annual Election Period from October 15 to December 7 each year, with coverage starting on January 1 of the following year.

The Medicare Advantage Open Enrollment period for Arkansas beneficiaries runs from January 1 to March 31 annually, allowing for adjustments to their plan selections or a return to Original Medicare if desired.

In addition, individuals eligible for Medicare due to disability, as well as those with ALS or kidney failure, can also enroll in Medicare Advantage plans in Arkansas. Special Election Periods (SEPs) enable Arkansas beneficiaries to join, drop, or change their Medicare Advantage plans under specific circumstances, such as moving into a nursing home or qualifying for Medicaid.


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Dual Special Needs Plan (D-SNP)

 

Centene Medicare Advantage Plans Arkansas 2025, Dual Special Needs Plan (D-SNP)

 

For individuals who have both Medicare and Medicaid coverage, the Medicare Advantage Dual Special Needs Plan (D-SNP) in Arkansas provides a unique solution. D-SNPs in Arkansas enroll individuals entitled to both Medicare and medical assistance from Medicaid, providing a coordinated plan for those with dual eligibility.

 

Benefits of D-SNP

Dual Eligible Special Needs Plans (D-SNPs) in Arkansas offer additional benefits not available through Original Medicare, alongside the standard services covered by Original Medicare and other Medicare Advantage plans.

These plans provide a patient-centered approach, with coordinated care tailored to meet the specific needs of beneficiaries enrolled in both Medicare and Medicaid.

 

Avoiding the Risk of Losing Coverage

Maintaining your D-SNP coverage is paramount. To avoid the risk of losing coverage, individuals must maintain their eligibility for both Medicare and Medicaid, which can vary based on state-specific eligibility categories.

Moreover, individuals should seek assistance, such as from licensed insurance agents, during Medicare Election Periods to make informed decisions about their health plans.

Support for Arkansas Communities

 

Centene Medicare Advantage Plans Arkansas 2025, Support for Arkansas Communities

 

Centene Corporation’s commitment to Arkansan communities goes beyond providing healthcare plans. Since 1996, the corporation has been deeply involved in the community, underscoring a strong commitment to its members and their shared neighborhoods.

 

Focused and Coordinated Care

Centene Corporation’s Arkansas Health & Wellness program emphasizes the relationship between focused care and community health by creating local partnerships.

Ambetter from Arkansas Health & Wellness, a Centene program, is committed to improving member health outcomes through a dedicated, compassionate, and coordinated approach to care.

Some Centene plans in Arkansas also enhance the overall wellness of their members by offering access to health education and wellness programs designed to encourage healthy living. This focus on personalized care and wellness underscores Centene’s commitment to enhancing health outcomes at an individual level.

 

Partnering with Local Providers

Part of Centene’s commitment to providing quality healthcare involves forming partnerships with local providers using local brands and teams. These partnerships are aimed at enhancing the benefits and services available to members.

For instance, as part of its partnership strategy, Arkansas Total Care will change its Pharmacy Benefit Manager from CVS to Express Scripts on January 1, 2024. This change is aimed at enhancing pharmacy benefits and services, further exemplifying Centene’s commitment to improving healthcare options for its members.

Summary

Centene Corporation’s Medicare Advantage plans in Arkansas provide a comprehensive range of benefits that cater to a variety of health needs. From dental, vision, and telehealth services to over-the-counter medications and prescription drug coverage, these plans are tailored to enhance member well-being.

Moreover, with tools like Medicare.gov’s plan finder and the assistance of the Arkansas Insurance Department, navigating the health insurance marketplace becomes a more manageable task.

So, whether you’re considering a Medicare Advantage plan or a D-SNP, Centene Corporation provides an array of options to ensure you get the care you need.

 

Frequently Asked Questions

 

Does Arkansas have a Medicare Advantage plan?

Yes, Arkansas does have Medicare Advantage plans offered by multiple private health insurance providers as an alternative to Original Medicare.

 

What is the difference between Wellcare and Centene?

The main difference between Wellcare and Centene is that Wellcare is a subsidiary of Centene Corporation, which acquired Wellcare in January 2020.

 

Who is the parent company of Arkansas Total Care?

The parent company of Arkansas Total Care is Centene, which has over 30 years of experience in supporting the community, including those covered by Medicaid, such as people with IDD and behavioral health needs.

 

What is Wellcare by Allwell?

Wellcare by Allwell is a provider of Medicare Advantage plans in Arkansas, offering a variety of benefits, including over-the-counter products and broker partnerships.

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1-844-350-0776
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