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Wellcare Fidelis Dual Align (HMO D-SNP)

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Welcome to your Medicare Advantage Plan!

Thank you for being a Wellcare Fidelis Dual Align (HMO D-SNP) member! We want to help you get the most from your plan.

Use our website to explore plan information and benefits and review helpful plan documents such as the Evidence of Coverage, Summary of Benefits, and Annual Notice of Change.

ᎠᏍᏓᏩᏛᏍᏗ ᏗᏙᎳᎩ ᏗᎪᏪᎳᏅᎢ

ᎯᎠ ᎪᏪᎳᏅᎢ (ᎾᏍᎩ “ᏑᏕᏘᏴᏛ ᎠᏓᏃᎯᏎᎯ ᎥᎿᎢ ᎦᏁᏟᏴᏍᏗ”) ᏗᏠᏯᏍᏓ ᏂᎦᎥ ᏗᎦᏁᏟᏴᏓ ᎾᎿᎢ ᏣᏚᏓᎸᏛᎢ, ᏧᎬᏩᎶᏗ, ᎠᎴᏃ ᎢᏯᏓᏛᏁᏗ ᎢᎬᎾᏕᎾ ᎤᏜᏅᏛᎢ ᎠᏍᏓᏩᏛᏍᏗ ᏧᏕᏘᏴᏓ.

ᎯᎠ ᎪᏪᎳᏅᎢ ᏗᎾᏓᏁᏢᏍᎩ ᎢᎦᏓ ᎾᏍᎩ ᏗᎦᏎᏍᏙᏗ ᎥᎿᎢ ᎯᎠ ᎠᏍᏓᏩᏛᏍᏗ. ᎾᏍᎩᎾ ᎧᎵᎢ ᏕᎦᏅᏛᎢ ᎥᎿᎢ ᏧᎾᎵᏍᏕᎸᏙᏗ, ᎠᎪᏩᏛᏗ ᏣᏤᎵ ᏗᎳᏏᏙᏗ ᎥᎿᎢ ᏣᏚᏓᎸᏛᎢ.

ᎯᎠ ᎪᏪᎳᏅᎯ ᏗᏲᏯᏍᏓ ᎾᏍᎩ ᏓᎳᏏᏛᎢ, ᏫᏚᏍᏗᎬ ᏄᏍᏛ ᏗᎧᏃᏗ ᎥᎿᎢ ᏣᏤᎵ ᏧᎾᎵᏍᏕᎸᏙᏗ ᎠᎴ ᏧᎬᏩᎶᏗ ᎾᏍᎩ ᎨᎵ.

Use this form to enroll in a Medicare Advantage plan.

ᏃᏈᏏ ᎢᎦᎢ ᏧᏂᏅᏅᎢ ᏰᎵ ᎣᏍᏓ Medicare ᏅᏩᏙᎯᏯᏛ ᎠᎴ ᎠᎩᏍᏗ ᎤᏴᏍᏗ ᏗᏍᏓᏩᏛᏍᏗ ᏂᎦᎵᏍᏗᏍᎬᎢ ᎾᎿᎢ ᏧᏓᎴᏅᏓ ᏗᎦᏟᏌᏅᎯ. Medicare ᎾᏍᎩᏛ ᎬᏗ ᎤᏂᏯᏙᏢᎢ. Medicare ᏗᏓᎪᎵᏰᏙᏗ ᎠᏍᏓᏩᏛᏍᏗ ᏓᎳᏏᏔᏅᎩ ᎤᎾᎢ 5-ᏃᏈᏏ ᎢᎦᎢ ᏧᏂᏅᏅᎢ ᏄᏍᏗᏓᏅᎢ. ᏃᏈᏏ ᎢᎦᎢ ᏧᏂᏅᏅᎢ ᎨᏒᎢ ᏗᏎᎯᏍᏔᏅ ᎾᏕᏘᏴᎯᏒᎢ ᎠᎴ ᏰᎵᏉ ᏯᏓᏁᏟᏴᎾ ᎾᏍᎩᎾ ᏑᏕᏘᏴᏓ ᏂᏕᎦᎵᏍᏔᏂᏒ ᎾᏃ ᏐᎢ.

ᏧᏠᏱ ᏧᏂᎪᎵᏰᏗ

If you speak a language other than English, free language assistance services are available to you. Appropriate auxiliary aids and services to provide information in accessible formats are also available free of charge. Call 1-877-374-4056 (TTY: 711).

ᎯᎠ ᎬᏙᏗ ᎠᎧᎵᏏᏐᏗ ᎾᎢ ᎣᎦᎵᏍᎪᎸᏓᏁᎯ ᎾᎢ ᎠᏎᏒᏗ ᏣᏤᎵ ᏂᏅᏓ ᏂᎦᎵᏍᏔᏂᏒ ᏫᏓᏤᏢᎢ ᎾᏍᎩᎾ ᏣᏤᎵ ᎠᏕᎳᏗᏗᎢ.

Complete this form to request reimbursement for covered medical services that you paid for out of pocket.

Complete this form to request reimbursement/refund for covered prescription drugs that you paid full price for.

Each member requesting to be disenrolled must complete their own form.

Part D Late Enrollment Penalty (LEP) Reconsideration Request Form

ᎯᎠ ᎠᎸᎵᎢᏍᏗ ᏕᎪᎯᏳᏗ ᏣᏤᎵ ᎠᏔᏲᏍᏗ ᎾᏍᎩᎾ ᏗᎪᏍᎩ ᎠᏂᏴᏫ ᎾᎢ ᎾᎸᏕᎲ ᎾᏍᎩ ᎡᎵᏍᏗ ᏣᏤᎵ ᏗᏣᎳᏫᏤᎲ ᎾᎿᎢ ᏗᎵᎪᏔᏅᎯ ᎬᏗ ᎾᏍᎩ ᎯᏔᏲᎯᎲ ᏣᏤᎵᎢ.

ᎯᎠ ᎠᎧᎵᎢᏍᏗ ᏣᏤᎵ ᎠᏓᎵᏍᎪᎸᏓᏁᎯ ᎾᏍᎩᎾᎢ WellCare ᏰᎵᏉ ᏗᎪᏏᏐᏗ ᎠᎴᏃ ᎦᎾᏄᎪᏫᏍᏗ ᎠᏓᎦᏎᏍᏙᏗ ᏅᏩᏙᎯᏯᏛ ᎧᏃᎮᏢᎥᏍᎩ (PHI) ᎬᏗ ᎾᏍᎩ ᏗᎪᏍᎩ ᎠᏂᏴᏫ.

This form revokes your permission for Wellcare to discuss or disclose Protected Health Information (PHI) with a particular person.

Please complete this form with your provider if you want to change your PCP. Your provider will then send this form to your health plan, letting them know about the change.

Effective 01/01/2026: The drugs on this list require step therapy. Step therapy means you must try one drug before we will cover another drug.

Medicare Parts A & B Premiums and Deductibles

ᎠᎵᏍᏕᎵᏍᎩ ᎧᏃᎮᏢᎥᏍᎩ

24-Hour Nurse Advice Line

One of the benefits of being a Wellcare Dual Liberty (HMO D-SNP) member is our 24-Hour Nurse Advice Line. Our nurses will give you answers to your medical questions and help you decide whether to see your doctor or go to the emergency room. Nurses are available 24 hours a day, seven days a week at 1-800-581-9952. (TTY users dial 711.)

HealthHub by WebMD Ignite

Trusted information to help you on your health journey.
WebMD Ignite provides clinically reviewed health & wellness education, resources, and tools.

Visit the HealthHub by WebMD Ignite.

Krames Health Library

The Krames Health library is the most up-to-date patient education resource. With Krames Health Library, you'll have access to over 4,000 topics relating to health and medication.

Visit the Krames Health Library.

Plan Information

Wellcare Fidelis Dual Align (HMO D-SNP) is a Fully Integrated Dual Eligible Special Needs Plan with a Medicare contract and a contract with the New Jersey Medicaid program. Enrollment in Wellcare Fidelis Dual Align depends on contract renewal. This information is not a complete description of benefits. Contact the plan for more information. Limitations and restrictions may apply. Benefits may change on January 1 of each year. Your Part B premium is covered by Medicaid. This plan is available to those who have both Medicare and full Medicaid benefits. Wellcare uses a formulary.
Please contact Wellcare for details.

When joining this plan: 

  1. You must use in-network providers, DME (durable medical equipment) suppliers, and pharmacies. 
  2. You will be enrolled automatically into Medicaid (NJ FamilyCare) coverage under our plan and disenrolled from any Medicaid (NJ FamilyCare) plan you are currently enrolled in. All of your Medicaid-covered services, items, and medications will then be covered under our plan, and you must get them from in-network providers.
  3. You will be enrolled automatically into Part D coverage under our plan, and you will be automatically disenrolled from any other Medicare Part D or creditable coverage plan in which you are currently enrolled. 
  4. You must understand and follow our plan’s rules on referrals.
 
  • 24 Hour Nurse Advice Line

    24-Hour Nurse Advice Line

    One of the benefits of being a Wellcare Dual Liberty (HMO D-SNP) member is our 24-Hour Nurse Advice Line. Our nurses will give you answers to your medical questions and help you decide whether to see your doctor or go to the emergency room. Nurses are available 24 hours a day, seven days a week at 1-800-581-9952. (TTY users dial 711.)

  • Health Libraries

    HealthHub by WebMD Ignite

    Trusted information to help you on your health journey.
    WebMD Ignite provides clinically reviewed health & wellness education, resources, and tools.

    Visit the HealthHub by WebMD Ignite.

    Krames Health Library

    The Krames Health library is the most up-to-date patient education resource. With Krames Health Library, you'll have access to over 4,000 topics relating to health and medication.

    Visit the Krames Health Library.

  • Plan Information

    Plan Information

    Wellcare Fidelis Dual Align (HMO D-SNP) is a Fully Integrated Dual Eligible Special Needs Plan with a Medicare contract and a contract with the New Jersey Medicaid program. Enrollment in Wellcare Fidelis Dual Align depends on contract renewal. This information is not a complete description of benefits. Contact the plan for more information. Limitations and restrictions may apply. Benefits may change on January 1 of each year. Your Part B premium is covered by Medicaid. This plan is available to those who have both Medicare and full Medicaid benefits. Wellcare uses a formulary.
    Please contact Wellcare for details.

    When joining this plan: 

    1. You must use in-network providers, DME (durable medical equipment) suppliers, and pharmacies. 
    2. You will be enrolled automatically into Medicaid (NJ FamilyCare) coverage under our plan and disenrolled from any Medicaid (NJ FamilyCare) plan you are currently enrolled in. All of your Medicaid-covered services, items, and medications will then be covered under our plan, and you must get them from in-network providers.
    3. You will be enrolled automatically into Part D coverage under our plan, and you will be automatically disenrolled from any other Medicare Part D or creditable coverage plan in which you are currently enrolled. 
    4. You must understand and follow our plan’s rules on referrals.
     
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ᎤᏚᎸᏓ ᎠᏍᏕᎸᏗᎢ? ᎠᎭᏂ ᎣᏤᏙ ᏂᎯ ᏳᏰᎵᏗ.

ᎢᏍᎩᏟᏃᎮᏓ ᏂᎦᏓ
Y0020_WCM_178064E_M Last Updated On: 11/10/2025