About Wellpoint Medicare Advantage
The Wellpoint Medicare Advantage Plan is one of our full-risk partner plans, designed to deliver comprehensive and coordinated care for Medicare beneficiaries. With a strong focus on preventive services, integrated benefits, and simplified access to care, Wellpoint helps members stay healthy, active, and engaged in their healthcare journey.
Through our partnership, TECQ Foundation members have access to an enhanced suite of benefits that go beyond traditional Medicare — including $0 primary care visits, supplemental benefits, transportation, and coordinated support for individuals with chronic or complex conditions.
Key Benefits for Medicare Patients
- Comprehensive full-risk model that emphasizes preventive and coordinated healthcare.
- $0 primary care visits with access to local PCPs and specialty providers.
- Enhanced Wellness & Preventive Services such as annual exams, routine screenings, and recommended vaccinations.
- Integrated Care Management for members with chronic or complex medical needs.
- Prescription drug coverage with a robust formulary supporting affordable medication access.
- Dental, vision, and hearing benefits included in many plan options.
- Transportation benefits for eligible members to help them get to medical appointments.
- 24/7 Nurse Advice Line to assist members in making informed healthcare decisions.
- Over-the-counter (OTC) allowance for approved health items.
Plan Options & Special Programs
- Dual Eligible Special Needs Plan (D-SNP) – Designed for members who qualify for both Medicare and Medicaid. Provides enhanced coordination, reduced cost-sharing, and expanded supplemental benefits to support daily living, chronic care, and preventive health needs.
- Chronic Condition Special Needs Plan (C-SNP) – Tailored to members diagnosed with specific chronic conditions such as diabetes, cardiovascular disease, COPD, or congestive heart failure. C-SNPs offer condition-focused care management, medication support, and personalized treatment plans.
- Select Plan – A streamlined, cost-efficient Medicare Advantage option offering essential medical and prescription benefits at an affordable rate. Ideal for members who want quality coverage with lower premiums and access to a strong provider network.
Each plan option is designed to improve member experience, reduce barriers to care, and support long-term health outcomes. Our care teams work closely with Wellpoint to ensure members receive coordinated, high-quality care across all levels of service.
Plan Resources
Below are additional helpful resources for providers and members:
Provider Directory Prior Authorization Guidelines (Dummy Example) Chronic Care Management Toolkit (Dummy Example) Appeals & Grievances Guide (Dummy Example)