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All Together Now

Date: 01/08/21

In South Carolina, WellCare and Absolute Total Care are joining health plans. This means beginning April 1, 2021, your Medicaid coverage will be provided by Absolute Total Care. We are excited about what this means for our members.

For WellCare of South Carolina members, there will be very little change to the benefits and services you currently receive.

You will receive a new member ID card in the mail from Absolute Total Care. Although there will be very little change to your benefits, you will receive a new member welcome packet with information on your new health plan.

If your provider is not in the Absolute Total Care network, you will receive a letter telling you what to do.

You can be aware of any updates by visiting this page. If you have any questions or need help, please call WellCare of South Carolina Member Services at 1-888-588-9842 (TTY: 711).

WellCare of South Carolina and Absolute Total Care are committed to making sure that you keep getting high-quality medical care. We want to make this change as easy as possible for you.

Integration FAQs

I am a WellCare member. Was I enrolled into Absolute Total Care?
No member is automatically enrolled in Absolute Total Care until April 1, 2021, unless you are within your recertification or annual enrollment period. During this time, you could have been automatically assigned to Absolute Total Care if you did not choose a different plan.

What if my provider told me that they do not participate with Absolute Total Care?
Your health is important to us. If you are currently receiving care from a provider that says that they do not participate with Absolute Total Care, please call Absolute Total Care Member Services at 1-866-433-6041 (TTY: 711). Member Services will be happy to assist you with locating another provider if your provider does not participate with Absolute Total Care.

Can I transition to Absolute Total Care now instead of April 1, 2021?
Please contact South Carolina Healthy Connections Choices toll-free at 1-877-552-4642 (TTY: 1-877-552-4670) so an Enrollment Counselor can assist you with enrollment into Absolute Total Care.

Is my WellCare ID card still valid?
Continue to use your WellCare ID card to get prescriptions and access healthcare services through March 31, 2021. You will receive a new member ID card and a welcome packet from Absolute Total Care in March 2021. The new ID card will allow you to get prescriptions and access healthcare services starting April 1, 2021. Please make sure you show your new Absolute Total Care ID card to your doctor and at the pharmacy beginning April 1, 2021 to access your Absolute Total Care benefits.

When can I start using my new benefits?
You can start using your Absolute Total Care benefits on April 1, 2021. Absolute Total Care will mail out new member ID cards and a welcome packet to all new members in March 2021. Please make sure you show your new Absolute Total Care ID card to your doctor and at the pharmacy beginning April 1, 2021 to access your Absolute Total Care benefits.

Do I need to call to request a new ID card from Absolute Total Care?
You do not need to contact Absolute Total Care to request a new ID card. Absolute Total Care will mail out new member ID cards and a welcome packet to all new members in March 2021. Please make sure you show your new Absolute Total Care ID card to your doctor and at the pharmacy beginning April 1, 2021 to access your Absolute Total Care benefits.

When will I receive my new ID card?
Absolute Total Care will mail out new member ID cards and a welcome packet to all new members in March 2021. Please make sure you show your new Absolute Total Care ID card to your doctor and at the pharmacy beginning April 1, 2021 to access your Absolute Total Care benefits.

I received my new Absolute Total Care ID card, and my primary care provider (PCP) information is incorrect.
Please contact Absolute Total Care Member Services at 1-866-433-6041 (TTY: 711) to verify and update your PCP information. If you do not have a PCP, Member Services can help you choose one.

Should I contact my doctor to advise him/her of my plan change?
You do not have to contact your doctor to advise them of your new plan. You will receive an Absolute Total Care member ID card that will allow you to get prescriptions and access healthcare services starting April 1, 2021. Please make sure you show your new Absolute Total Care ID card to your doctor and at the pharmacy beginning April 1, 2021 to access your Absolute Total Care benefits.  If you would like to check to see if your doctor is in network with Absolute Total Care, you may use the Find A Provider Tool.

Will there be any changes to my current healthcare appointments or procedures?
This change will not have an impact on your previously scheduled appointments or procedures. We will honor your previous health plan’s authorized services for 90 days after coming onto our plan. After that time, we may require authorization for the service. We will let you stay with an out-of-network doctor until you are able to find a doctor in our network that can provide the services you need. If you do experience any issues, please call Absolute Total Care Member Services at 1-866-433-6041 (TTY: 711) as soon as possible.

Will this change have an impact on my current prescriptions prescribed by my doctor?
This will not cause any immediate change to your current prescriptions. We will honor your previous health plan’s authorized services for 90 days after coming onto our plan. After that time, we may require authorization for the service. It is important to discuss your current prescriptions with your doctor to make sure Absolute Total Care covers them after the 90-day transition of care period. If you do experience any issues, please call Absolute Total Care Member Services at 1-866-433-6041 (TTY: 711) as soon as possible.

What is my new Rx BIN and Group Number?

  • RXBIN: 004336
  • RXPCN: MCAIDADV
  • RXGROUP: RX5433

Can I stay with WellCare?
WellCare will no longer be an independent plan, and all members enrolled with WellCare will be enrolled into Absolute Total Care effective April 1, 2021.

Can I continue to see my current provider? 
On April 1, 2021, all WellCare of South Carolina Medicaid members will become Absolute Total Care members. You will receive a welcome packet and new member ID card from Absolute Total Care in March 2021 and will use your Absolute Total Care ID card to get your prescriptions and access health care services starting April 1, 2021.  Please make sure you show your new Absolute Total Care ID card to your doctor and at the pharmacy beginning April 1, 2021 to access your Absolute Total Care benefits.

Your health is important to us. If you are currently receiving care from a provider that says that they do not participate with Absolute Total Care, please call Absolute Total Care Member Services at 1-866-433-6041 (TTY: 711). Member Services will be happy to assist you with locating another provider if your provider does not participate with Absolute Total Care.

What happens after April 1, 2021?
Once you transition to Absolute Total Care you will receive your new Absolute Total Care member ID card and will access all medical and pharmacy services through Absolute Total Care providers. Please make sure you show your new Absolute Total Care ID card to your doctor and at the pharmacy beginning April 1, 2021 to access your Absolute Total Care benefits.

Does my provider participate in the Absolute Total Care network? 
Absolute Total Care and WellCare utilize 98% of the same networks, so it is possible that your provider is already in the network. If you would like to check to see if your doctor is in network with Absolute Total Care, you may use the Find A Provider Tool. You may also call Absolute Total Care Member Services at 1-866-433-6041 (TTY: 711) for assistance.

Will Absolute Total Care continue to offer Medicare and Marketplace products?
Yes, Absolute Total Care and WellCare will continue to offer Medicare products under their current brands and product names, until further notice. Absolute Total Care will continue to offer Marketplace products under the Ambetter brand.

Will Absolute Total Care change its name to WellCare?
No, Absolute Total Care will continue to operate under the Absolute Total Care name. The current transaction means that WellCare of South Carolina Medicaid members are transitioning to Absolute Total Care and will become Absolute Total Care members, effective April 1, 2021.

Will WellCare continue to offer current products or Medicare only?
As of April 1, 2021, all WellCare South Carolina Medicaid members will transfer to Absolute Total Care. WellCare and Absolute Total Care Medicare plans will continue to operate under current brands, product names, and provider contracts, until further notice.

When I become an Absolute Total Care member will I still have my Healthy Rewards?
The Healthy Rewards benefit with WellCare will end March 31, 2021; however, effective April 1, 2021 you will receive My Health Pays® rewards benefits with Absolute Total Care.