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Jude Pare is 77 years old.
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Jude Pare lives in rural Minnesota and spends winters in Arizona.
Jude Pare
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Jude Pare stated he did not receive any warning from his Medicare prescription drug plan that his $0 monthly premium was about to increase.
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Jude Pare and Diane Tix received a letter from Wellcare in April stating that Pare's coverage had been terminated after three months of unpaid premiums totaling $28.80.
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Under Medicare rules, Jude Pare cannot enroll in a plan again until the fall for coverage beginning in 2027.
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Jude Pare takes Xarelto, a blood thinner.
Diane Tix
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"He could bleed to death without it."
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A 90-day supply of Xarelto costs about $1,800 using a coupon from GoodRx.
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Tens of thousands of Medicare beneficiaries were on Wellcare's Value Script drug plan and will likely go without prescription drug coverage for the rest of the year because they did not pay premiums for three months.
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Thousands of people in 32 states and Washington, D.C., enrolled in zero-premium drug plans from Wellcare and other insurance companies may lose coverage in 2027 if their premiums increase and they do not realize it, according to a KFF Health News analysis of drug plan data.
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Premiums and other changes for 2027 will be unveiled in September.
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Nearly 90% of Medicare beneficiaries take one or more prescription drugs, according to the Centers for Disease Control and Prevention.
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Almost half of Medicare beneficiaries live with four or more chronic health conditions, according to the Centers for Disease Control and Prevention.
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Wellcare's Value Script is the bestselling stand-alone prescription drug plan in Medicare with nearly 6 million customers across the U.S., according to government data.
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In 26 states and Washington, D.C., some Value Script members who did not have to pay a premium in the previous year experienced premium increases in 2026.
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Medicare drug plans can drop customers who do not pay their premiums after a two-month grace period, which Wellcare extended to three months.
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Some members who lost their coverage in Nevada owed as little as $8.10 for three months, according to a KFF Health News analysis of Medicare drug plan data.
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Wellcare terminated coverage for about 140,000 Value Script beneficiaries in April, according to a person with knowledge of the matter.
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About 40,000 of the people dropped from Wellcare plans may be able to enroll in new coverage immediately because they receive financial assistance through the Medicare "Extra Help" program.
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Ned Gaines is Nevada's insurance commissioner and chairs the National Association of Insurance Commissioners' senior issues task force.
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Rebecca Gouty is the director of the State Health Insurance Assistance Program in West Virginia.
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Tim Smolen is the director of Washington state's Statewide Health Insurance Benefits Advisors.
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The Centers for Medicare & Medicaid Services declined to provide the number of Value Script members who lost coverage due to unpaid premiums.
Christopher Krepich, spokesperson
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"The agency does not publicly provide plan-specific disenrollment figures or state-level breakdowns related to the non-payment of premiums."
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Centene Corp. declined to provide disenrollment numbers.
Sarah Baiocchi, senior vice president for specialty and prescription drug plans at Centene
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"We recognize how disruptive a loss of coverage can be and are committed to helping members understand their options."
Sarah Baiocchi, senior vice president for specialty and prescription drug plans at Centene
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"Some members in our Value Script plan experienced a premium for the first time, or for the first time in several years."
Sarah Baiocchi, senior vice president for specialty and prescription drug plans at Centene
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Sarah Baiocchi said all Value Script members received a CMS-required annual notice of changes in September before the premium increases took effect.
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A version of the Value Script booklet sent to members in two states and Washington, D.C., is 21 pages long.
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The new premium is mentioned on pages 3 and 8 of the Value Script booklet.
Sarah Baiocchi, senior vice president for specialty and prescription drug plans at Centene
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Centene informed members about 2026 premium changes through phone calls, text messages, regular mail, or email, according to Sarah Baiocchi.
Christopher Krepich, spokesperson
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People who are dropped from Medicare drug plans are not able to reenroll or join another drug plan until the start of the open enrollment period in the fall for coverage beginning Jan. 1, unless they qualify for an exception, according to Christopher Krepich.
Christopher Krepich, spokesperson
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People dropped from Medicare drug plans who have gone without coverage for at least 63 days could be hit with a permanent late-enrollment penalty that increases every year, according to Christopher Krepich.
Wayne Bennett
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"Medicare should be doing something about this so that we can go ahead and get coverage now."
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Wayne Bennett is 74 years old and lives in Durham, North Carolina.
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Wayne Bennett found out in May that Wellcare had canceled his Value Script plan because he had not paid his $3.60 monthly premiums.
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Wayne Bennett takes nine prescription drugs to treat his blood pressure, glaucoma, chronic obstructive pulmonary disease, and other health problems.
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