Wellpoint (Amerigroup) Medicare Advantage 2024-2025 Review

Wellpoint Medicare Advantage pros and cons

Our full review

Wellpoint Medicare star ratings

Average star rating, weighted by enrollment: 3.32

Wellpoint Medicare Advantage plans are rated below the industry average, receiving an average rating of 3.32 stars out of 5 from CMS for 2025, weighted by enrollment. For comparison, the average weighted star rating for plans from all providers is 3.95.

There are no Wellpoint Medicare Advantage plans with a rating higher than 3.5 stars^[0]

CMS maintains star ratings for Medicare Advantage and Medicare Part D plans on a 5-point scale, ranking plans from best (5 stars) to worst (1 star). The agency bases these ratings on plans’ quality of care and measurements of customer satisfaction, and ratings may change from year to year.

You can find a plan’s rating with the Medicare plan finding tool.

What does Wellpoint Medicare Advantage cost?

Three-quarters of Wellpoint standard Medicare Advantage prescription drug plans have $0 premiums^[0]

(Most people pay this standard Part B amount, but if your income is above a certain threshold, you'll pay the income-related monthly adjustment amount (IRMAA). Some Medicare Advantage plans cover part or all of your Part B premium^[0]

Requirements for copays, coinsurance and deductibles vary depending on your plan, location and the services you use. Other out-of-pocket costs to consider include:

• Whether the plan covers any part of your monthly Medicare Part B premium.

• The plan’s yearly deductibles and any other deductibles, such as a drug deductible.

• Copayments and/or coinsurance for each visit or service. For instance, there may be a $10 copay for seeing your primary doctor and a $45 copay for seeing a specialist.

• The plan’s in-network and out-of-network out-of-pocket maximums.

• Whether your medical providers are in-network or out-of-network, or how often you may go out of network for care.

• Whether you require extra benefits, and if the plan charges for them.

Here are examples of Wellpoint Medicare Advantage costs for three plans in a mid-range city:

To get a sense of costs, use Medicare’s plan finding tool to compare information among available plans in your area. You can select by insurance carrier to see only Wellpoint plans or compare across carriers.

Wellpoint Medicare Advantage plan types

There are three kinds of Wellpoint Medicare Advantage plans, and all Wellpoint Medicare Advantage plans include prescription drug coverage.

Plan offerings include the following types:

Wellpoint Medicare Advantage service area

Wellpoint offers Medicare Advantage plans in six states.

Wellpoint's parent company, Elevance Health, is the fourth-largest for-profit Medicare Advantage provider^[0]

Wellpoint customer service

Here’s how Wellpoint members can contact customer service:

• Call the number on the back of your ID card, available Monday to Friday from 8 a.m. to 8 p.m. Eastern time.

• Chat live with a member services representative once you’ve logged into your account online.