855-716-2556: Wellmark Advantage Health Plan
Quick answer
(855) 716-2556 reaches Wellmark (medicare advantage). It is answered by automated phone menu → hold queue. From the greeting, press 1 for Medical services; press 2 for pharmacy services.
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Line at a glance
| Health plan | Wellmark |
|---|---|
| Department | Medicare Advantage |
| Purpose | Wellmark Advantage Health Plan line for medical and pharmacy services, including utilization management, Part B drug authorization, benefits, eligibility and claims. |
| Answered by | Automated phone menu → Hold queue |
| How to respond | Keypad |
| Supported languages | English |
| Hours | Not stated in the greeting |
| Have ready | Nothing requested in the greeting |
How to reach each option
| To reach | Do this | What happens |
|---|---|---|
| Medical services | 1 | Opens a menuOpens the medical services menu. |
| Utilization management | 1 then 1 | Opens a menuReaches Wellmark Advantage utilization management, which asks if you know your party's extension (1) or not (2). |
| Part B medical drug authorization | 1 then 2 | Hold for an agentPlays a high call volume message about prior authorization changes and offers to hold for the next available representative. |
| Benefits and eligibility | 1 then 3 | Hold for an agentPlays a high call volume message about prior authorization changes and offers to hold for the next available representative. |
| Claims or general program information | 1 then 4 | Hold for an agentPlays a high call volume message about prior authorization changes and offers to hold for the next available representative. |
| Pharmacy services | 2 | Opens a menuAsks for the plan type. |
| HMO | 2 then 1 | |
| PPO | 2 then 2 | |
| Further assistance | 2 then 3 | Hold for an agentPlays a high call volume message about prior authorization changes and offers to hold for the next available representative. |
Shortcuts and conditional instructions
- If calling regarding prior authorizations Note that medical outpatient and DME authorization requirements were suspended effective January 1, 2025; inpatient admissions, post-acute services and certain Part B medications still require authorization
Skip the call
- Wellmark Medicare Advantage provider information www.wellmark.com/provider/medicare-advantage
Questions about (855) 716-2556
Does Wellmark Advantage still require prior authorization for outpatient services?
The line says medical outpatient and DME authorization requirements were suspended effective January 1, 2025.
What still requires authorization?
Inpatient admissions, post-acute services and certain Part B medications.
How do I reach utilization management?
Press 1 for medical services, then 1 for utilization management.