name = "Atlas Commons research objects — Medicare Advantage organization directory entry for Wellcare (contract H5190)"
description = "CMS Medicare Advantage Plan Directory entry for Wellcare (contract H5190): organization identity (type, plan type, parent, CMS region), enrollment, and directory contact — all verbatim CMS-published values (RECORDED). Epistemic status of each figure is labeled. This is an organizational directory — not plan benefits, premiums, or star ratings; use medicare.gov/plan-compare to compare actual plans. CC0."
license = "CC0-1.0"
jsonld = "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-advantage/h5190.jsonld"

[[claims]]
id = "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-advantage/h5190/org-identity"
warrant = "RECORDED"
name = "Wellcare (contract H5190) is a CMS-contracted Local CCP offering HMO/HMOPOS plans"
text = "The CMS Medicare Advantage Plan Directory records Wellcare (legal entity: SUNSHINE STATE HEALTH PLAN, INC., contract number: H5190) as a Local CCP offering HMO/HMOPOS plans. Contract effective date: 01/01/2013. Tax status: For Profit. CMS region: Denver. Parent organization: Centene Corporation. These are verbatim CMS directory values; accuracy depends on carrier submissions to CMS."
source = "CMS Medicare Advantage Plan Directory"
sourceUrl = "https://www.cms.gov/medicare/health-drug-plans/medicare-advantage"
falsifier = "Verify at the CMS MA Plan Directory (https://www.cms.gov/medicare/health-drug-plans/medicare-advantage) by looking up contract number H5190. Falsified if the CMS directory contradicts these values."

[[claims]]
id = "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-advantage/h5190/directory-contact"
warrant = "RECORDED"
name = "CMS MA Plan Directory contact for Wellcare (contract H5190)"
text = "The CMS MA Plan Directory lists the following directory contact for Wellcare (contract H5190): name: Provider Services; phone: 1-866-296-8731; email: CorporateMedicareComplianceDept@CENTENE.COM; address: 4349 Easton Parkway, Suite 200, Columbus, OH, 43219. Last updated per CMS: 06/25/2024. This is the contact as submitted by the organization to CMS — it is not a consumer help line; it is the CMS-directory administrative contact."
source = "CMS Medicare Advantage Plan Directory"
sourceUrl = "https://www.cms.gov/medicare/health-drug-plans/medicare-advantage"
falsifier = "Verify at the CMS MA Plan Directory for contract H5190. Falsified if the CMS directory shows different contact information."

[[claims]]
id = "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-advantage/h5190/boundary"
warrant = "INTERPRETATION"
name = "What this Medicare Advantage directory entry is — and is NOT — for Wellcare (the epistemic boundary)"
text = "This page is a directory of the organization offering Medicare Advantage / PACE plans under CMS contract H5190. It lists who the organization is, its type, parent, CMS region, and enrollment — verbatim from the CMS MA Plan Directory. It is NOT a directory of individual plan benefits, premiums, deductibles, drug formularies, or star ratings. Enrollment is a CMS-reported count, not a quality signal. To compare actual Medicare Advantage plans available in your area — including premiums, coverage, and star ratings — use the official Medicare Plan Finder at medicare.gov/plan-compare. For free, unbiased help understanding your Medicare options, contact your State Health Insurance Assistance Program (SHIP) or call 1-800-MEDICARE (1-800-633-4227)."
source = "Coverage Atlas framing (over the CMS MA Plan Directory facts above)"
sourceUrl = "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-advantage/h5190"
falsifier = "occurred=FALSE (a framing, not an event) and adjudged=FALSE (the atlas's reading, not a CMS verdict) — the LOWEST-warrant claim here. The org identity, enrollment, and contact above are verbatim CMS records; this boundary note is interpretation."

[[maPlanIdentity]]
indicator = "Contract number"
value = "H5190"
warrant = "RECORDED"
source = "CMS Medicare Advantage Plan Directory"

[[maPlanIdentity]]
indicator = "Legal entity name"
value = "SUNSHINE STATE HEALTH PLAN, INC."
warrant = "RECORDED"
source = "CMS Medicare Advantage Plan Directory"

[[maPlanIdentity]]
indicator = "Organization marketing name"
value = "Wellcare"
warrant = "RECORDED"
source = "CMS Medicare Advantage Plan Directory"

[[maPlanIdentity]]
indicator = "Organization type"
value = "Local CCP"
warrant = "RECORDED"
source = "CMS Medicare Advantage Plan Directory"

[[maPlanIdentity]]
indicator = "Plan type"
value = "HMO/HMOPOS"
warrant = "RECORDED"
source = "CMS Medicare Advantage Plan Directory"

[[maPlanIdentity]]
indicator = "Contract effective date"
value = "01/01/2013"
warrant = "RECORDED"
source = "CMS Medicare Advantage Plan Directory"

[[maPlanIdentity]]
indicator = "Tax status"
value = "For Profit"
warrant = "RECORDED"
source = "CMS Medicare Advantage Plan Directory"

[[maPlanIdentity]]
indicator = "Parent organization"
value = "Centene Corporation"
warrant = "RECORDED"
source = "CMS Medicare Advantage Plan Directory"

[[maPlanIdentity]]
indicator = "CMS region"
value = "Denver"
warrant = "RECORDED"
source = "CMS Medicare Advantage Plan Directory"

[[maPlanIdentity]]
indicator = "Legal entity address"
value = "7700 Forsyth, St. Louis, MO, 63105"
warrant = "RECORDED"
source = "CMS Medicare Advantage Plan Directory"

[[maPlanContact]]
field = "Contact name"
value = "Provider Services"
warrant = "RECORDED"
source = "CMS Medicare Advantage Plan Directory"

[[maPlanContact]]
field = "Contact phone"
value = "1-866-296-8731"
warrant = "RECORDED"
source = "CMS Medicare Advantage Plan Directory"

[[maPlanContact]]
field = "Contact email"
value = "CorporateMedicareComplianceDept@CENTENE.COM"
warrant = "RECORDED"
source = "CMS Medicare Advantage Plan Directory"

[[maPlanContact]]
field = "Contact address"
value = "4349 Easton Parkway, Suite 200, Columbus, OH, 43219"
warrant = "RECORDED"
source = "CMS Medicare Advantage Plan Directory"

[[maPlanContact]]
field = "Contact last updated"
value = "06/25/2024"
warrant = "RECORDED"
source = "CMS Medicare Advantage Plan Directory"
