Know Your Wellmark Tools

You have several tools available through Wellmark—but knowing which tool to use and when to use it can make them much more valuable.

Whether you're looking for a doctor, preparing for an appointment, comparing costs, filling a prescription or reviewing a recent claim, your Wellmark tools can help.

Use this page to learn when to use each tool and how to get started.

Human Resource Services
Know Your Wellmark Tools. Know When to Use Them. Know How to Use Them.

myWellmark

Your starting point for managing your health plan online.

MyWellmark gives you personalized access to your health plan information and many of the tools described on this page.

When should I use it?How do I use it?

Use myWellmark when you want to:

  • Review claims
  • View your Explanation of Benefits (EOB)
  • See what the plan paid and what you may owe
  • Access benefit information
  • Find care
  • Compare health care costs
  • Research prescription costs
  1. Log in to your myWellmark account.
  2. Select the tool or information you need.
  3. Because you're logged in, information and estimates can be personalized based on your health plan.
Log in to myWellmark®
Your Benefits. Right at your fingertips.

myWellmark Mobile App

Take your health plan information with you.

The myWellmark app gives you convenient access to many myWellmark features from your phone.

Tip: Download and set up the app before you need it.

Benefits of the myWellmark Mobile App
When should I use it?How do I use it?

The app is especially useful when:

  • You're at a doctor's office or pharmacy
  • You need your member ID card
  • You're away from home or traveling
  • You need to quickly find an in-network provider
  • You want to check your health plan information on the go
  1. Download the Wellmark app.
  2. Sign in using your MyWellmark account information.
  3. Use the app whenever you need quick access to your health plan information.
Before you schedule, compare.

Find Care

Find care and compare your options before you schedule.

Care Finder can help you locate providers and facilities that participate in your Wellmark network and compare options for certain health care services.

Tip: Don't assume every location charges the same amount for the same service. If you have time to plan your care, compare your options first.

When should I use it?How do I use it?

Use Care Finder before:

  • Choosing a new doctor or specialist
  • Scheduling an appointment
  • Scheduling an MRI or other imaging
  • Scheduling a procedure
  • Selecting a facility for care
  1. Log in to MyWellmark.
  2. Open Care Finder.
  3. Search for the provider, facility or type of service you need.
  4. Confirm the provider or facility is in-network.
  5. When available, compare your options and estimated costs before scheduling.
Find Care

Compare Costs

Know more before you fill your prescription or have medical services done.

Wellmark's cost tool can help you understand coverage and costs for your medications and services.

When should I use it?How do I use it?

Consider checking your prescription information:

  • When you're prescribed a new medication
  • Before filling an expensive prescription
  • When your prescription cost changes
  • During Open Enrollment
  • When you want to know whether a lower-cost alternative may be available
  1. Log into your myWellmark Account.
  2. Click on the drop down of Care & Costs.
  3. Choose either Medical Estimates or Drug Estimates.
  4. If choosing a Drug Estimate, click Continue to navigate to CVS/Caremark's® webpage.
    1. If you do not have a CVS/Caremark® account, you will need to create one by registering.
    2. Otherwise, log in.
    3. After logging in, choose who you are comparing medications for from the dropdown list.
    4. Type in your drug name or NDC ID, this should populate a listing for you to choose from. 
      NOTES: Copy/pasting the drug name may not provide results. Please type in your prescriptions.
      You can only shop for prices in the Prescription Drug Cost Estimator Tool when you are within 10 days of your refill date. If it’s too early, the tool will not display options.
    5. Enter in your zip code.
    6. Click on Get price.
    7. Scroll down and review your options of pricing at different pharmacies.
  5. If comparing Medical Estimates, click Continue to navigate to Healthsparq's webpage.
    1. Click on Estimate your costs
    2. Type in the procedure or ICD-9 code if you have it. (i.e. MRI)
    3. Choose the procedure.
    4. Scroll down and review your options of pricing at different facilities.
Access myWellmark®

BlueRx Value Plus℠ Drug List

Check whether your medication is covered.

The BlueRx Value Plus℠ Drug List identifies covered medications and provides important information about prescription coverage.

When should I use it?How do I use it?

Use the drug list when:

  • You're prescribed a new medication
  • You want to check whether a medication is covered
  • Your provider is considering different medications
  • You want to see whether restrictions or requirements apply
  1. Search the drug list for the name of your medication and review its coverage information.
  2. If you have questions about what the information means for your specific coverage, contact Wellmark.
Access BlueRx Value Plus℠
Don't Just Look at What You Owe

Your Explanation of Benefits (EOB)

An Explanation of Benefits is not a bill. It explains how a health care claim was processed.

Tip: Check your EOB after receiving health care services to see just how much your UNI health plan pays toward your care. You may be surprised by the value of your benefits!

View Your EOB
When should I use it?How do I use it?
  • After you receive health care, review your EOB to see what your care actually cost.
  • See the full cost of your care — not just your copay, deductible or coinsurance.
    • Pay particular attention to the amount paid by your plan. This shows you more than what you paid out of pocket—it shows what your health care cost the plan.
      Because UNI is self-insured, UNI—not Wellmark—funds the health care claims for our plan members. 
  • To see the amount allowed under the health plan.
  • To see what was applied to your deductible or coinsurance.
  • What you may owe the provider.
  • Catch something unexpected and ask questions if a charge or service doesn’t look right.
  • Understand why where you receive care matters. The cost of the same service can vary significantly from one provider or facility to another.
  1. Open the Wellmark app or myWellmark.
  2. Find one of your recent claims and view the EOB.
  3. Compare the EOB with any bill you receive from your provider.
  4. Pay attention to both what you owe and what the plan paid.
  5. Contact Wellmark if something doesn't look right or you don't understand how the claim was processed.
Access myWellmark

Mail Service Prescriptions

A convenient option for certain ongoing medications.

Mail service may be available for eligible medications you take regularly.

When should I use it?How do I use it?
Consider mail service if you take an eligible maintenance medication on an ongoing basis and would prefer to have it delivered.Review Wellmark's mail service information to determine whether your medication is eligible and how to transfer or submit your prescription.
Learn About Mail Service Prescriptions

Specialty Medications

Know where and how to obtain specialty prescriptions.

Specialty medications may have different ordering, authorization and delivery requirements than prescriptions filled at a traditional retail pharmacy.

When should I use it?How do I use it?
Use this information if your provider prescribes a specialty medication or tells you that your prescription needs to be filled through a specialty pharmacy.Review Wellmark's specialty drug information for instructions on coverage, ordering and delivery. Contact Wellmark if you need assistance understanding the requirements for your medication.

Blue365®

Explore discounts available with your Wellmark coverage.

Blue365 provides access to discounts on certain health and wellness products and services.

When should I use it?How do I use it?

Check Blue365 before purchasing eligible health and wellness products or services, such as:

  • Fitness products
  • Gym memberships
  • Hearing products and services
  • Other participating wellness products and services
Access Blue365 through Wellmark, browse available offers and follow the instructions for the discount you want to use.
Explore Blue365®

Make Your Wellmark Tools Work for You

You don't have to wait until you have a claim or a problem to use these resources.

  • Before care: Find an in-network provider and compare your options.
  • Before filling a prescription: Check coverage and cost.
  • When you're on the go: Use the Wellmark app.
  • After receiving care: Review your EOB and see what you and the plan paid.

The more familiar you are with these tools, the easier it is to use your benefits when you need them.

‌Wherever conflicts occur between the contents of this site and the contracts, rules, regulations, or laws governing the administration of the various programs, the terms set forth in the various program contracts, rules, regulations, or laws shall prevail. Space does not permit listing all limitations and exclusions that apply to each plan. Before using your benefits, review the plan's coverage manual. Benefits provided can be changed at any time without the consent of participants.