Newsletter | MA Clarity | Spring 2026

Thank you and welcome to WellSense

We’d like to take a moment to welcome all our new and returning members. Which health insurance you choose is an important decision for your health, your family and your wallet, and we want to thank you for trusting WellSense.

We also know that recent changes to how health insurance works may be confusing. If you have any questions or concerns about your coverage, you can always get the latest information about your benefits on our website or by calling us at 855-833-8120 (TTY: 711).

We're glad you're here!

Manage your family’s care with one account

Linking accounts makes it easy to track everyone’s care.

Track your benefits, deductibles, claims and costs

Easily view your benefits, deductibles and claims so you’re always in the know.

Manage your primary care provider (PCP)

Confirm or change your PCP to ensure you receive the best care possible.

Access your digital ID cards

Access a digital copy of your member ID card and upload other health cards, like any you have for dental or vision benefits, so you always have them when you need them.

Find care fast

Search for urgent care, specialists or pharmacies nearby, so you get the care you need – when you need it.

Connect your health records

Connect your medical records from different doctors. This makes it easy to access your health history anytime.

Receive personalized health reminders

Get notifications tailored to your health needs, helping you remember important tasks like refilling medications, scheduling appointments or following up on treatments.

The amount you pay each month to keep your insurance active, just like a subscription fee.

The amount you must pay for covered health services each year before your plan starts sharing costs.

Example: If your deductible is $2,000, you pay for your own care until you reach $2,000 in expenses (not including many preventive services, which are covered at no cost to you or with a copay).

A fixed amount you pay when you receive certain services, such as a doctor’s visit or urgent care. Copays don’t count toward your deductible, but they do count toward your out-of-pocket maximum.

The percentage of costs you pay for healthcare after meeting your deductible.

Example: If your coinsurance is 20%, you pay 20% of the price we’ve negotiated with your provider for their services, and we pay the other 80%.

The list of prescription medications covered by your plan. The list includes details like how much your copay is or whether you need prior authorization to fill the prescription.

The most you’ll pay for covered care in a year. After reaching it, we pay 100% of covered services for the rest of the year — no more copays, no more coinsurance.

Healthcare services meant to keep you healthy and that you should get even if you aren’t sick, like annual checkups, vaccinations and recommended screenings. These are covered at no cost, even before your deductible.

Our pharmacy messaging program

As part of our goal to be a partner in your health, we may send you helpful reminders and updates about your prescribed medications. Examples include:

Reminders about refills
Information about your treatment plan
Updates and tips that make managing your medications a little easier

These communications may include texts, emails or letters designed to give you timely, personalized information that can help you avoid missed refills, stay on track with your health goals and make informed decisions about your care.

Thank you and welcome to WellSense