
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 855-833-8122 (TTY: 711).
We're glad you're here!
Coming soon: Your new member portal
We’re excited to announce you’ll soon have a new tool to help you manage your health: our new WellSense member portal. You’ll be able to access the member portal by downloading the new WellSense mobile app or by clicking the “log in” link at wellsense.org on your computer or phone starting May 1.

Manage your family’s care with one account
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)
Access your digital ID cards
Find care fast
Connect your health records
Receive personalized health reminders
Understanding key insurance terms
Learning some key terms can help you understand how health insurance works. Here’s a simple guide to a few common terms you’ll see when using your WellSense Clarity plan coverage.
To learn more about these and other terms commonly used when dealing with health insurance, visit healthcare.gov/glossary or call Member Service at 855-833-8122 (TTY: 711). We’ll be happy to answer your questions.
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).
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%.
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.
- Preventive services
- Fluoride treatments for members of all ages
- Dental sealants for members younger than 21
- Pain relief and treatment of infections
- Fillings and crowns
- Root canal treatment
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.

Know your benefits
From time to time, there may be updates to your healthcare benefits. These happen most often at the beginning of each year but can happen at any time.
Our promise to you is that you’ll always find complete and up-to-date information about your benefits in your Evidence of Coverage, or EOC. Your EOC is available at any time on wellsense.org.
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You are now leaving the WellSense website, and are being connected to a third party web site. Please note that WellSense is not responsible for the information, content or product(s) found on third party web sites.
By accessing the noted link you will be leaving our website and entering a website hosted by another party. Please be advised that you will no longer be subject to, or under the protection of, our privacy and security policies. We encourage you to read and evaluate the privacy and security policies of the site you are entering, which may be different than ours.
