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Wellcare Dual Liberty Sync (HMO-POS D-SNP)

Benefits Summary and Overview

This page is a benefits summary and overview of key plan information for Wellcare Dual Liberty Sync (HMO-POS D-SNP). The information on this page is a summary only.

For a complete listing of all available benefits and cost information on Wellcare Dual Liberty Sync (HMO-POS D-SNP) in 2026, please refer to our full plan details page.

Wellcare Dual Liberty Sync (HMO-POS D-SNP) is a HMO-POS D-SNP plan offered by Centene Corporation available for enrollment in 2025 to people living in Select Counties in Washington. The overall rating for this plan is not yet available for 2026.

It's important to know that Wellcare Dual Liberty Sync (HMO-POS D-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.

Important:

Wellcare Dual Liberty Sync (HMO-POS D-SNP)is a Special Needs Type (SNP) plan. This means you can only enroll in this plan if you meet specific criteria. See our full plan details page for more information.

Overview IconKey Plan Facts

Below are a few key facts and commonly-asked questions about Wellcare Dual Liberty Sync (HMO-POS D-SNP).

Plan Costs:

The cost of a Medicare Advantage Plan is made up of four main parts.

  • First, the monthly premium — the amount you pay every month.
  • Second, the deductible — the amount you pay out of pocket for covered services before the plan starts paying.
  • Third, the copayments and coinsurance — the amounts you pay out of pocket for covered services, usually after meeting the deductible (if applicable). Copays are fixed dollar amounts; coinsurance is a percentage of the cost.
  • Fourth, the Out-of-Pocket Maximum — the maximum amount you could have to pay out of pocket in a year. This may be different for in-network and out-of-network services.

For Wellcare Dual Liberty Sync (HMO-POS D-SNP), the main costs are as follows:

Monthly Premium

The Monthly Premium for this plan is $10.50. This is the amount you must pay every month.

This plan does not come with a Part B Premium reduction. You must continue to pay your Part B premium.

Deductibles

This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.

This plan has a $615.00 drug deductible. You will need to pay this amount towards covered prescriptions before your insurance coverage for prescription medications kicks in.

Out-of-Pocket Maximums

This plan has a Maximum Out-Of-Pocket cost of $9250.00 for out-of-network services. You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $0.00 for in-network covered services, the plan will pay 100% of in-network covered costs for the rest of the year.

You can see below for the coinsurance and specific copayments for in the Additional Benefits section below, or refer to our Plan Details page for more details.

Common Services:

Doctor Visits:

Regular visits to your primary care doctor are covered and will have a copay of and coinsurance of 20%.

Specialist Visits:

Visits to specialists are covered and will have a copay of and coinsurance of 20%. Specialist visits may require a referral from your primary care doctor or prior authorization.

Emergency Room:

Trips to the Emergency Room are covered, and will have a copay of and coinsurance of 0% (no coinsurance). Coverage may vary for in-network and out-of-network hospitals.

Urgent Care:

Trips to Urgent Care arecovered and will have a copay of and coinsurance of 0% (no coinsurance). Coverage may vary for in-network and out-of-network hospitals.

Sign up for Wellcare Dual Liberty Sync (HMO-POS D-SNP)

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Drug Coverage IconDrug Coverage

The Wellcare Dual Liberty Sync (HMO-POS D-SNP) prescription drug plan features an annual deductible of $615. For Tier 1 preferred generics, you will pay a copay starting at $18 at preferred pharmacies, while Tier 2 generics start at a $19 copay. You can maximize your savings on these generic tiers by utilizing preferred mail-order services, which offer a three-month supply with no copay. For brand-name and specialized medications, Tier 3 preferred brands and Tier 5 specialty drugs both require a 25% coinsurance. Tier 4 non-preferred drugs carry a $100 copay for a one-month supply at both preferred and standard pharmacies. Additionally, Tier 6 select care drugs are highly accessible, featuring no copay for up to a three-month supply at preferred pharmacies and through preferred mail order.

Additional Benefits IconAdditional Benefits

The Wellcare Dual Liberty Sync (HMO-POS D-SNP) offers comprehensive medical coverage, with inpatient hospital stays requiring a copayment of $2,230 for acute care and $2,080 for psychiatric care, both with no coinsurance. Most outpatient services, specialist visits, and diagnostic tests feature no copay and a 20% coinsurance, while emergency room visits carry a $115 copay. Additionally, skilled nursing facility stays are covered with no coinsurance, featuring no copay for the first 20 days and a $218 daily copay for days 21 to 70. This plan also provides valuable supplemental benefits, including dental, routine hearing, and vision services with no deductibles and no copays for select care. Members can access home health services, acupuncture, and over-the-counter items with no copay and no coinsurance. For added convenience, the plan includes up to 12 one-way transportation trips per year to approved health-related locations with no copay and no coinsurance.

Inpatient Hospital See details

Wellcare Dual Liberty Sync (HMO-POS D-SNP) covers inpatient hospital services with no coinsurance, requiring a $2,230 copayment per stay for acute care and a $2,080 copayment per stay for psychiatric care. This benefit is partially covered, as prior authorization is required, and additional days, upgrades, and non-Medicare-covered stays are not covered.

Outpatient Services See details

Outpatient services are covered by Wellcare Dual Liberty Sync (HMO-POS D-SNP) with no copay and a 20% coinsurance for outpatient hospital, ambulatory surgical center, outpatient substance abuse, and outpatient blood services. Prior authorization is required for outpatient hospital, ambulatory surgical center, and substance abuse services, while blood services feature no deductible.

Partial Hospitalization See details

Wellcare Dual Liberty Sync (HMO-POS D-SNP) covers partial hospitalization services with no copay and a 20% coinsurance. Prior authorization is required to receive this benefit.

Ambulance and Transportation Services See details

Wellcare Dual Liberty Sync (HMO-POS D-SNP) covers ground and air ambulance services with a 20% coinsurance and no copay, requiring prior authorization. Transportation services are partially covered with no copay or coinsurance for up to 12 one-way trips per year to plan-approved health-related locations, though transportation to any health-related location is not covered.

Emergency Services See details

Wellcare Dual Liberty Sync (HMO-POS D-SNP) covers emergency services with a $115 copay and urgently needed services with a $40 copay, both with no coinsurance. Worldwide emergency and urgent care are partially covered up to a $50,000 maximum limit with a $115 copay and no coinsurance, but worldwide emergency transportation is not covered.

Primary Care See details

Wellcare Dual Liberty Sync (HMO-POS D-SNP) covers primary care, specialist, therapy, and psychiatric services with no copay and 20% coinsurance, while podiatry has no copay and no coinsurance. Chiropractic services are partially covered, providing routine care for up to 24 visits per year with no copay and no coinsurance, though other chiropractic services are not covered.

Preventive Services See details

Wellcare Dual Liberty Sync (HMO-POS D-SNP) covers annual physical exams, fitness benefits, alternative therapies, and remote access technologies with no copay and no coinsurance, while kidney disease education and select screenings require no copay and 20% coinsurance. Additional preventive benefits are partially covered, and health education, in-home safety assessments, medical nutrition therapy, medication reconciliation, readmission prevention, wigs, weight management, therapeutic massage, adult day health, nutritional benefits, palliative care, in-home support, caregiver support, tobacco cessation, disease management, telemonitoring, home modifications, and counseling are not covered.

Hearing Services See details

Hearing services are partially covered under the Wellcare Dual Liberty Sync (HMO-POS D-SNP) plan with no deductible, featuring routine hearing exams with a 20% coinsurance and no copay, and fitting evaluations and prescription hearing aids with no copay or coinsurance. Prescription hearing aids are covered up to $1,000 per ear annually, but OTC hearing aids and specific prescription types—including inner ear, outer ear, and over-the-ear devices—are not covered.

Vision Services See details

Wellcare Dual Liberty Sync (HMO-POS D-SNP) partially covers vision services, excluding other eye exam services, with no deductibles and prior authorization required. Routine eye exams (one per year) and contact lenses have no copay but require a 20% coinsurance, while eyeglasses, lenses, frames, and upgrades have no copay or coinsurance up to a $200 annual maximum.

Dental Services See details

Wellcare Dual Liberty Sync (HMO-POS D-SNP) covers Medicare dental services with no copay and a 20% coinsurance, and other preventive and comprehensive dental services with no copay and no coinsurance. However, dental coverage is partial, as maxillofacial prosthetics, implant services, and orthodontics are not covered.

Home Infusion bundled Services See details

Wellcare Dual Liberty Sync (HMO-POS D-SNP) covers home infusion bundled services with no copay, though prior authorization is required. Under this benefit, Medicare Part B insulin is covered with a $35 copay and no coinsurance, while chemotherapy, radiation, and other Part B drugs require no copay and a 0% to 20% coinsurance.

Dialysis Services See details

Wellcare Dual Liberty Sync (HMO-POS D-SNP) covers Dialysis Services with no copay and a 20% coinsurance.

Medical Equipment See details

Wellcare Dual Liberty Sync (HMO-POS D-SNP) covers durable medical equipment, prosthetics, medical supplies, and diabetic services with no copay and a 20% coinsurance. Prior authorization is required for these benefits, and diabetic supplies are limited to specified manufacturers.

Diagnostic and Radiological Services See details

Wellcare Dual Liberty Sync (HMO-POS D-SNP) covers diagnostic and radiological services, including lab tests, diagnostic procedures, therapeutic radiology, and outpatient X-rays, with no copay and a 20% coinsurance. Prior authorization is required for all of these covered services.

Home Health Services See details

Home Health Services are covered by Wellcare Dual Liberty Sync (HMO-POS D-SNP) with no copay and no coinsurance, although prior authorization is required.

Cardiac Rehabilitation Services See details

Cardiac Rehabilitation Services are covered by Wellcare Dual Liberty Sync (HMO-POS D-SNP) with no copay, but some services are not covered in practice. Specifically, standard cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and SET for PAD services are not covered and carry a 20% coinsurance.

Skilled Nursing Facility (SNF) See details

Skilled Nursing Facility (SNF) services are covered by Wellcare Dual Liberty Sync (HMO-POS D-SNP) with no coinsurance, featuring no copay for days 1 to 20 and 71 to 100, and a $218 daily copay for days 21 to 70. Prior authorization is required, a prior three-day hospital stay is not necessary, and additional days beyond Medicare-covered limits are not covered.

Other Services See details

Wellcare Dual Liberty Sync (HMO-POS D-SNP) partially covers other services, providing acupuncture, over-the-counter items, and chronic illness meal benefits with no copay and no coinsurance. Highly integrated services for dual eligible SNPs and other unspecified services are not covered under this benefit.

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