Wellcare Superior HealthPlan Dual Align (HMO D-SNP)

Wellcare Superior HealthPlan Dual Align (HMO D-SNP) is a HMO D-SNP plan offered by Centene Corporation available for enrollment in 2026 to people living in Select counties in TX. The overall rating for this plan is not yet available for 2026.

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

Key Plan Facts

Below are a few key facts and commonly-asked questions about Wellcare Superior HealthPlan Dual Align (HMO 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.

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:

Drug Coverage

The Wellcare Superior HealthPlan Dual Align (HMO D-SNP) features an annual drug deductible of $500. Members pay no copay for Tier 6 select care drugs across all retail and mail order delivery options. Tier 1 preferred generic drugs start at an $8 copay at preferred pharmacies, while both Tier 1 and Tier 2 generic medications offer no copay for a three-month supply when using preferred mail order. For brand-name and specialty prescriptions, Tier 3 preferred brand drugs require a 20% coinsurance and Tier 5 specialty medications carry a 25% coinsurance. Tier 4 non-preferred drugs require a $100 copay for a one-month supply at both preferred and standard retail pharmacies. Utilizing preferred pharmacies and mail-order services can help you minimize your out-of-pocket prescription costs under this plan.

Additional Benefits

The Wellcare Superior HealthPlan Dual Align (HMO D-SNP) offers robust coverage where many routine and outpatient services feature no copay and a standard 20% coinsurance, including primary care, specialist visits, outpatient hospital services, and diagnostic tests. For inpatient hospital stays, members pay a set copay per stay with no coinsurance, while skilled nursing facility care is covered with no copay for standard initial days. Emergency care requires a $115 copay, and urgent care is a $40 copay, both of which are waived if you are admitted to the hospital. This plan also provides valuable supplemental benefits, including preventive and comprehensive dental care, routine annual eye exams, and prescription hearing aids up to $1,000 per ear annually, all with no copays. Additionally, members can access up to 48 one-way transportation trips per year to plan-approved locations, home health services, and over-the-counter items with no copay or coinsurance. Coverage for medical equipment, diabetes supplies, and physical exams further ensures comprehensive support with minimal out-of-pocket costs.