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 $615. Under this plan, Select Care Drugs in Tier 6 are highly affordable with no copay for preferred, standard, and mail-order options. For Tier 1 preferred generics and Tier 2 generics, copays start as low as $18 and $19 respectively for a one-month supply at preferred pharmacies, with no copay required for a three-month supply when using preferred mail order. For brand-name and specialty medications, costs shift to coinsurance or higher set copays. Tier 3 preferred brands require a 21% coinsurance, while Tier 5 specialty drugs incur a 25% coinsurance for a one-month supply. Tier 4 non-preferred drugs carry a flat copay of $100 for a one-month supply at both preferred and standard pharmacies.

Additional Benefits

The Wellcare Superior HealthPlan Dual Align (HMO D-SNP) provides robust medical coverage, featuring inpatient hospital stays with a $2,000 copay per admission and no coinsurance. Most outpatient services, specialist visits, diagnostic tests, and durable medical equipment require no copay and a 20% coinsurance. Emergency room visits carry a $115 copay, which is waived if admitted within 24 hours, while urgent care services require a $40 copay. For supplemental care, the plan offers routine dental, vision, and hearing services with no copay, though some of these services are subject to a 20% coinsurance. Members can also take advantage of home health services, fitness benefits, and over-the-counter items with no copay and no coinsurance. Additionally, up to 48 one-way transportation trips to plan-approved locations are covered per year with no copay or coinsurance.