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Wellcare Dual Liberty (HMO D-SNP)

Benefits Summary and Overview

This page is a benefits summary and overview of key plan information for Wellcare Dual Liberty (HMO 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 (HMO D-SNP) in 2026, please refer to our full plan details page.

Wellcare Dual Liberty (HMO D-SNP) is a HMO D-SNP plan offered by Centene Corporation available for enrollment in 2025 to people living in Select counties in TX. This plan received an overall rating of 4 out of 5 stars in 2026.

It's important to know that Wellcare Dual Liberty (HMO 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 (HMO 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 (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.

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

Monthly Premium

The Monthly Premium for this plan is $4.80. 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 $520.00 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 (HMO D-SNP)

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Drug Coverage IconDrug Coverage

The Wellcare Dual Liberty (HMO D-SNP) prescription drug plan features an annual drug deductible of $520. For Tier 1 preferred generic and Tier 2 generic medications, copays range from $18 to $20 for a one-month supply, but you can enjoy no copay for a three-month supply when using preferred mail order. Additionally, Tier 6 select care drugs are highly accessible with no copay required for any supply duration at standard or preferred pharmacies. For brand-name and specialized medications, costs are structured as coinsurance. Tier 3 preferred brands require 20% coinsurance, Tier 4 non-preferred drugs require 30% coinsurance, and Tier 5 specialty tier drugs carry a 25% coinsurance for a one-month supply. Understanding these tier structures can help you estimate your out-of-pocket costs and maximize your savings with this Wellcare plan.

Additional Benefits IconAdditional Benefits

The Wellcare Dual Liberty (HMO D-SNP) offers robust coverage with low out-of-pocket costs, featuring no copay and a 20% coinsurance for primary care, specialist visits, and outpatient services. Inpatient hospital stays require a $1,920 copayment per stay with no coinsurance, while emergency services have a $115 copay that is waived if you are admitted. Additionally, skilled nursing facility care is highly affordable, offering no copay for days 1 to 20 and days 71 to 100. This plan also provides excellent supplemental benefits, including preventive and comprehensive dental care, home health services, and over-the-counter items with no copay and no coinsurance. Routine vision and hearing exams are covered with no copay and a 20% coinsurance, alongside generous annual allowances of $400 for eyewear and up to $1,000 per ear for prescription hearing aids. Members also benefit from no copay and no coinsurance for up to 48 one-way transportation trips per year to plan-approved locations.

Inpatient Hospital See details

Wellcare Dual Liberty (HMO D-SNP) covers inpatient acute and psychiatric hospital stays with a $1,920.00 copayment per stay and no coinsurance, with prior authorization required. This benefit is partially covered, as additional days, upgrades, and non-Medicare-covered stays are not covered.

Outpatient Services See details

Wellcare Dual Liberty (HMO D-SNP) covers outpatient services 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 several of these outpatient services, and there is no deductible for outpatient blood services.

Partial Hospitalization See details

Wellcare Dual Liberty (HMO D-SNP) covers partial hospitalization services with no copay and a 20% coinsurance. Prior authorization is required for these covered services.

Ambulance and Transportation Services See details

Wellcare Dual Liberty (HMO 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 and no coinsurance for up to 48 one-way trips per year to plan-approved locations, though transportation to any health-related location is not covered.

Emergency Services See details

Wellcare Dual Liberty (HMO D-SNP) covers emergency services with a $115 copay and no coinsurance, and urgently needed services with a $40 copay and no coinsurance, with both copays waived if you are admitted to the hospital within 24 hours. Worldwide emergency and urgent services are partially covered up to a $50,000 lifetime maximum with a $115 copay and no coinsurance, though worldwide emergency transportation is not covered.

Primary Care See details

Wellcare Dual Liberty (HMO D-SNP) covers primary care, specialist, therapy, and mental health services with no copay and 20% coinsurance. Chiropractic services are partially covered, offering routine care with no copay and no coinsurance, while other chiropractic services are not covered. Podiatry services feature no copay and no coinsurance, while telehealth benefits carry a $0 to $40 copay and 20% coinsurance.

Preventive Services See details

Wellcare Dual Liberty (HMO D-SNP) covers annual physical exams, memory fitness, remote access technologies, PERS, and alternative therapies with no copay and no coinsurance, while other supplemental benefits like health education, nutritional therapy, and in-home support are not covered. Kidney disease education and screenings for glaucoma, diabetes, digital rectal exams, and post-welcome-visit EKGs are covered with no copay and a 20% coinsurance.

Hearing Services See details

Wellcare Dual Liberty (HMO D-SNP) partially covers hearing services with no deductible, offering one routine exam annually with a 20% coinsurance and no copay, and one fitting evaluation with no copay or coinsurance. Prescription hearing aids are covered up to $1,000 per ear every year with no copay or coinsurance, though OTC hearing aids and inner ear, outer ear, and over the ear prescription devices are not covered.

Vision Services See details

Wellcare Dual Liberty (HMO D-SNP) vision services are partially covered, offering one annual routine eye exam with no copay and a 20% coinsurance, though other eye exam services are not covered. Eyewear is covered up to a $400 annual limit with no deductible and no copays, featuring no coinsurance for eyeglasses and a 20% coinsurance for contact lenses.

Dental Services See details

Wellcare Dual Liberty (HMO D-SNP) dental services are partially covered, offering preventive and comprehensive dental care with no copay and no coinsurance, though prior authorization is required. Medicare-covered dental services are available with no copay and a 20% coinsurance, but maxillofacial prosthetics, implant services, and orthodontics are not covered.

Home Infusion bundled Services See details

Home infusion bundled services are covered by Wellcare Dual Liberty (HMO D-SNP) with no copay, requiring prior authorization and step therapy. Under this plan, Medicare Part B insulin has a $35 copay and no coinsurance, while chemotherapy and other Part B drugs are covered with no copay and 0% to 20% coinsurance.

Dialysis Services See details

Dialysis Services are covered under the Wellcare Dual Liberty (HMO D-SNP) plan with no copay and a 15% coinsurance.

Medical Equipment See details

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

Diagnostic and Radiological Services See details

Diagnostic and radiological services are covered by Wellcare Dual Liberty (HMO D-SNP) with no copay and a 20% coinsurance, subject to prior authorization. Covered services include outpatient diagnostic procedures, lab services, diagnostic and therapeutic radiological services, and outpatient X-rays.

Home Health Services See details

Wellcare Dual Liberty (HMO D-SNP) covers home health services with no copay and no coinsurance, though prior authorization is required.

Cardiac Rehabilitation Services See details

Cardiac Rehabilitation Services are covered by Wellcare Dual Liberty (HMO D-SNP) with no copay, but only some services are covered in practice. Specifically, cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) are not covered and carry a 20% coinsurance.

Skilled Nursing Facility (SNF) See details

Wellcare Dual Liberty (HMO D-SNP) covers Skilled Nursing Facility (SNF) services with no coinsurance, requiring prior authorization and no prior three-day hospital stay. There is no copay for days 1 to 20 and days 71 to 100, while days 21 to 70 require a $218 daily copay, with no coverage provided for additional days beyond the standard 100-day limit.

Other Services See details

Other services are partially covered by Wellcare Dual Liberty (HMO D-SNP), featuring over-the-counter (OTC) items and chronic illness meal benefits with no copay and no coinsurance. Acupuncture is not covered, and the meal benefit requires a referral.

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