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Wellcare Dual Liberty Sync (HMO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Wellcare Dual Liberty Sync (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 Sync (HMO D-SNP) in 2026, please refer to our full plan details page.
Wellcare Dual Liberty Sync (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. This plan received an overall rating of 4 out of 5 stars in 2026.
It's important to know that Wellcare Dual Liberty Sync (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 Sync (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.
Key Plan Facts
Below are a few key facts and commonly-asked questions about Wellcare Dual Liberty Sync (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 Sync (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 $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:
Specialist Visits:
Emergency Room:
Urgent Care:
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Drug Coverage
The Wellcare Dual Liberty Sync (HMO D-SNP) prescription drug plan features an annual drug deductible of $615. For Tier 6 select care drugs, you will pay no copay across all pharmacies and mail-order options. Tier 1 preferred generics and Tier 2 generics offer low copays starting at $18 and $19 respectively for a one-month supply, with no copay for a three-month supply when using preferred mail order. For brand-name and specialty medications, Tier 3 preferred brands and Tier 5 specialty drugs require a 25% coinsurance. Tier 4 non-preferred drugs carry a copay of $100 for a one-month supply at both preferred and standard pharmacies. This structure ensures predictable costs for generic medications while utilizing coinsurance for higher-tier prescription drugs.
Additional Benefits
The Wellcare Dual Liberty Sync (HMO D-SNP) offers comprehensive medical coverage with predictable cost-sharing, featuring no copays for primary care and specialist visits alongside a 20% coinsurance. Inpatient hospital stays require a $2,010 copay per admission with no coinsurance, while emergency care carries a $115 copay. Outpatient treatments, diagnostic tests, and durable medical equipment generally feature no copay and a 20% coinsurance. Supplemental benefits include dental care with no copay or coinsurance up to a $4,000 annual maximum, alongside a $400 yearly allowance for eyewear. Members also benefit from no copay and no coinsurance for home health services, routine podiatry, and up to 48 one-way transportation trips per year. Fitting evaluations and prescription hearing aids are also covered with no copay or coinsurance.
Inpatient Hospital See details
Wellcare Dual Liberty Sync (HMO D-SNP) covers inpatient acute and psychiatric hospital stays with a $2,010 copayment per admission and no coinsurance, though prior authorization is 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 Sync (HMO D-SNP) outpatient services are covered with no copay, though a 20% coinsurance applies to outpatient hospital, ambulatory surgical center, and outpatient substance abuse services. Prior authorization is required for many of these outpatient treatments, and outpatient blood services feature no deductible with the cost of the first three pints waived.
Partial Hospitalization See details
Partial hospitalization is covered by Wellcare Dual Liberty Sync (HMO D-SNP) with no copay and a 20% coinsurance. Prior authorization is required for these services.
Ambulance and Transportation Services See details
Wellcare Dual Liberty Sync (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 Sync (HMO D-SNP) covers emergency services with a $115 copay and urgently needed services with a $40 copay, both featuring no coinsurance and copay waivers if admitted to the hospital within 24 hours. Worldwide emergency and urgent care are partially covered up to a maximum of $50,000 with a $115 copay and no coinsurance, though worldwide emergency transportation is not covered.
Primary Care See details
Wellcare Dual Liberty Sync (HMO D-SNP) covers primary care, specialist visits, therapy, and mental health services with no copay and 20% coinsurance. Chiropractic care is partially covered, offering routine visits with no copay or coinsurance while other chiropractic services are not covered. Routine podiatry has no copay or coinsurance, and telehealth benefits carry a $0 to $40 copay with 20% coinsurance.
Preventive Services See details
Wellcare Dual Liberty Sync (HMO D-SNP) offers preventive services with no copay and no coinsurance for annual physicals, alternative therapies, memory fitness, and remote access technologies. Kidney disease education, glaucoma screenings, diabetes self-management, digital rectal exams, and post-welcome visit EKGs are covered with no copay and a 20% coinsurance. Additional preventive benefits are partially covered, excluding health education, in-home safety assessments, PERS, medical nutrition therapy, post-discharge medication reconciliation, readmission prevention, chemotherapy wigs, weight management, therapeutic massage, adult day health, nutritional benefits, palliative care, in-home support, caregiver support, tobacco cessation counseling, disease management, telemonitoring, home modifications, and counseling.
Hearing Services See details
Hearing Services covered by the Wellcare Dual Liberty Sync (HMO D-SNP) include routine hearing exams with a 20% coinsurance and no copay, as well as fitting evaluations and prescription hearing aids with no copays or coinsurance. This benefit is partially covered, as OTC hearing aids and inner ear, outer ear, and over-the-ear prescription hearing aids are not covered.
Vision Services See details
Wellcare Dual Liberty Sync (HMO D-SNP) provides partially covered vision services with no deductibles, including no copay for eyewear and one routine eye exam per year, though a 20% coinsurance applies to routine exams and contact lenses. A combined maximum benefit of $400 per year is available for eyewear, while other eye exam services are not covered.
Dental Services See details
Wellcare Dual Liberty Sync (HMO D-SNP) features partially covered dental services, which include Medicare-covered dental care with no copay and a 20% coinsurance. Preventive and comprehensive dental services are available with no copay and no coinsurance up to a $4,000 annual maximum, though 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 Sync (HMO D-SNP) with no copay, though prior authorization is required. Under this benefit, Medicare Part B insulin requires a $35 copay and no coinsurance, while Part B chemotherapy and other drugs have a 0% to 20% coinsurance and no copay.
Dialysis Services See details
Dialysis services are covered by Wellcare Dual Liberty Sync (HMO D-SNP) with no copay and a 15% coinsurance.
Medical Equipment See details
Wellcare Dual Liberty Sync (HMO D-SNP) covers durable medical equipment, prosthetics, medical supplies, and diabetic equipment 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 D-SNP) covers diagnostic and radiological services with no copay and a 20% coinsurance, subject to prior authorization requirements. Covered benefits include outpatient diagnostic procedures, lab services, therapeutic and diagnostic radiological services, and X-rays.
Home Health Services See details
Home health services are covered by Wellcare Dual Liberty Sync (HMO D-SNP) with no copay and no coinsurance. Prior authorization is required to receive these services.
Cardiac Rehabilitation Services See details
Wellcare Dual Liberty Sync (HMO D-SNP) covers some cardiac rehabilitation services with no copay, although specific services including cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) for peripheral artery disease (PAD) are not covered and require a 20% coinsurance.
Skilled Nursing Facility (SNF) See details
Wellcare Dual Liberty Sync (HMO D-SNP) covers Skilled Nursing Facility (SNF) services with no coinsurance and no prior three-day hospital stay requirement, though prior authorization is required. There is no copay for days 1 to 20 and days 71 to 100, a $218 daily copay for days 21 to 70, and additional days beyond the Medicare-covered limit are not covered.
Other Services See details
Wellcare Dual Liberty Sync (HMO D-SNP) provides partial coverage for other services, including over-the-counter items and chronic illness meal benefits with no copay and no coinsurance. Acupuncture and other additional services are not covered, and a referral is required to access the meal benefit.
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