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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.

Overview IconKey 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:

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 D-SNP)

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Drug Coverage IconDrug Coverage

The Wellcare Dual Liberty Sync (HMO D-SNP) prescription drug plan features an annual drug deductible of $615. For Tier 1 preferred generics and Tier 2 generics, copays range from $18 to $20 for a one-month supply at retail pharmacies, but you can get a three-month supply with no copay when using preferred mail order. Select Care drugs in Tier 6 also offer no copay for a one-month supply at preferred retail pharmacies and through preferred mail order. Tier 3 preferred brand drugs and Tier 5 specialty drugs require a 25% coinsurance payment across standard and preferred networks. Tier 4 non-preferred drugs carry a higher flat copay starting at $100 for a one-month supply at both preferred and standard pharmacies. This plan provides structured drug coverage options that help lower out-of-pocket prescription expenses through preferred mail-order services and select pharmacies.

Additional Benefits IconAdditional Benefits

The Wellcare Dual Liberty Sync (HMO D-SNP) offers comprehensive medical coverage, featuring no copay and a 20% coinsurance for outpatient services, diagnostic tests, medical equipment, and primary or specialist care. Inpatient hospital stays require copayments of $2,180 per acute admission and $2,080 per psychiatric admission, while skilled nursing facility stays offer no copay for days 1 through 20 and days 71 through 100. Emergency care is available with a $115 copay, which is waived if you are admitted to the hospital within 24 hours. This plan also includes valuable supplemental benefits, such as preventive and comprehensive dental care with no copay or coinsurance up to a $4,000 annual limit. Members benefit from no copay on routine physicals, home health services, and up to 48 one-way transportation trips per year to approved locations. Additionally, the plan covers routine hearing and vision exams, provides up to $1,000 per ear annually for hearing aids, and offers a $400 yearly allowance for eyewear.

Inpatient Hospital See details

Inpatient hospital services are partially covered by Wellcare Dual Liberty Sync (HMO D-SNP), requiring prior authorization and no coinsurance for Medicare-covered stays. There is a copayment of $2,180 per admission for acute care and $2,080 per admission for psychiatric care, but additional days, upgrades, and non-Medicare-covered stays are not covered.

Outpatient Services See details

Wellcare Dual Liberty Sync (HMO D-SNP) covers outpatient services, including outpatient hospital, ambulatory surgical center, outpatient substance abuse, and outpatient blood services, with no copays and a 20% coinsurance. Prior authorization is required for outpatient hospital, ambulatory surgical center, and outpatient substance abuse services.

Partial Hospitalization See details

Partial hospitalization services are 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

Ambulance and transportation services are covered by Wellcare Dual Liberty Sync (HMO D-SNP), with Medicare-approved ground and air ambulance services requiring a 20% coinsurance and no copay. Transportation services are partially covered, offering up to 48 one-way trips per year to plan-approved locations with no copay or coinsurance, while transportation to any health-related location is not covered.

Emergency Services See details

Wellcare Dual Liberty Sync (HMO D-SNP) covers emergency services for a $115 copay and urgently needed services for a $40 copay, with no coinsurance for either service and copays waived if admitted to the hospital within 24 hours. Worldwide emergency and urgent care are partially covered up to a $50,000 limit 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, therapy, and mental health services with no copay and 20% coinsurance, while telehealth has a $0 to $40 copay and 20% coinsurance. Podiatry features no copay and no coinsurance, and chiropractic services are partially covered, providing routine care with no copay and no coinsurance but excluding other chiropractic services.

Preventive Services See details

Wellcare Dual Liberty Sync (HMO D-SNP) covers annual physical exams, alternative therapies, memory fitness, and remote access technologies with no copay and no coinsurance. Other preventive services like kidney disease education, glaucoma screenings, and diabetes training are covered with no copay and a 20% coinsurance, but the benefit is only partially covered as services such as health education, weight management, and in-home safety assessments are not covered.

Hearing Services See details

Wellcare Dual Liberty Sync (HMO D-SNP) covers hearing services, offering routine hearing exams with a 20% coinsurance and no copay, and hearing aid evaluations with no copay or coinsurance. Prescription hearing aids are partially covered with no copay or coinsurance up to $1,000 per ear annually, but OTC hearing aids as well as inner ear, outer ear, and over the ear prescription hearing aids are not covered.

Vision Services See details

Vision services through Wellcare Dual Liberty Sync (HMO D-SNP) are partially covered, featuring no copay and a 20% coinsurance for one annual routine eye exam, while other eye exam services are not covered. Covered eyewear options including eyeglasses and upgrades have no copay, contact lenses require a 20% coinsurance, and all eyewear is subject to a $400 yearly limit with prior authorization required.

Dental Services See details

Dental services are partially covered by Wellcare Dual Liberty Sync (HMO D-SNP), which offers Medicare-covered dental services with no copay and a 20% coinsurance. Preventive and comprehensive dental benefits have no copay and no coinsurance up to a $4,000 annual maximum, although 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 and step therapy apply. Under this plan, Part B insulin drugs require 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 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 medical equipment—including durable medical equipment, prosthetics, medical supplies, and diabetic equipment—with no copay and a 20% coinsurance. Prior authorization is required for these covered services, 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, including lab services, diagnostic tests, therapeutic radiology, and outpatient X-rays, with prior authorization required. Members will pay no copay and a 20% coinsurance for these covered services.

Home Health Services See details

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

Cardiac Rehabilitation Services See details

Wellcare Dual Liberty Sync (HMO D-SNP) covers Cardiac Rehabilitation Services with no copay, though some services are covered while cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) services 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, requiring prior authorization but no prior three-day inpatient hospital stay. There is no copay for days 1 through 20 and days 71 through 100, while days 21 through 70 require a $218 daily copay, with additional days beyond the standard 100 days not covered.

Other Services See details

Wellcare Dual Liberty Sync (HMO D-SNP) partially covers other services, providing over-the-counter (OTC) items and a meal benefit for chronic illness (referral required) with no copay and no coinsurance. Acupuncture and other miscellaneous services are not covered under this plan.

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