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.
Below are a few key facts and commonly-asked questions about Wellcare Dual Liberty Sync (HMO D-SNP).
The cost of a Medicare Advantage Plan is made up of four main parts.
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 $580.00 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.
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
The Wellcare Dual Liberty Sync (HMO D-SNP) plan features an annual drug deductible of $580. For maximum prescription savings, Tier 6 select care drugs have no copay across all pharmacies and mail-order services. Additionally, you can secure no copay on Tier 1 preferred generic and Tier 2 generic medications when ordering a three-month supply through a preferred mail-order pharmacy. For other drug tiers, one-month copays at preferred pharmacies start at $18 for Tier 1 preferred generics and $19 for Tier 2 generics. Tier 3 preferred brand drugs require a 20% coinsurance, while Tier 4 non-preferred drugs carry a $100 copay for a one-month supply. Specialty medications in Tier 5 are covered with a 25% coinsurance for a one-month supply.
The Wellcare Dual Liberty Sync (HMO D-SNP) offers comprehensive healthcare coverage, featuring no copays for primary, specialist, and outpatient care, though a 20% coinsurance generally applies. Inpatient hospital stays require a copay of $2,090 for acute care or $2,080 for psychiatric care with no coinsurance, while emergency room visits incur a $115 copay. Skilled nursing facility care is covered with no copay for days 1 to 20, and home health services are fully covered with no copay or coinsurance. This plan also provides valuable supplemental benefits, including preventive and comprehensive dental care up to $4,000 annually, routine eye exams, and prescription hearing aids up to $1,000 per ear with no copays. Additionally, members can access over-the-counter items and up to 48 one-way transportation trips to plan-approved locations with no copay or coinsurance. Diagnostic services, medical equipment, and dialysis are also covered, typically requiring no copay and a 15% to 20% coinsurance.
Wellcare Dual Liberty Sync (HMO D-SNP) partially covers inpatient hospital services with no coinsurance, requiring a $2,090 copay per acute stay and a $2,080 copay per psychiatric stay. Prior authorization is required, and additional days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient services under the Wellcare Dual Liberty Sync (HMO D-SNP) plan are covered with no copay and a 20% coinsurance for outpatient hospital, ambulatory surgical center, outpatient substance abuse, and blood services. Prior authorization is required for most of these outpatient services, and there is no deductible for blood services.
Wellcare Dual Liberty Sync (HMO D-SNP) covers partial hospitalization with no copay and a 20% coinsurance. Prior authorization is required for these services.
Wellcare Dual Liberty Sync (HMO D-SNP) covers ground and air ambulance services with a 20% coinsurance and no copay, subject to 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.
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 waived copays if admitted to the hospital within 24 hours. Worldwide emergency and urgent services are partially covered up to a $50,000 maximum benefit with a $115 copay and no coinsurance, but worldwide emergency transportation is not covered.
Wellcare Dual Liberty Sync (HMO D-SNP) covers primary care, specialist, therapy, and mental health services with no copay and a 20% coinsurance. Chiropractic services are partially covered with no copay and no coinsurance for up to 24 routine visits per year, while other chiropractic services are not covered.
Wellcare Dual Liberty Sync (HMO D-SNP) preventive services are partially covered, offering annual physicals, alternative therapies, and memory fitness with no copay and no coinsurance. Kidney education and screenings like glaucoma and diabetes training have no copay and a 20% coinsurance, while several sub-services—including health education, weight management, therapeutic massage, and in-home safety assessments—are not covered.
Hearing services are partially covered by Wellcare Dual Liberty Sync (HMO D-SNP), offering routine hearing exams with a 20% coinsurance and no copay, and fitting evaluations with no copay or coinsurance. Prescription hearing aids are covered with no copay or coinsurance up to $1,000 per ear annually, but OTC hearing aids and inner-ear, outer-ear, and over-the-ear prescription hearing aids are not covered.
Vision services are partially covered by Wellcare Dual Liberty Sync (HMO D-SNP), offering one routine eye exam per year with no copay and 20% coinsurance, while other eye exam services are not covered. Covered eyewear, including eyeglasses and contact lenses, has no copay and is subject to a $400 annual maximum, with contact lenses requiring a 20% coinsurance.
Wellcare Dual Liberty Sync (HMO D-SNP) offers partially covered dental services, featuring no copay and a 20% coinsurance for Medicare-covered dental, and no copay and no coinsurance for preventive and most comprehensive services up to a $4,000 yearly limit. Maxillofacial prosthetics, implant services, and orthodontics are not covered.
Wellcare Dual Liberty Sync (HMO D-SNP) covers home infusion bundled services with no copay, though prior authorization is required. Medicare Part B insulin drugs are covered with a $35 copay and no coinsurance, while chemotherapy and other Part B drugs require 0% to 20% coinsurance.
Wellcare Dual Liberty Sync (HMO D-SNP) covers dialysis services with no copay and a 15% coinsurance.
Medical Equipment benefits under the Wellcare Dual Liberty Sync (HMO D-SNP) are covered with no copay and a 20% coinsurance, with prior authorization required for most items. This benefit covers durable medical equipment, prosthetics, medical supplies, and diabetic services, though diabetic supplies are limited to specified manufacturers.
Wellcare Dual Liberty Sync (HMO D-SNP) covers diagnostic and radiological services, including lab services, diagnostic procedures, therapeutic radiology, and outpatient X-rays, with no copay and a 20% coinsurance. Prior authorization is required for all of these covered services.
Wellcare Dual Liberty Sync (HMO D-SNP) covers home health services with no copay and no coinsurance. Prior authorization is required to access this benefit.
Cardiac Rehabilitation Services are covered by Wellcare Dual Liberty Sync (HMO D-SNP) with no copay, though only some services are covered in practice. Standard cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) rehabilitation services are not covered and require a 20% coinsurance.
Skilled Nursing Facility (SNF) care is covered by Wellcare Dual Liberty Sync (HMO D-SNP) with no coinsurance, requiring prior authorization but no prior three-day inpatient hospital stay. There is no copay for days 1 to 20 and days 71 to 100, while a $218 daily copay applies for days 21 to 70, up to the 100-day Medicare limit.
Other services are partially covered by Wellcare Dual Liberty Sync (HMO D-SNP), which offers over-the-counter (OTC) items and chronic illness meal benefits with no copay and no coinsurance. Acupuncture is not covered under these services, and the meal benefit requires a referral.
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* Benefit(s) mentioned may be part of a special supplemental program for chronically ill members with one of the following conditions: Diabetes mellitus, Cardiovascular disorders, Chronic and disabling mental health conditions, Chronic lung disorders, Chronic heart failure. This is not a complete list of qualifying conditions. Having a qualifying condition alone does not mean you will receive the benefit(s). Other requirements may apply.
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