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 $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.
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The Wellcare Dual Liberty Sync (HMO D-SNP) prescription drug plan features an annual drug deductible of $615. For Tier 1 preferred generic drugs, you will pay as little as a $4 copay for a one-month supply at preferred pharmacies, while Tier 2 generic drugs start at a $19 copay. You can also maximize your savings with no copay on three-month supplies of Tier 1 and Tier 2 medications when using preferred mail order. For higher-tier medications, Tier 3 preferred brands require a 20% coinsurance, while Tier 5 specialty drugs carry a 25% coinsurance for a one-month supply. Tier 4 non-preferred drugs have a flat $100 copay for a one-month supply at both standard and preferred pharmacies. Notably, this plan provides no copay for Tier 6 select care drugs regardless of whether you use standard, preferred, or mail-order pharmacies.
The Wellcare Dual Liberty Sync (HMO D-SNP) offers comprehensive healthcare coverage with predictable out-of-pocket costs, including inpatient hospital stays that require a copayment of $2,140 per admission and no coinsurance. For outpatient services, primary care, and specialist visits, members generally pay no copay and a 20% coinsurance. Emergency care is available with a $115 copay, while urgently needed services require a $40 copay, both featuring no coinsurance. This plan also features valuable supplemental benefits, such as dental care with no copay or coinsurance up to a $4,000 annual limit and vision services covering eyewear up to a $400 limit with a 20% coinsurance and no copay. Additionally, members benefit from hearing aid coverage up to $1,000 per ear with no copay or coinsurance, alongside 48 free one-way transportation trips per year to approved locations. Other perks include home health services, over-the-counter items, and chronic illness meals all provided with no copay and no coinsurance.
Wellcare Dual Liberty Sync (HMO D-SNP) covers inpatient acute hospital stays with a $2,140 copayment per admission and inpatient psychiatric stays with a $2,080 copayment per admission, both featuring no coinsurance and requiring prior authorization. This benefit is partially covered as additional days, upgrades, and non-Medicare-covered stays are not covered.
Wellcare Dual Liberty Sync (HMO D-SNP) covers outpatient services—including outpatient hospital, ambulatory surgical center, substance abuse, and blood services—with no copay and a 20% coinsurance. Prior authorization is required for outpatient hospital, ambulatory surgical center, and outpatient substance abuse services.
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.
Wellcare Dual Liberty Sync (HMO D-SNP) covers ground and air ambulance services with a 20% coinsurance and no copay, subject to prior authorization. The plan also covers up to 48 one-way transportation trips per year to plan-approved locations with no copay and no coinsurance, though transportation to any health-related location is not covered.
Emergency services are covered by Wellcare Dual Liberty Sync (HMO D-SNP) with a $115 copay and no coinsurance, while urgently needed services require a $40 copay and no coinsurance. 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, offering routine care for up to 24 visits per year with no copay and no coinsurance, while other chiropractic services are not covered. Podiatry services feature no copay and no coinsurance for up to 6 routine visits, while telehealth services require a $0 to $40 copay and 20% coinsurance.
Wellcare Dual Liberty Sync (HMO D-SNP) covers preventive services with no copay and no coinsurance for annual physical exams, alternative therapies, memory fitness, and remote access technologies. Kidney disease education and specific screenings require a 20% coinsurance and no copay, while several options like health education, in-home safety assessments, and personal emergency response systems are not covered.
Wellcare Dual Liberty Sync (HMO D-SNP) provides partially covered hearing services with no deductible, featuring no copay for Medicare-covered exams and fitting evaluations, alongside a 20% coinsurance and no copay for one routine annual exam. Up to two prescription hearing aids are covered yearly with no copay or coinsurance up to $1,000 per ear, though OTC, inner ear, outer ear, and over-the-ear hearing aids are not covered.
Wellcare Dual Liberty Sync (HMO D-SNP) partially covers vision services, excluding other eye exam services, with no deductibles. Covered routine eye exams (limited to one per year) and eyewear—such as glasses and contacts up to a $400 annual limit—have no copay, but are subject to a 20% coinsurance and prior authorization.
Wellcare Dual Liberty Sync (HMO D-SNP) provides partially covered dental services with no copay and 20% coinsurance for Medicare-covered care, and no copay or coinsurance for preventive and comprehensive benefits up to a $4,000 annual limit. Maxillofacial prosthetics, implant services, and orthodontics are not covered under this plan, and prior authorization is required for most services.
Wellcare Dual Liberty Sync (HMO D-SNP) covers Home Infusion bundled Services with no copay and no coinsurance, though prior authorization is required. Medicare Part B chemotherapy and other Part B drugs have a 0% to 20% coinsurance and no copay, while Part B insulin is covered with a $35 copay and no coinsurance.
Wellcare Dual Liberty Sync (HMO D-SNP) covers Dialysis Services with no copay and a 15% coinsurance.
Wellcare Dual Liberty Sync (HMO D-SNP) covers medical equipment, including durable medical equipment, prosthetics, and diabetic supplies, 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 are covered under the Wellcare Dual Liberty Sync (HMO D-SNP) with no copay and a 20% coinsurance, though prior authorization is required. This coverage applies to outpatient diagnostic procedures, lab services, therapeutic radiological services, and outpatient X-rays.
Home Health Services are covered by Wellcare Dual Liberty Sync (HMO D-SNP) with no copay and no coinsurance, although prior authorization is required.
Wellcare Dual Liberty Sync (HMO D-SNP) covers some cardiac rehabilitation services with no copay, but key sub-services are not covered. Specifically, standard cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for peripheral artery disease (PAD) are not covered and require a 20% coinsurance.
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 to 20 and days 71 to 100, a $218 copay for days 21 to 70, and additional days beyond the Medicare-covered limit are not covered.
Other services under the Wellcare Dual Liberty Sync (HMO D-SNP) are partially covered, offering over-the-counter (OTC) items and chronic illness meal benefits with no copay and no coinsurance, while acupuncture is not covered. The meal benefit requires a referral, and OTC items are delivered via reimbursement.
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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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