Wellcare Dual Access (HMO-POS D-SNP)

Wellcare Dual Access (HMO-POS D-SNP) is a HMO-POS D-SNP plan offered by Centene Corporation available for enrollment in 2025 to people living in All counties in CT. This plan received an overall rating of 3.5 out of 5 stars in 2026.

It's important to know that Wellcare Dual Access (HMO-POS D-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.

Key Plan Facts

Below are a few key facts and commonly-asked questions about Wellcare Dual Access (HMO-POS 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.

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:

Drug Coverage

The Wellcare Dual Access (HMO-POS D-SNP) prescription drug plan features an annual drug deductible of $550. Under this plan, Tier 1 preferred generics and Tier 2 generics are highly affordable, with 1-month copays starting at $18 and $19 respectively when using a preferred pharmacy. You can also maximize your savings by utilizing preferred mail order services, which offer no copay for a 3-month supply of both Tier 1 and Tier 2 drugs. For higher-tier medications, the plan charges coinsurance, including 20% for Tier 3 preferred brands, 32% for Tier 4 non-preferred drugs, and 25% for Tier 5 specialty drugs. Notably, Tier 6 select care drugs are fully covered with no copay across all filling options, including preferred and standard pharmacies as well as mail order. This structure helps beneficiaries manage their healthcare budgets by offering clear, predictable costs based on their specific medication needs.

Additional Benefits

The Wellcare Dual Access (HMO-POS D-SNP) plan offers comprehensive medical coverage, though cost-sharing applies to several key services. Inpatient hospital stays require a copay of $2,225 per admission for acute care, while outpatient services, primary care, and specialist visits generally feature a 20% coinsurance with no copay. Emergency care is available with a $115 copay, which is waived if you are admitted to the hospital within 24 hours. For routine care, the plan provides annual physicals, fitness benefits, and home health services with no copay and no coinsurance. Dental benefits cover preventive and comprehensive services up to a $1,000 annual maximum with no copay, but vision and hearing benefits are limited as eyewear and hearing aids are not covered. Skilled nursing facility stays also offer no copay for days 1 to 20 and 71 to 100, though a $218 daily copay applies for days 21 to 70.