Wellcare Assist (HMO-POS)

Wellcare Assist (HMO-POS) is a HMO-POS plan offered by Centene Corporation available for enrollment in 2025 to people living in Statewide in OH. This plan received an overall rating of 3 out of 5 stars in 2026.

It's important to know that Wellcare Assist (HMO-POS) 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 Assist (HMO-POS).

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 Assist (HMO-POS) plan features an annual prescription drug deductible of $615. Select Care Drugs in Tier 6 are highly accessible with no copay across all preferred and standard retail pharmacies as well as mail-order services. For Tier 1 Preferred Generics and Tier 2 Generics, copays start as low as $18 and $19 respectively for a one-month supply at preferred pharmacies, with no copay for a three-month supply filled through preferred mail order. Tier 3 Preferred Brand drugs require a 22% coinsurance, while Tier 5 Specialty drugs carry a 25% coinsurance for a one-month supply. Non-Preferred Drugs in Tier 4 have a flat copay starting at $100 for a one-month supply at both preferred and standard pharmacies. Utilizing preferred pharmacies and preferred mail-order options generally offers the lowest out-of-pocket costs for your prescription medications under this plan.

Additional Benefits

The Wellcare Assist (HMO-POS) plan offers comprehensive healthcare coverage with no copay and no coinsurance for primary care visits, home health services, and routine preventive care. For specialist visits, patients can expect low copays ranging from $5 to $25 with no coinsurance, while inpatient hospital stays require a $350 daily copay for the first seven days. Outpatient services and diagnostic tests are also highly accessible, featuring no coinsurance and copays starting at no copay. This plan also features excellent supplemental benefits, including dental coverage with no copay up to a $5,000 annual limit and a $300 annual allowance for routine eyewear. Members benefit from a $750 annual prescription hearing aid allowance per ear with no copay, as well as reimbursement for over-the-counter items. While many services feature no copay, some specialized needs like durable medical equipment and dialysis require a twenty percent coinsurance.