Wellcare Dual Reserve (HMO-POS D-SNP)

Wellcare Dual Reserve (HMO-POS D-SNP) is a HMO-POS D-SNP plan offered by Buckeye Community Health Plan, Inc. available for the 2026 plan year 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 Dual Reserve (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 Reserve (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 Reserve (HMO-POS D-SNP) prescription drug plan has an annual deductible of $615. For Tier 6 select care drugs, you will pay no copay at standard, preferred, or mail-order pharmacies. Additionally, you can secure a three-month supply of Tier 1 preferred generics and Tier 2 generics with no copay when using preferred mail-order services. For brand-name and specialty medications, costs shift to coinsurance and copays, such as a 23% to 24% coinsurance for Tier 3 preferred brands. Tier 4 non-preferred drugs require a $100 copay for a one-month supply, while Tier 5 specialty drugs incur a 25% coinsurance. Choosing preferred pharmacies and mail-order options generally offers the lowest out-of-pocket costs for your prescriptions under this plan.

Additional Benefits

The Wellcare Dual Reserve (HMO-POS D-SNP) plan offers robust medical coverage with no copay for primary care visits and a $25 copay for specialist consultations. Emergency room visits require a $150 copay, while inpatient hospital stays incur a $300 daily copay for the first seven days before transitioning to no copay for days eight through 90. Outpatient services are also highly accessible, featuring no coinsurance and outpatient hospital copays ranging from no copay up to $275. This plan also provides strong supplemental benefits, including no copay for routine dental, vision, and hearing exams, alongside generous annual allowances of $3,000 for dental care and $400 for eyewear. Members benefit from no copay on home health services and up to 12 free one-way transportation trips per year to plan-approved locations. Additionally, over-the-counter items are covered with no copay, while durable medical equipment is available with no copay and a 20% coinsurance.

Plan Providers

Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, Health Care Service Corporation, HealthSpring^SM, HealthSun, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.