Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Wellcare Dual Liberty (HMO-POS 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 (HMO-POS D-SNP) in 2026, please refer to our full plan details page.
Wellcare Dual Liberty (HMO-POS D-SNP) is a HMO-POS D-SNP plan offered by Centene Corporation available for enrollment in 2026 to people living in Select Counties in OH. This plan received an overall rating of 3 out of 5 stars in 2026.
It's important to know that Wellcare Dual Liberty (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.
Important:
Wellcare Dual Liberty (HMO-POS 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 (HMO-POS D-SNP).
The cost of a Medicare Advantage Plan is made up of four main parts.
For Wellcare Dual Liberty (HMO-POS D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $31.40. 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 $500.00 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 (HMO-POS D-SNP) Medicare plan features an annual drug deductible of $500. For Tier 1 preferred generic drugs, copays start as low as $18 for a one-month supply at a preferred pharmacy, with no copay for a three-month supply filled via preferred mail order. Tier 2 generic drug copays start at $19, and similarly offer no copay for a three-month supply through preferred mail order. Brand-name and specialty medications under this plan are subject to coinsurance rather than set copays, including 20% coinsurance for Tier 3 preferred brands and 32% coinsurance for Tier 4 non-preferred drugs. Tier 5 specialty drugs require a 25% coinsurance for a one-month supply. Additionally, Tier 6 select care drugs are covered with no copay across all standard and preferred pharmacies and mail-order options.
The Wellcare Dual Liberty (HMO-POS D-SNP) plan offers comprehensive medical coverage, featuring no copay and a 20% coinsurance for most outpatient, primary care, specialist, and diagnostic services. Inpatient hospital stays require a $1,775 copay per stay, while skilled nursing facility stays are covered with no copay for days 1 to 20 and days 71 to 100. Emergency care is available with a $115 copay, which is waived if you are admitted to the hospital. Additionally, the plan provides valuable supplemental benefits including dental, vision, and hearing care, many of which feature no copay and no coinsurance. Members can take advantage of up to 24 free one-way transportation trips to plan-approved locations, alongside allowances for eyewear, hearing aids, and over-the-counter items. Home health services and chronic illness meal benefits are also fully covered with no copay and no coinsurance.
Wellcare Dual Liberty (HMO-POS D-SNP) partially covers inpatient hospital services, requiring a $1,775 copayment per stay and no coinsurance for Medicare-covered acute and psychiatric stays, subject to prior authorization. Additional days, upgrades, and non-Medicare-covered stays are not covered under this benefit.
Wellcare Dual Liberty (HMO-POS D-SNP) covers outpatient hospital, ambulatory surgical center, outpatient substance abuse, and blood services with no copay and a 20% coinsurance. Prior authorization is required for outpatient hospital, ambulatory surgical center, and substance abuse services, while no deductible applies to blood services.
Partial hospitalization services are covered by Wellcare Dual Liberty (HMO-POS D-SNP) with no copay and a 20% coinsurance. Prior authorization is required for this benefit.
Ambulance and transportation services are covered by Wellcare Dual Liberty (HMO-POS D-SNP), featuring a 20% coinsurance and no copay for ground and air ambulance services. Transportation is partially covered with no copay or coinsurance for up to 24 one-way trips per year to plan-approved locations, though transportation to any health-related location is not covered.
Wellcare Dual Liberty (HMO-POS D-SNP) covers emergency services with a $115 copay and no coinsurance, and urgent care with a $40 copay and no coinsurance, both of which are waived if admitted to the hospital within 24 hours. Worldwide emergency and urgent services are partially covered up to a $50,000 limit with a $115 copay and no coinsurance, but worldwide emergency transportation is not covered.
Wellcare Dual Liberty (HMO-POS D-SNP) covers primary care, specialist, therapy, mental health, psychiatric, and opioid treatment services with no copay and 20% coinsurance, while chiropractic services are not covered. Podiatry services are covered with no copay and no coinsurance, and telehealth benefits are available with a $0.00 to $40.00 copay and 20% coinsurance.
Wellcare Dual Liberty (HMO-POS D-SNP) covers annual physical exams with no copay and no coinsurance, while kidney disease education and select screenings require no copay and a 20% coinsurance. Additional preventive services are partially covered with no copay and no coinsurance, but sub-services such as health education, weight management, therapeutic massage, nutritional training, and in-home safety assessments are not covered.
Wellcare Dual Liberty (HMO-POS D-SNP) offers partially covered hearing services with no deductible, featuring fitting evaluations and prescription hearing aids up to $1,500 per ear with no copay and no coinsurance. Routine hearing exams require a 20% coinsurance and no copay, while OTC hearing aids as well as inner ear, outer ear, and over the ear prescription hearing aids are not covered.
Wellcare Dual Liberty (HMO-POS D-SNP) vision services are partially covered, excluding other eye exam services, with no deductibles and prior authorization required. Routine eye exams are covered once yearly with no copay and 20% coinsurance, while eyewear is covered up to $500 annually with no copay and no coinsurance, except for contact lenses which require a 20% coinsurance.
Dental services are partially covered by Wellcare Dual Liberty (HMO-POS D-SNP), with Medicare-covered dental services requiring no copay and a 20% coinsurance, and other covered preventive and comprehensive dental services requiring no copay and no coinsurance. Prior authorization is required for most services, and maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home infusion bundled services are covered by Wellcare Dual Liberty (HMO-POS D-SNP) with no copay, while Medicare Part B insulin drugs require a $35 copay and no coinsurance. Other covered Medicare Part B drugs, including chemotherapy and radiation treatments, have a coinsurance ranging from 0% to 20%.
Wellcare Dual Liberty (HMO-POS D-SNP) covers dialysis services with no copay and a 20% coinsurance.
Wellcare Dual Liberty (HMO-POS D-SNP) covers medical equipment, including durable medical equipment, prosthetics, medical supplies, and diabetic equipment, with no copay and a 20% coinsurance. Prior authorization is required for these benefits, and diabetic supplies are limited to specified manufacturers.
Wellcare Dual Liberty (HMO-POS D-SNP) covers diagnostic and radiological services, including lab work, diagnostic procedures, therapeutic radiology, and X-rays, with no copay and a 20% coinsurance. Prior authorization is required for all of these covered services.
Home Health Services are covered by Wellcare Dual Liberty (HMO-POS D-SNP) with no copay and no coinsurance, although prior authorization is required.
Wellcare Dual Liberty (HMO-POS D-SNP) offers Cardiac Rehabilitation Services with no copay, but only some services are covered. In practice, cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) services are not covered and require a 20% coinsurance.
Wellcare Dual Liberty (HMO-POS D-SNP) covers skilled nursing facility (SNF) services with no coinsurance, requiring no copay for days 1 to 20 and days 71 to 100, and a $218 daily copay for days 21 to 70. Prior authorization is required, and additional days beyond the standard Medicare-covered limit are not covered.
Wellcare Dual Liberty (HMO-POS D-SNP) partially covers other services, providing over-the-counter (OTC) items and a chronic illness meal benefit with no copay and no coinsurance. Acupuncture is not covered under this plan.
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Part B premium reduction is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be lower. Deductibles, copays and coinsurance may apply.
* 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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