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Wellcare Dual Liberty (HMO-POS D-SNP)

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.

Overview IconKey Plan Facts

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

For Wellcare Dual Liberty (HMO-POS D-SNP), the main costs are as follows:

Monthly Premium

The Monthly Premium for this plan is $27.40. 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 $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.

Common Services:

Doctor Visits:

Regular visits to your primary care doctor are covered and will have a copay of and coinsurance of 20%.

Specialist Visits:

Visits to specialists are covered and will have a copay of and coinsurance of 20%. Specialist visits may require a referral from your primary care doctor or prior authorization.

Emergency Room:

Trips to the Emergency Room are covered, and will have a copay of and coinsurance of 0% (no coinsurance). Coverage may vary for in-network and out-of-network hospitals.

Urgent Care:

Trips to Urgent Care arecovered and will have a copay of and coinsurance of 0% (no coinsurance). Coverage may vary for in-network and out-of-network hospitals.

Sign up for Wellcare Dual Liberty (HMO-POS D-SNP)

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Drug Coverage IconDrug Coverage

The Wellcare Dual Liberty (HMO-POS D-SNP) prescription drug plan features an annual drug deductible of $615. 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 required for three-month supplies filled via preferred mail order. Additionally, Tier 6 select care drugs are available with no copay when filled at a preferred pharmacy or through preferred mail order. For brand-name and specialty medications, this plan utilizes coinsurance, requiring a flat 25% coinsurance for Tier 3 preferred brands and Tier 5 specialty drugs. Tier 4 non-preferred drugs carry a $100 copay for a one-month supply at both preferred and standard pharmacies. Standard pharmacies and standard mail orders generally require slightly higher copays, ranging up to $300 for a three-month supply of Tier 4 drugs.

Additional Benefits IconAdditional Benefits

The Wellcare Dual Liberty (HMO-POS D-SNP) offers comprehensive medical coverage where many outpatient services, specialist visits, and diagnostic tests require no copay but are subject to a 20% coinsurance. Inpatient hospital stays require a $1,735 copay per stay, while emergency room visits have a $115 copay that is waived if you are admitted within 24 hours. Skilled nursing facility stays and home health services are also covered, with no copay or coinsurance required for home health care. This plan also features robust supplemental benefits at no copay or coinsurance, including up to $5,000 yearly for preventive and comprehensive dental care, a $600 annual eyewear allowance, and up to $1,500 per ear annually for prescription hearing aids. Additionally, members receive no-copay over-the-counter items, home-meal benefits, and up to 54 one-way transportation trips per year to plan-approved locations. Medicare Part B insulin is also covered with a flat $35 copay and no coinsurance.

Inpatient Hospital See details

Wellcare Dual Liberty (HMO-POS D-SNP) partially covers inpatient acute and psychiatric hospital stays with a $1,735 copay per stay and no coinsurance, subject to prior authorization. Specific sub-services, including additional days, upgrades, and non-Medicare-covered stays, are not covered.

Outpatient Services See details

Wellcare Dual Liberty (HMO-POS D-SNP) covers outpatient services with no copays, but a 20% coinsurance applies to outpatient hospital, observation, ambulatory surgical center, outpatient substance abuse, and outpatient blood services. Prior authorization is required for outpatient hospital, ambulatory surgical center, and outpatient substance abuse services.

Partial Hospitalization See details

Partial hospitalization services are covered by Wellcare Dual Liberty (HMO-POS D-SNP) with no copay and a 20% coinsurance. Prior authorization is required to receive this benefit.

Ambulance and Transportation Services See details

Wellcare Dual Liberty (HMO-POS D-SNP) covers ground and air ambulance services with a 20% coinsurance and no copay, requiring prior authorization. Transportation services are partially covered with no copay or coinsurance for up to 54 yearly one-way trips to plan-approved locations, but trips to non-approved health-related locations are not covered.

Emergency Services See details

Wellcare Dual Liberty (HMO-POS D-SNP) covers emergency services with a $115 copay and no coinsurance, and urgently needed services with a $40 copay and no coinsurance, with both copays waived if admitted within 24 hours and cost-sharing counting toward the plan deductible. Worldwide emergency and urgent care are partially covered up to a $50,000 lifetime maximum with a $115 copay and no coinsurance, though worldwide emergency transportation is not covered.

Primary Care See details

Wellcare Dual Liberty (HMO-POS D-SNP) covers primary care, specialist, therapy, mental health, and psychiatric services with no copay and 20% coinsurance, though chiropractic services are not covered. Podiatry services are covered with no copay and no coinsurance, while additional telehealth benefits are available with a copay of $0 to $40 and 20% coinsurance.

Preventive Services See details

Wellcare Dual Liberty (HMO-POS D-SNP) covers preventive services, offering annual physical exams with no copay and no coinsurance, while other screenings like glaucoma and diabetes training have no copay and a 20% coinsurance. Additional preventive benefits are partially covered with no copay or coinsurance for services like fitness and remote access, but do not cover health education, nutritional/dietary benefits, and home safety assessments.

Hearing Services See details

Hearing services are partially covered by Wellcare Dual Liberty (HMO-POS D-SNP), offering routine hearing exams with a 20% coinsurance and no copay, alongside hearing aid fittings and evaluations for no copay or coinsurance. Prescription hearing aids are covered up to $1,500 per ear annually with no copay or coinsurance, though OTC hearing aids as well as inner ear, outer ear, and over the ear prescription hearing aids are not covered.

Vision Services See details

Wellcare Dual Liberty (HMO-POS D-SNP) offers partially covered vision services with no deductibles, though prior authorization is required. Routine eye exams are covered once per year with no copay and 20% coinsurance, while other eye exam services are not covered. Eyewear is covered up to $600 annually with no copay and no coinsurance for eyeglasses and upgrades, while contact lenses have no copay and a 20% coinsurance.

Dental Services See details

Dental services are partially covered by Wellcare Dual Liberty (HMO-POS D-SNP), with no copay and 20% coinsurance for Medicare-covered care, and no copay or coinsurance for preventive and most comprehensive services up to a $5,000 yearly limit. Maxillofacial prosthetics, implant services, and orthodontics are not covered.

Home Infusion bundled Services See details

Wellcare Dual Liberty (HMO-POS D-SNP) covers home infusion bundled services with no copay and no coinsurance, subject to prior authorization. Medicare Part B insulin drugs are covered with a $35 copay and no coinsurance, while chemotherapy, radiation, and other Part B drugs require 0% to 20% coinsurance and no copay.

Dialysis Services See details

Dialysis Services are covered under the Wellcare Dual Liberty (HMO-POS D-SNP) plan with no copay and a 20% coinsurance.

Medical Equipment See details

Medical Equipment is covered under the Wellcare Dual Liberty (HMO-POS D-SNP) with no copay and a 20% coinsurance for durable medical equipment, prosthetics, medical supplies, and diabetic equipment. Prior authorization is required for these services, and diabetic supplies are limited to specified manufacturers.

Diagnostic and Radiological Services See details

Diagnostic and radiological services are covered by Wellcare Dual Liberty (HMO-POS D-SNP) with no copay and a 20% coinsurance, though prior authorization is required. This benefit includes outpatient diagnostic procedures, lab services, therapeutic radiological services, and X-rays.

Home Health Services See details

Home Health Services are covered under the Wellcare Dual Liberty (HMO-POS D-SNP) plan with no copay and no coinsurance, although prior authorization is required.

Cardiac Rehabilitation Services See details

Wellcare Dual Liberty (HMO-POS D-SNP) offers cardiac rehabilitation benefits where some services are covered with no copay, but 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.

Skilled Nursing Facility (SNF) See details

Skilled Nursing Facility (SNF) care is covered by Wellcare Dual Liberty (HMO-POS D-SNP) with no coinsurance, offering no copay for days 1 through 20 and days 71 through 100, and a $218 copay for days 21 through 70. Prior authorization is required, a prior three-day inpatient hospital stay is not required, and additional days beyond the standard Medicare-covered limit are not covered.

Other Services See details

Wellcare Dual Liberty (HMO-POS D-SNP) partially covers other services with no copay and no coinsurance, which includes over-the-counter (OTC) items and home-meal benefits, while acupuncture is not covered. Covered OTC items are available via reimbursement, and meal benefits are accessible with a referral for chronic illnesses or homebound medical conditions.

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