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Wellcare Patriot Giveback (HMO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Wellcare Patriot Giveback (HMO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Wellcare Patriot Giveback (HMO) in 2026, please refer to our full plan details page.
Wellcare Patriot Giveback (HMO) is a HMO plan offered by Centene Corporation available for enrollment in 2025 to people living in Select counties in FL. This plan received an overall rating of 4 out of 5 stars in 2026.
It's important to know that Wellcare Patriot Giveback (HMO) is a Medicare Advantage (MA) Plan without drug coverage. That means that this plan covers medical services but doesn't cover prescription drugs. If you are looking for a plan with prescription drug coverage, please search for other MA and PDP plans offered in your area.
Key Plan Facts
Below are a few key facts and commonly-asked questions about Wellcare Patriot Giveback (HMO).
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 Patriot Giveback (HMO), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $0.00. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $130.00. You must continue to pay paying your reduced Part B Premium.
Deductibles
This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.
Drugs are not covered by this plan, so a prescription drug deductible is not applicable.
Out-of-Pocket Maximums
This plan has a Maximum Out-Of-Pocket cost of $5000.00 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:
Specialist Visits:
Emergency Room:
Urgent Care:
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Drug Coverage
Prescription drugs are not covered by Wellcare Patriot Giveback (HMO).
Additional Benefits
The Wellcare Patriot Giveback (HMO) plan offers robust coverage with no copay and no coinsurance for primary care visits, preventive services, annual physicals, and home health services. For specialist visits and physical therapy, members will pay a $20 copay with no coinsurance. Inpatient hospital stays require a daily copay of $400 for the first six days of acute care and $450 for the first five days of psychiatric care, with no copay required for the remaining covered days. This plan also features comprehensive dental, vision, and hearing benefits to help reduce out-of-pocket costs. Preventive and comprehensive dental services, routine eye exams, and routine hearing tests are available with no copay and no coinsurance, alongside allowances for eyewear and prescription hearing aids. Additionally, members can access over-the-counter items, chronic illness meals, and up to 24 one-way transportation trips per year with no copay and no coinsurance.
Inpatient Hospital See details
Wellcare Patriot Giveback (HMO) offers partially covered inpatient hospital services with no coinsurance, though prior authorization and referrals are required. Acute stays require a $400 daily copay for days 1 through 6 and no copay for days 7 through 90, while psychiatric stays require a $450 daily copay for days 1 through 5 and no copay for days 6 through 90, excluding additional days, upgrades, and non-Medicare-covered stays.
Outpatient Services See details
Wellcare Patriot Giveback (HMO) covers outpatient services with no coinsurance, including outpatient hospital services with a $0 to $280 copay, observation services with a $130 to $280 copay per stay, and ambulatory surgical center services with a $100 copay. Outpatient substance abuse and blood services are covered with no copay and no coinsurance.
Partial Hospitalization See details
Partial hospitalization is covered under the Wellcare Patriot Giveback (HMO) with a $140.00 copay and no coinsurance. This benefit requires prior authorization and a referral.
Ambulance and Transportation Services See details
Wellcare Patriot Giveback (HMO) covers ambulance services with a $200 copay and no coinsurance for both ground and air transport. Transportation services are partially covered, offering up to 24 one-way trips per year to plan-approved locations with no copay and no coinsurance, while transportation to any health-related location is not covered.
Emergency Services See details
Wellcare Patriot Giveback (HMO) covers emergency services with a $130 copay and urgently needed services with a $35 copay, both featuring no coinsurance and waived fees if admitted to the hospital within 24 hours. Worldwide emergency and urgent care are partially covered up to a $50,000 maximum with a $130 copay and no coinsurance, though worldwide emergency transportation is not covered.
Primary Care See details
Wellcare Patriot Giveback (HMO) covers primary care physician services, mental health specialty services, and psychiatric sessions with no copay and no coinsurance. Specialist visits, physical therapy, occupational therapy, and speech therapy require a $20 copay and no coinsurance, while chiropractic and podiatry services are not covered.
Preventive Services See details
Preventive services are partially covered by Wellcare Patriot Giveback (HMO), offering annual physical exams, fitness benefits, and remote access technologies with no copay and no coinsurance. While kidney disease education requires a 20% coinsurance and no copay, other screenings like glaucoma and diabetes self-management have no copay and no coinsurance, though several supplemental services like health education and nutritional benefits are not covered.
Hearing Services See details
Wellcare Patriot Giveback (HMO) hearing services are partially covered, excluding OTC hearing aids along with inner ear, outer ear, and over the ear prescription hearing aids. Routine exams and fitting evaluations have no copay and no coinsurance, while Medicare-covered exams require a $20 copay and no coinsurance. Covered prescription hearing aids have no copay and no coinsurance, up to a maximum benefit of $1,000 per ear every year.
Vision Services See details
Vision services are partially covered by Wellcare Patriot Giveback (HMO), offering eye exams with a $0 to $20 copay and no coinsurance, alongside eyewear with no copay and no coinsurance up to a $200 annual limit. Routine eye exams are covered once annually with no copay, while other eye exam services are not covered.
Dental Services See details
Dental services are partially covered by Wellcare Patriot Giveback (HMO), offering Medicare-covered dental services for a $20 copay and no coinsurance, and other preventive and comprehensive dental services with no copay and no coinsurance. While most dental services are covered up to a $5,000 yearly maximum, maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
Home infusion bundled services are covered by Wellcare Patriot Giveback (HMO) with no copay, though prior authorization is required. Medicare Part B chemotherapy, radiation, and other drugs carry a coinsurance of 0% to 20%, while Part B insulin is covered with a $35 copay and no coinsurance.
Dialysis Services See details
Wellcare Patriot Giveback (HMO) covers dialysis services with no copay and a 20% coinsurance, although a referral is required to receive these services.
Medical Equipment See details
Wellcare Patriot Giveback (HMO) covers durable medical equipment, prosthetics, and medical supplies with no copay and 20% coinsurance. Diabetic supplies are covered with no copay, while diabetic therapeutic shoes and inserts require a 20% coinsurance, with prior authorization required for these benefits.
Diagnostic and Radiological Services See details
Wellcare Patriot Giveback (HMO) covers diagnostic and radiological services, requiring referrals and prior authorization for both. Diagnostic services feature no coinsurance, with no copay for lab services and a $0 to $20 copay for tests, while radiological services carry a $25 copay for X-rays, 20% coinsurance for therapeutic radiology, and diagnostic radiology copays starting at $0.
Home Health Services See details
Wellcare Patriot Giveback (HMO) covers home health services with no copay and no coinsurance. Prior authorization and a referral are required to receive this covered care.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered by the Wellcare Patriot Giveback (HMO) with no coinsurance, but in practice, only some services are covered. Standard cardiac (with a $40 copay), intensive cardiac ($50 copay), pulmonary ($35 copay), and supervised exercise therapy for symptomatic peripheral artery disease ($25 copay) rehabilitation services are not covered.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) care is partially covered by Wellcare Patriot Giveback (HMO) with no coinsurance, as additional days beyond the Medicare-covered limit are not covered. For covered days, there is no copay for days 1 to 20 and 51 to 100, and a $218 daily copay for days 21 to 50, with prior authorization and referrals required.
Other Services See details
Wellcare Patriot Giveback (HMO) partially covers other services, offering over-the-counter (OTC) items and chronic illness meal benefits with no copay and no coinsurance. Acupuncture is not covered under this plan, and a referral is required to receive the meal benefit.
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