Wellcare Sunshine Health Dual Align (HMO D-SNP)

Wellcare Sunshine Health Dual Align (HMO D-SNP) is a HMO D-SNP plan offered by Centene Corporation available for enrollment in 2026 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 Sunshine Health Dual Align (HMO 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 Sunshine Health Dual Align (HMO 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 Sunshine Health Dual Align (HMO D-SNP) plan has an annual prescription drug deductible of $615. Tier 6 Select Care Drugs are highly affordable, offering no copay across all pharmacy and mail-order channels. For generic medications, Tier 1 Preferred Generics start at an $18 copay for a one-month supply, and both Tier 1 and Tier 2 generics offer no copay when ordering a three-month supply through preferred mail order. Brand-name and specialized medications are subject to coinsurance or higher copays, such as Tier 3 Preferred Brand drugs which carry a 24% coinsurance. Tier 4 Non-Preferred Drugs require a $100 copay for a one-month supply, while Tier 5 Specialty Tier drugs require a 25% coinsurance. Utilizing preferred pharmacies and mail-order services with this plan can significantly lower your out-of-pocket prescription costs.

Additional Benefits

The Wellcare Sunshine Health Dual Align (HMO D-SNP) offers robust coverage with no copay and no coinsurance for primary care visits, annual physicals, fitness benefits, and home health services. For inpatient hospital stays, members pay a $2005 copayment per admission with no coinsurance, while outpatient care, diagnostic services, and medical equipment generally require a 20% coinsurance and no copay. Emergency room visits require a $115 copay, which is waived if you are admitted to the hospital within 24 hours. Supplemental benefits are a highlight of this plan, featuring dental and vision coverage with no copay and a 20% coinsurance, plus generous allowances like up to $4,000 for dental services and $400 for eyewear with no copay or coinsurance. Members also benefit from hearing aid coverage of up to $1,500 per ear and up to 36 free one-way transportation trips per year to plan-approved locations. Additionally, over-the-counter items and chronic illness meal benefits are fully covered with no copay and no coinsurance.