A non-government entity
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 2025 to people living in Select counties in GA. This plan received an overall rating of 3.5 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.
Key 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 $23.80. 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:
Specialist Visits:
Emergency Room:
Urgent Care:
Sign up for Wellcare Dual Liberty (HMO-POS D-SNP)
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
Drug Coverage
The Wellcare Dual Liberty (HMO-POS D-SNP) prescription drug plan features an annual drug deductible of $615. For Tier 1 preferred generics, you will pay a low $1 copay for a one-month supply at a preferred pharmacy, while Tier 6 select care drugs feature no copay. Additionally, Tier 2 generic medications carry a $19 copay at preferred pharmacies, but both Tier 1 and Tier 2 drugs offer a three-month supply with no copay through preferred mail order. For higher-tier medications, the plan transitions to coinsurance or higher copays. Tier 3 preferred brand drugs require a 20% coinsurance, while Tier 4 non-preferred drugs have a $100 copay for a one-month supply at both preferred and standard pharmacies. Specialty medications in Tier 5 carry a 25% coinsurance for a one-month supply.
Additional Benefits
The Wellcare Dual Liberty (HMO-POS D-SNP) plan offers comprehensive medical coverage, featuring no copays for primary care, specialist visits, and outpatient services, though these typically require a 20% coinsurance. Inpatient hospital stays require a copay of $2,100 per admission, while emergency room visits carry a $115 copay. Many essential services, including preventive care, home health services, and up to 24 one-way transportation trips per year, are available with no copay or coinsurance. Additionally, the plan provides robust supplemental benefits to help reduce out-of-pocket costs for routine wellness. Members benefit from no copay and no coinsurance for preventive and comprehensive dental services up to a $5,000 yearly maximum. Hearing and vision needs are also covered, including up to $1,500 per ear annually for prescription hearing aids and a $600 annual eyewear allowance with no copays.
Inpatient Hospital See details
Wellcare Dual Liberty (HMO-POS D-SNP) covers inpatient acute hospital stays with a $2,100 copay per admission and psychiatric stays with a $2,080 copay per admission, both featuring no coinsurance and requiring prior authorization. This benefit is partially covered, as upgrades, additional days, and non-Medicare-covered stays are not covered.
Outpatient Services See details
Wellcare Dual Liberty (HMO-POS D-SNP) covers outpatient services—including outpatient hospital, ambulatory surgical center, 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.
Partial Hospitalization See details
Partial hospitalization is 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 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, offering up to 24 one-way trips per year to plan-approved health locations with no copay or coinsurance, while transportation to non-approved locations is not covered.
Emergency Services See details
Wellcare Dual Liberty (HMO-POS D-SNP) covers emergency services with a $115 copay and urgently needed services with a $40 copay, both featuring no coinsurance and waived fees if admitted to the hospital within 24 hours. Worldwide emergency and urgent services are partially covered up to a $50,000 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, and therapy services with no copay and a 20% coinsurance, though podiatry services are not covered. Chiropractic services are partially covered, offering up to 12 routine visits per year with no copay and no coinsurance, while other chiropractic services are not covered. Telehealth benefits are also available with a $0 to $40 copay and 20% coinsurance.
Preventive Services See details
Wellcare Dual Liberty (HMO-POS D-SNP) covers preventive services like annual physical exams, fitness benefits, and alternative therapies with no copay and no coinsurance, while kidney disease education and screenings have no copay and 20% coinsurance. Additional preventive benefits are only partially covered, excluding health education, in-home safety assessments, medical nutrition therapy, medication reconciliation, readmission prevention, wigs, weight management, therapeutic massage, adult day health, nutritional benefits, palliative care, in-home support, caregiver support, smoking cessation, disease management, telemonitoring, home modifications, and counseling.
Hearing Services See details
Wellcare Dual Liberty (HMO-POS D-SNP) provides partially covered hearing services with no deductible, including annual routine hearing exams for a 20% coinsurance and no copay, and fitting evaluations with no copay. Prescription hearing aids are covered up to $1,500 per ear annually with no copay or coinsurance, though OTC hearing aids, inner ear, outer ear, and over the ear prescription aids are not covered.
Vision Services See details
Vision services are partially covered by Wellcare Dual Liberty (HMO-POS D-SNP), featuring one routine eye exam per year with no copay and 20% coinsurance, while other eye exams are not covered. Eyewear is covered with no deductible up to a $600 annual limit, offering no copay for eyeglasses and upgrades, and no copay with a 20% coinsurance for contact lenses.
Dental Services See details
Wellcare Dual Liberty (HMO-POS D-SNP) provides partially covered dental services, featuring no copay and 20% coinsurance for Medicare-covered dental, and no copay and no coinsurance for preventive and most comprehensive services up to a $5,000 yearly maximum. However, implant services, maxillofacial prosthetics, 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, though prior authorization is required. Under this benefit, Medicare Part B insulin drugs require a $35 copay and no coinsurance, while chemotherapy and other Part B drugs have a 0% to 20% coinsurance.
Dialysis Services See details
Dialysis services are covered by Wellcare Dual Liberty (HMO-POS D-SNP) with no copay and a 20% coinsurance.
Medical Equipment See details
Wellcare Dual Liberty (HMO-POS D-SNP) covers medical equipment, including durable medical equipment, prosthetics, and diabetic equipment, with no copay and 20% coinsurance. Prior authorization is required for these services, and diabetic supplies are limited to specified manufacturers.
Diagnostic and Radiological Services See details
Wellcare Dual Liberty (HMO-POS D-SNP) covers diagnostic and radiological services, including lab work, X-rays, and therapeutic radiology, with no copay and a 20% coinsurance. Prior authorization is required for these covered services.
Home Health Services See details
Wellcare Dual Liberty (HMO-POS D-SNP) covers home health services with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Wellcare Dual Liberty (HMO-POS D-SNP) covers Cardiac Rehabilitation Services with no copay, but only some services are covered in practice. Standard cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) rehabilitation services are not covered and require a 20% coinsurance.
Skilled Nursing Facility (SNF) See details
Wellcare Dual Liberty (HMO-POS D-SNP) covers Skilled Nursing Facility (SNF) services with no coinsurance, requiring prior authorization and no prior three-day inpatient hospital stay. There is no copay for days 1 to 20 and days 71 to 100, while a $218 daily copay applies for days 21 to 70; additional days beyond the 100-day Medicare-covered limit are not covered.
Other Services See details
Other services under Wellcare Dual Liberty (HMO-POS D-SNP) are partially covered, providing acupuncture, over-the-counter items, and meal benefits with no copay and no coinsurance. Highly integrated services for dual eligible SNPs and other unspecified services are not covered.
Get Personalized Help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
*/SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
MedicareAdvantageRX.com is owned and operated by Dog Media Solutions LLC.
This is a promotional communication.
Every year, Medicare evaluates plans based on a 5-star rating system.
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.
Enrollment in Medicare/Medicare Advantage may be limited to certain times of the year unless you qualify for a Special Enrollment Period
We do not offer every plan available in your area. Currently, we represent 18 organizations, which offer 52,101 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
We represent Medicare Advantage HMO, PPO and PFFS organizations and stand-alone PDP prescription drug plans that are contracted with Medicare. Enrollment depends on the plan's contract renewal.
Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply.
Please contact Medicare.gov ,1-800-MEDICARE , or your local State Health Insurance Program (SHIP) to get information on all of your options.
Medicare has neither approved nor endorsed any information on this site.
Speak with a licensed insurance agent: 1-877-649-2073 / TTY 711 | 8am - 11pm ET | 7 days a week
© 2023 Dog Media Solutions LLC. All rights reserved