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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 2025 to people living in Select counties in MS. 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 $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:

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 6 select care drugs, you will pay no copay at preferred and standard pharmacies or through mail order. Tier 1 preferred generic drugs cost as little as a $1.00 copay for a one-month supply at a preferred pharmacy or no copay for a three-month supply via preferred mail order. Tier 2 generic drugs have copays starting at $19.00, while Tier 3 preferred brand drugs require a 20% coinsurance across all distribution channels. Tier 4 non-preferred drugs carry a $100.00 copay for a one-month supply at most pharmacies, and Tier 5 specialty drugs require a 25% coinsurance for a one-month supply.

Additional Benefits IconAdditional Benefits

Wellcare Dual Liberty (HMO-POS D-SNP) offers robust medical coverage, featuring inpatient hospital stays with no coinsurance and set copayments of $2,120 for acute care and $2,080 for psychiatric care. Outpatient services, diagnostics, and medical equipment are covered with no copay and a 20% coinsurance, while skilled nursing facilities require no copay for days 1 to 20 and a $218 daily copay for days 21 to 70. Emergency care is available with a $115 copay, and primary care and specialist visits require no copay and a 20% coinsurance. The plan also includes a variety of supplemental benefits, providing annual physicals, fitness programs, and home health care with no copay and no coinsurance. Routine dental and vision services feature no copay and up to 20% coinsurance, with generous allowances of up to $500 for eyewear and $750 per ear for prescription hearing aids. Furthermore, members benefit from up to 24 free one-way transportation trips per year, over-the-counter items, and qualifying meal benefits with no copay and no coinsurance.

Inpatient Hospital See details

Inpatient hospital care is covered by Wellcare Dual Liberty (HMO-POS D-SNP) with no coinsurance, requiring a $2,120 copayment per stay for acute care and a $2,080 copayment per stay for psychiatric care. This benefit is partially covered, as 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 copay and a 20% coinsurance for outpatient hospital, ambulatory surgical center, substance abuse, and blood services. Prior authorization is required for outpatient hospital, ambulatory surgical center, and outpatient substance abuse services.

Partial Hospitalization See details

Wellcare Dual Liberty (HMO-POS D-SNP) covers partial hospitalization services 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. Transportation services are partially covered, offering up to 24 one-way trips per year to plan-approved locations with no copay and no coinsurance, though trips to any health-related location are 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 cost-sharing that counts toward the plan deductible. Worldwide emergency and urgent care are partially covered up to a $50,000 maximum with a $115 copay and no coinsurance, although worldwide emergency transportation is not covered.

Primary Care See details

Wellcare Dual Liberty (HMO-POS D-SNP) covers primary care, specialist, mental health, therapy, and opioid treatment services with no copay and 20% coinsurance, while telehealth services require a $0 to $40 copay and 20% coinsurance. Chiropractic services are partially covered, offering routine care with no copay or coinsurance for up to 12 annual visits (other chiropractic services are not covered), and podiatry services are covered with no copay or coinsurance for up to 6 annual visits.

Preventive Services See details

Wellcare Dual Liberty (HMO-POS D-SNP) covers annual physicals, fitness benefits, remote access, and alternative therapies with no copay and no coinsurance, while kidney education and screenings like glaucoma and diabetes training require no copay and 20% coinsurance. Additional preventive services are partially covered, excluding health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge medication reconciliation, re-admission prevention, wigs, weight management, therapeutic massage, adult day health, nutritional/dietary benefits, palliative care, in-home support, caregiver support, smoking cessation, enhanced disease management, telemonitoring, home safety modifications, and counseling.

Hearing Services See details

Wellcare Dual Liberty (HMO-POS D-SNP) offers partially covered hearing services with no deductible, featuring one annual routine exam with a 20% coinsurance and no copay, alongside one fitting evaluation with no copay. Prescription hearing aids are covered up to $750 per ear yearly with no copay or coinsurance, but OTC hearing aids and inner-ear, outer-ear, or over-the-ear prescription models are not covered.

Vision Services See details

Vision services are partially covered by Wellcare Dual Liberty (HMO-POS D-SNP), though other eye exam services are not covered. Routine eye exams (one per year) and contact lenses feature no copay and a 20% coinsurance, while eyeglasses, lenses, frames, and upgrades have no copay and no coinsurance up to a $500 annual limit with no deductible.

Dental Services See details

Wellcare Dual Liberty (HMO-POS D-SNP) partially covers dental services, providing Medicare-covered dental with no copay and 20% coinsurance, and other dental services with no copay and no coinsurance. However, 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, though prior authorization is required. Under this benefit, Medicare Part B chemotherapy, radiation, and other drugs carry a 0% to 20% coinsurance, while Medicare Part B insulin drugs require a $35 copay and no coinsurance.

Dialysis Services See details

Wellcare Dual Liberty (HMO-POS D-SNP) covers dialysis services 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, 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.

Diagnostic and Radiological Services See details

Wellcare Dual Liberty (HMO-POS D-SNP) covers diagnostic and radiological services with no copay and a 20% coinsurance, though prior authorization is required. Covered benefits include lab services, diagnostic procedures, therapeutic and diagnostic radiological services, and outpatient X-rays.

Home Health Services See details

Wellcare Dual Liberty (HMO-POS D-SNP) covers home health services with no copay and no coinsurance, although prior authorization is required.

Cardiac Rehabilitation Services See details

Wellcare Dual Liberty (HMO-POS D-SNP) notes that some services are covered with no copay, but cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) for 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, featuring no copay for days 1 to 20 and 71 to 100, and a $218 copay per day for days 21 to 70. Prior authorization is required, and while a 3-day inpatient hospital stay is not required prior to admission, additional days beyond the standard 100-day limit are not covered.

Other Services See details

Wellcare Dual Liberty (HMO-POS D-SNP) partially covers other services, providing over-the-counter (OTC) items and limited-duration meal benefits with no copay and no coinsurance, while acupuncture is not covered. The meal benefit requires a referral for chronic or qualifying medical conditions, and OTC items are provided via reimbursement.

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