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Wellcare Patriot Giveback (HMO-POS)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Wellcare Patriot Giveback (HMO-POS). 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-POS) in 2026, please refer to our full plan details page.
Wellcare Patriot Giveback (HMO-POS) is a HMO-POS plan offered by Centene Corporation available for enrollment in 2025 to people living in Select counties in AR. This plan received an overall rating of 3 out of 5 stars in 2026.
It's important to know that Wellcare Patriot Giveback (HMO-POS) 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-POS).
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-POS), 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 $70.00. 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 $6500.00 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-POS).
Additional Benefits
The Wellcare Patriot Giveback (HMO-POS) plan offers comprehensive medical coverage with no copay for primary care visits, preventive services, and home health care. For more intensive needs, inpatient hospital stays require a $1,800 copay per stay, while emergency room visits have a $130 copay and specialist visits require a $30 copay. Most of these core services feature no coinsurance, helping to keep your out-of-pocket costs predictable. This plan also features robust additional benefits, including routine dental, vision, and hearing exams with no copay. Members can take advantage of valuable allowances, including up to $1,000 per ear annually for prescription hearing aids and up to $300 annually for eyewear with no copay. Additionally, the plan covers up to 24 one-way routine transportation trips and select over-the-counter items with no copay.
Inpatient Hospital See details
Inpatient hospital care is covered by Wellcare Patriot Giveback (HMO-POS) with a $1,800 copay per stay for acute care and no coinsurance, though additional days, upgrades, and non-Medicare-covered stays are not covered. Covered inpatient psychiatric care requires a $325 daily copay for days 1 through 4, no copay for days 5 through 90, and no coinsurance. Prior authorization is required for both services.
Outpatient Services See details
Outpatient services are covered by the Wellcare Patriot Giveback (HMO-POS) plan with no coinsurance, featuring copays of $0 to $500 for outpatient hospital services and $130 to $500 per stay for observation services. Ambulatory surgical center visits require a $250 copay, while outpatient blood services and substance abuse sessions are covered with no copay.
Partial Hospitalization See details
Wellcare Patriot Giveback (HMO-POS) covers partial hospitalization services with a $140.00 copay and no coinsurance. Prior authorization is required for these covered benefits.
Ambulance and Transportation Services See details
Wellcare Patriot Giveback (HMO-POS) partially covers ambulance and transportation services, as transportation to any health-related location is not covered. Ground and air ambulance services require a $200 copay and no coinsurance, while up to 24 one-way trips per year to plan-approved locations are covered with no copay and no coinsurance.
Emergency Services See details
Wellcare Patriot Giveback (HMO-POS) covers emergency services with a $130 copay and no coinsurance, and urgently needed services with a $35 copay and no coinsurance, both of which waive copays if admitted to the hospital within 24 hours. Worldwide emergency services are partially covered up to a $50,000 maximum benefit with a $130 copay and no coinsurance for emergency and urgent care, though worldwide emergency transportation is not covered.
Primary Care See details
Wellcare Patriot Giveback (HMO-POS) covers primary care physician visits, mental health, and psychiatric services with no copay and no coinsurance. Specialist visits require a $30 copay, while physical, occupational, and speech therapies require a $35 copay, all with no coinsurance. Chiropractic services are partially covered, with routine chiropractic care not covered, and podiatry services are not covered.
Preventive Services See details
Preventive services are partially covered by Wellcare Patriot Giveback (HMO-POS), offering annual physicals, fitness benefits, and emergency response systems with no copay and no coinsurance, while kidney disease education requires a 20% coinsurance and no copay. Several supplemental services, including health education, weight management, therapeutic massage, and in-home safety assessments, are not covered.
Hearing Services See details
Hearing services are covered by Wellcare Patriot Giveback (HMO-POS), including Medicare-covered exams for a $30 copay and annual routine exams and fitting evaluations with no copay or coinsurance. Prescription hearing aids are partially covered up to $1,000 per ear annually with no copay or coinsurance, though OTC hearing aids and inner ear, outer ear, and over-the-ear prescription models are not covered.
Vision Services See details
Vision services are covered by Wellcare Patriot Giveback (HMO-POS), featuring one annual routine eye exam with no copay and other eye exams with a $0 to $30 copay, with no deductibles or coinsurance. Eyewear, including contacts and eyeglasses, is also covered with no copay or coinsurance up to a $300 annual maximum, though prior authorization is required.
Dental Services See details
Wellcare Patriot Giveback (HMO-POS) partially covers dental services, excluding maxillofacial prosthetics, implant services, and orthodontics. Medicare-covered dental services require a $30 copay and no coinsurance, while other covered preventive and comprehensive dental services are available with no copay and no coinsurance.
Home Infusion bundled Services See details
Home infusion bundled services are covered by Wellcare Patriot Giveback (HMO-POS) and require prior authorization. Medicare Part B insulin drugs have a $35 copay and no coinsurance, while chemotherapy and other Part B drugs have no copay and a coinsurance ranging from no coinsurance to 20%.
Dialysis Services See details
Dialysis Services are covered by the Wellcare Patriot Giveback (HMO-POS) plan with no copay and a 20% coinsurance.
Medical Equipment See details
Wellcare Patriot Giveback (HMO-POS) covers medical equipment, including durable medical equipment, prosthetic devices, medical supplies, and diabetic shoes, with a 20% coinsurance and no copay. Diabetic supplies are covered with no copay and no coinsurance, and prior authorization is required.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by Wellcare Patriot Giveback (HMO-POS) with prior authorization required. Members pay no copay or coinsurance for lab services, copays ranging from $0 to $20 for diagnostic tests, copays from $0 to $200 for diagnostic radiology, a $25 copay with no coinsurance for outpatient X-rays, and a 20% coinsurance with no copay for therapeutic radiological services.
Home Health Services See details
Wellcare Patriot Giveback (HMO-POS) covers home health services with no copay and no coinsurance. Prior authorization is required to receive this benefit.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered under the Wellcare Patriot Giveback (HMO-POS) plan, as cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) services are all excluded from coverage.
Skilled Nursing Facility (SNF) See details
Wellcare Patriot Giveback (HMO-POS) covers Skilled Nursing Facility (SNF) services with no coinsurance, featuring no copay for days 1 through 20 and days 51 through 100, and a $218 daily copay for days 21 through 50. This benefit is partially covered because prior authorization is required and additional days beyond the Medicare-covered limit are not covered.
Other Services See details
Wellcare Patriot Giveback (HMO-POS) provides partial coverage for Other Services, offering Over-the-Counter (OTC) items with no copay or coinsurance. However, acupuncture, meal benefits, and Dual Eligible SNPs with Highly Integrated Services are not covered.
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