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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 MS. 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 $105.00. 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-POS).
Additional Benefits
The Wellcare Patriot Giveback (HMO-POS) plan offers comprehensive medical coverage with many essential services requiring no copayments or coinsurance. For instance, preventive care, home health services, and routine hearing exams are available with no copay and no coinsurance. Standard medical visits like primary care and telehealth feature low costs ranging from no copay up to $35, while specialist visits require a flat $30 copay and no coinsurance. Hospital stays and skilled nursing facility care are covered with no coinsurance, though daily copays apply for specified portions of your stay. For specialized treatments and medical supplies, members generally pay no copay alongside a 20% coinsurance for durable medical equipment and dialysis services. Emergency services, ambulance transportation, and over-the-counter items are also covered with predictable copays and no coinsurance.
Inpatient Hospital See details
Wellcare Patriot Giveback (HMO-POS) covers inpatient acute and psychiatric hospital stays with no coinsurance, requiring a $300 copay for days 1-7 of acute stays and a $325 copay for days 1-4 of psychiatric stays, with no copay for remaining days up to day 90. This benefit is partially covered because additional days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
Wellcare Patriot Giveback (HMO-POS) covers outpatient services with no coinsurance, including outpatient hospital services with a $0 to $350 copay and ambulatory surgical center services with a $250 copay. Observation services require a $130 to $350 copay per stay, while outpatient substance abuse sessions and blood services are covered with no copays and no coinsurance.
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 to access this benefit.
Ambulance and Transportation Services See details
Wellcare Patriot Giveback (HMO-POS) covers ground and air ambulance services with a $200 copay and no coinsurance. Partially covered transportation services are also included, offering up to 12 one-way trips per year to plan-approved locations with no copay and no coinsurance.
Emergency Services See details
Emergency services are covered by Wellcare Patriot Giveback (HMO-POS) with a $130 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services require a $35 copay with no coinsurance, and worldwide emergency services are partially covered up to $50,000 with a $130 copay and no coinsurance, though worldwide emergency transportation is not covered.
Primary Care See details
Wellcare Patriot Giveback (HMO-POS) covers primary care physician services, telehealth, and mental health or psychiatric sessions with no coinsurance and copays ranging from $0 to $35. Specialist visits, occupational therapy, physical therapy, speech-language pathology, and opioid treatment services require a $30 copay with no coinsurance, while chiropractic and podiatry services are not covered.
Preventive Services See details
Preventive services under Wellcare Patriot Giveback (HMO-POS) are partially covered, offering no copay and no coinsurance for annual physical exams, alternative therapies, fitness benefits, remote access technologies, and standard screenings. Kidney disease education is covered with no copay and a 20% coinsurance. Uncovered services include 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 benefits, home-based palliative care, in-home support, caregiver support, additional tobacco cessation, enhanced disease management, telemonitoring, home/bathroom safety, and counseling.
Hearing Services See details
Wellcare Patriot Giveback (HMO-POS) covers hearing exams with no coinsurance, requiring a $30 copay for Medicare-covered exams and no copay for routine exams and fitting evaluations. Prescription hearing aids are partially covered with no copay and no coinsurance up to a $750 maximum per ear annually, but inner ear, outer ear, over-the-ear, and over-the-counter (OTC) hearing aids are not covered.
Vision Services See details
Wellcare Patriot Giveback (HMO-POS) partially covers vision services, offering eye exams with no coinsurance and a copay ranging from no copay to $30, though other eye exam services are not covered. Covered eyewear, including contacts, eyeglasses, frames, and upgrades, has no copay and no coinsurance up to a $400 annual maximum, with prior authorization required.
Dental Services See details
Dental services are partially covered by Wellcare Patriot Giveback (HMO-POS), with Medicare-covered dental services requiring a $30 copay and no coinsurance, and other preventive and comprehensive benefits available with no copay and no coinsurance. Maxillofacial prosthetics and orthodontics are not covered by this plan.
Home Infusion bundled Services See details
Wellcare Patriot Giveback (HMO-POS) covers Home Infusion bundled Services with no copay and no coinsurance, though prior authorization is required. Under this plan, Medicare Part B insulin drugs are covered with a $35 copay and no coinsurance, while chemotherapy, radiation, and other Part B drugs require no copay and a 0% to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered by the Wellcare Patriot Giveback (HMO-POS) with no copay and a 20% coinsurance.
Medical Equipment See details
Wellcare Patriot Giveback (HMO-POS) covers durable medical equipment (DME), prosthetics, and medical supplies with no copay and a 20% coinsurance. Diabetic supplies are covered with no copay, while diabetic therapeutic shoes and inserts carry a 20% coinsurance.
Diagnostic and Radiological Services See details
Wellcare Patriot Giveback (HMO-POS) covers diagnostic services with no coinsurance, featuring lab services with no copay and diagnostic procedures with a copay ranging from no copay to $20. Radiological services require prior authorization and include diagnostic radiology starting at no copay, outpatient X-rays with a $50 copay, and therapeutic radiology with a 20% coinsurance.
Home Health Services See details
Home health services are covered under the Wellcare Patriot Giveback (HMO-POS) with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac rehabilitation services are covered by Wellcare Patriot Giveback (HMO-POS) with no coinsurance, but copays apply to individual services. You will pay a $40 copay for standard cardiac rehabilitation, $50 for intensive cardiac rehabilitation, $35 for pulmonary rehabilitation, and $25 for supervised exercise therapy (SET) for peripheral artery disease (PAD).
Skilled Nursing Facility (SNF) See details
Skilled nursing facility (SNF) care is covered by Wellcare Patriot Giveback (HMO-POS) with no coinsurance, and a prior three-day inpatient hospital stay is not required. There is no copay for days 1 to 20 and 51 to 100, a $218 copay applies for days 21 to 50, and additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
Wellcare Patriot Giveback (HMO-POS) partially covers other services, providing over-the-counter (OTC) items with no copay and no coinsurance, while acupuncture and meal benefits are not covered.
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1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
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