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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 All counties in TN. 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 $115.00. 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 $4800.00 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 robust medical coverage with no coinsurance for major services, including inpatient hospital stays and outpatient care. Members can access primary care, mental health services, and home health visits with no copay, while specialist visits require a low $25 copay. Emergency room visits have a $130 copay, which is waived if you are admitted, while urgent care services carry a $35 copay. For routine wellness, the plan features no-copay preventive care, routine dental, annual eye exams with a $300 eyewear allowance, and hearing coverage with up to $1,500 per ear for prescription hearing aids. Durable medical equipment and dialysis services are covered with a 20% coinsurance and no copay. Note that some benefits, such as routine transportation, cardiac rehabilitation, and over-the-counter items, are not covered by this plan.
Inpatient Hospital See details
Wellcare Patriot Giveback (HMO-POS) covers inpatient hospital services with no coinsurance, subject to prior authorization. Acute care requires a $350 daily copay for days 1 to 5 (no copay for days 6 to 90), and psychiatric care requires a $325 daily copay for days 1 to 4 (no copay for days 5 to 90), though 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, featuring a $0 to $200 copay for outpatient hospital services and a $100 copay for ambulatory surgical center services. Outpatient substance abuse and blood services are covered with no copay, while observation services require a $130 to $200 copay per stay.
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 receive this benefit.
Ambulance and Transportation Services See details
Ambulance and transportation services are partially covered under the Wellcare Patriot Giveback (HMO-POS) plan, which covers ground and air ambulance services with a $200 copay and no coinsurance. Prior authorization is required for ambulance services, and transportation services to plan-approved or any health-related locations are not covered.
Emergency Services See details
Emergency services are covered under the 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 have a $35 copay with no coinsurance, and worldwide emergency and urgent care are partially covered up to a $50,000 limit 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, mental health, and psychiatric services with no copay and no coinsurance, while specialist visits, physical, occupational, and speech therapies require a $25 copay and no coinsurance. Telehealth and other health professional services feature copays up to $35 and $25 respectively with no coinsurance, whereas chiropractic and podiatry services are not covered.
Preventive Services See details
Preventive services are covered by Wellcare Patriot Giveback (HMO-POS) with no copay and no coinsurance for annual physicals, fitness benefits, remote access technologies, alternative therapies, and routine screenings. Kidney disease education is covered with no copay and a 20% coinsurance, though additional preventive benefits are only partially covered, excluding health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, weight management, therapeutic massage, and nutritional benefits.
Hearing Services See details
Wellcare Patriot Giveback (HMO-POS) covers Medicare-covered hearing exams with a $25 copay and no coinsurance, while annual routine exams and fitting evaluations have no copay and no coinsurance. Prescription hearing aids are partially covered with no copay or coinsurance up to $1,500 per ear every year, but OTC, inner ear, outer ear, and over-the-ear hearing aids are not covered.
Vision Services See details
Wellcare Patriot Giveback (HMO-POS) offers partially covered vision services with no deductibles and no coinsurance, though other eye exam services are not covered. Routine eye exams have no copay (one per year), other exams carry a $0 to $25 copay, and eyewear is covered with no copay up to a $300 annual maximum.
Dental Services See details
Wellcare Patriot Giveback (HMO-POS) offers partially covered dental services with no copay and no coinsurance for preventive and most comprehensive care, though prior authorization is required. Medicare-covered dental services require a $25 copay and no coinsurance, while maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
Wellcare Patriot Giveback (HMO-POS) covers home infusion bundled services with no copay, though prior authorization and step therapy are required. Under this benefit, Medicare Part B insulin is covered with a $35 copay and no coinsurance, while chemotherapy and other Part B drugs carry a coinsurance of 0% to 20%.
Dialysis Services See details
Wellcare Patriot Giveback (HMO-POS) covers dialysis services with no copay and a 20% coinsurance.
Medical Equipment See details
Medical equipment covered by Wellcare Patriot Giveback (HMO-POS) includes durable medical equipment, prosthetics, and medical supplies, all of which feature no copay and a 20% coinsurance. Diabetic supplies are covered with no copay, while diabetic therapeutic shoes and inserts are covered with a 20% coinsurance.
Diagnostic and Radiological Services See details
Wellcare Patriot Giveback (HMO-POS) covers diagnostic and radiological services, with prior authorization required for both. Diagnostic tests carry no coinsurance and a copay of $0 to $20, lab services have no copay or coinsurance, and radiological services range from a $25 copay for X-rays to a minimum 20% coinsurance for therapeutic radiology.
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 not covered under the Wellcare Patriot Giveback (HMO-POS) plan, as all key sub-services—including intensive cardiac, pulmonary, and SET for PAD rehabilitation—are listed as not covered.
Skilled Nursing Facility (SNF) See details
Wellcare Patriot Giveback (HMO-POS) covers Skilled Nursing Facility (SNF) services with no coinsurance, requiring no copay for days 1 to 20 and 51 to 100, and a $218 daily copay for days 21 to 50. Prior authorization is required, a prior three-day hospital stay is not needed, and additional days beyond the standard 100-day Medicare limit are not covered.
Other Services See details
Other Services are not covered under the Wellcare Patriot Giveback (HMO-POS) plan, as acupuncture, over-the-counter (OTC) items, and meal benefits are all excluded from coverage.
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