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Wellcare Giveback Dividend (HMO-POS)

Benefits Summary and Overview

This page is a benefits summary and overview of key plan information for Wellcare Giveback Dividend (HMO-POS). The information on this page is a summary only.

For a complete listing of all available benefits and cost information on Wellcare Giveback Dividend (HMO-POS) in 2026, please refer to our full plan details page.

Wellcare Giveback Dividend (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 Giveback Dividend (HMO-POS) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.

Overview IconKey Plan Facts

Below are a few key facts and commonly-asked questions about Wellcare Giveback Dividend (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 Giveback Dividend (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 $50.00. 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.

This plan has a $485.00 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 $7550.00 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 0% (no coinsurance).

Specialist Visits:

Visits to specialists are covered and will have a copay of and coinsurance of 0% (no coinsurance). 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 Giveback Dividend (HMO-POS)

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Drug Coverage IconDrug Coverage

The Wellcare Giveback Dividend (HMO-POS) plan features an Enhanced Alternative drug benefit with an annual prescription drug deductible of $485.00. After meeting this deductible, you will enjoy no copay for Tier 1 preferred generics at preferred pharmacies, though standard pharmacies charge a $10.00 copay. For other tiers during the initial coverage phase, you will pay a 25% coinsurance for Tier 2 standard generics and Tier 4 non-preferred drugs, a 48% coinsurance for Tier 3 preferred brands, and no copay for Tier 5 specialty drugs. These initial coverage rates apply until your yearly out-of-pocket drug costs reach $2,100.00, which transitions you into the catastrophic coverage phase. Once you reach this threshold, you pay nothing for Medicare Part D covered drugs. Additionally, individuals who qualify for the low-income subsidy can receive a premium reduction, lowering their Part D cost to zero.

Additional Benefits IconAdditional Benefits

The Wellcare Giveback Dividend (HMO-POS) plan offers affordable everyday care with no copays for primary care visits, home health services, and routine preventive exams. Beneficiaries can access essential dental, vision, and hearing benefits, including no copays for routine eye exams, eyewear up to a $200 annual allowance, and preventive dental care up to a $1,000 yearly limit. Specialist visits and Medicare-covered dental care require a $50 copay, with no coinsurance for these routine services. For acute medical needs, inpatient hospital stays require a daily copay for the first four days followed by no copay, while emergency room visits have a $115 copay. Outpatient care and diagnostic services generally feature no coinsurance and variable copays, though medical equipment and dialysis require a 20% coinsurance. Please note that this plan excludes coverage for cardiac rehabilitation, over-the-counter items, and routine transportation.

Inpatient Hospital See details

Wellcare Giveback Dividend (HMO-POS) partially covers inpatient hospital services, with acute care requiring a $475 daily copay for days 1 through 4 and psychiatric care requiring a $440 daily copay for days 1 through 4. Both services have no copay for days 5 through 90 and no coinsurance, but additional days, upgrades, and non-Medicare-covered stays are not covered.

Outpatient Services See details

Wellcare Giveback Dividend (HMO-POS) covers outpatient services with no coinsurance, though prior authorization may be required for certain treatments. Copays range from no copay to $350 for outpatient hospital services, $115 to $350 per stay for observation services, $250 for ambulatory surgical center services, $40 for substance abuse sessions, and no copay for outpatient blood services.

Partial Hospitalization See details

Wellcare Giveback Dividend (HMO-POS) covers partial hospitalization benefits with a $105.00 copay and no coinsurance. Prior authorization is required to receive these covered services.

Ambulance and Transportation Services See details

Wellcare Giveback Dividend (HMO-POS) covers ground and air ambulance services with a $300 copay and no coinsurance, though prior authorization is required. For transportation benefits, some services are covered, but transportation to plan-approved health-related locations and any health-related locations is not covered.

Emergency Services See details

Wellcare Giveback Dividend (HMO-POS) covers emergency services with a $115 copay and urgently needed services with a $40 copay, both with no coinsurance. Worldwide emergency services are partially covered up to a $50,000 limit with a $115 copay and no coinsurance, but worldwide emergency transportation is not covered.

Primary Care See details

Wellcare Giveback Dividend (HMO-POS) covers primary care physician services with no copay and no coinsurance, while specialist visits require a $50 copay. Other covered services like physical, occupational, and mental health therapies feature copays ranging from $35 to $50 with no coinsurance, though podiatry and routine chiropractic care are not covered.

Preventive Services See details

Preventive services offered by Wellcare Giveback Dividend (HMO-POS) are partially covered, featuring no copay for annual physical exams, fitness benefits, and glaucoma screenings, while kidney disease education requires a 20% coinsurance. Various sub-services are not covered, including health education, weight management programs, therapeutic massage, and in-home safety assessments.

Hearing Services See details

Hearing services are partially covered by Wellcare Giveback Dividend (HMO-POS) with no deductible and no coinsurance. Medicare-covered exams require a $50 copay, while routine exams, fitting evaluations, and annual prescription hearing aids (up to $350 per ear) have no copay. OTC hearing aids and inner ear, outer ear, and over-the-ear prescription hearing aids are not covered.

Vision Services See details

Wellcare Giveback Dividend (HMO-POS) covers vision services with no coinsurance, featuring a $0 to $50 copay for eye exams and no copay for eyewear. The plan includes one routine eye exam per year and provides a combined maximum eyewear allowance of $200 annually.

Dental Services See details

Wellcare Giveback Dividend (HMO-POS) covers Medicare-covered dental services with a $50 copay and no coinsurance, and partially covers other preventive and comprehensive dental services with no copay and no coinsurance up to a $1,000 annual limit. Non-covered services that are excluded from this plan include implants, orthodontics, maxillofacial prosthetics, and fixed or removable prosthodontics.

Home Infusion bundled Services See details

Wellcare Giveback Dividend (HMO-POS) covers Home Infusion bundled Services with prior authorization, requiring a $35 copay and no coinsurance for Medicare Part B insulin. Other covered Part B chemotherapy, radiation, and miscellaneous drugs feature no copay and a coinsurance ranging from no coinsurance up to 20%.

Dialysis Services See details

Wellcare Giveback Dividend (HMO-POS) covers dialysis services with 20% coinsurance and no copay.

Medical Equipment See details

Medical equipment benefits under the Wellcare Giveback Dividend (HMO-POS) plan, including durable medical equipment, prosthetic devices, and medical supplies, are covered with a 20% coinsurance and no copay. Diabetic supplies are covered with no copay and no coinsurance, while diabetic therapeutic shoes and inserts require a 20% coinsurance and no copay. Prior authorization is required for most of these services.

Diagnostic and Radiological Services See details

Wellcare Giveback Dividend (HMO-POS) covers diagnostic and radiological services, with prior authorization required for these benefits. Diagnostic tests have a $0 to $50 copay and no coinsurance, lab services feature no copay and no coinsurance, and outpatient X-rays require a $25 copay with no coinsurance. Diagnostic radiological services range from a $0 to $350 copay with no coinsurance, while therapeutic radiological services require a 20% coinsurance and no copay.

Home Health Services See details

Wellcare Giveback Dividend (HMO-POS) covers Home Health Services with no copay and no coinsurance. Prior authorization is required to receive these covered services.

Cardiac Rehabilitation Services See details

Cardiac Rehabilitation Services are not covered under the Wellcare Giveback Dividend (HMO-POS) plan, as all sub-services—including cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation—are excluded from coverage. Since these services are not covered by the plan, there are no copays or coinsurance benefits available.

Skilled Nursing Facility (SNF) See details

Wellcare Giveback Dividend (HMO-POS) partially covers Skilled Nursing Facility (SNF) services, though additional days beyond the Medicare-covered limit are not covered. There is no coinsurance for these services, which feature no copay for days 1 to 20 and days 61 to 100, and a $218 daily copay for days 21 to 60.

Other Services See details

Other Services are not covered under the Wellcare Giveback Dividend (HMO-POS) plan, as acupuncture, over-the-counter (OTC) items, meal benefits, and highly integrated dual-eligible SNP services are all excluded from coverage.

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