Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Wellcare Dual Liberty Sync (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 Sync (HMO-POS D-SNP) in 2026, please refer to our full plan details page.
Wellcare Dual Liberty Sync (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 IA. This plan received an overall rating of 2.5 out of 5 stars in 2026.
It's important to know that Wellcare Dual Liberty Sync (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 Sync (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.
Below are a few key facts and commonly-asked questions about Wellcare Dual Liberty Sync (HMO-POS D-SNP).
The cost of a Medicare Advantage Plan is made up of four main parts.
For Wellcare Dual Liberty Sync (HMO-POS D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $31.90. 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.
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The Wellcare Dual Liberty Sync (HMO-POS D-SNP) plan features an annual drug deductible of $615. For Tier 6 select care drugs, you will pay no copay for up to a three-month supply at both standard and preferred pharmacies. Tier 1 preferred generic and Tier 2 generic drugs offer low copays starting at $18 and $19 respectively for a one-month supply at preferred pharmacies, with no copay for a three-month supply filled via preferred mail order. Higher-tier medications under this plan incur coinsurance or set copays, such as a 20% coinsurance for Tier 3 preferred brand drugs and a 25% coinsurance for Tier 5 specialty drugs. Tier 4 non-preferred drugs require a copay starting at $100 for a one-month supply at standard and preferred pharmacies. Knowing these cost-sharing tiers helps you estimate your out-of-pocket prescription drug expenses with this Wellcare Medicare plan.
The Wellcare Dual Liberty Sync (HMO-POS D-SNP) plan offers comprehensive medical coverage where most primary, specialist, and outpatient services feature no copay and a 20% coinsurance. Inpatient hospital stays require no coinsurance but carry flat copayments of $2,190 for acute care and $2,080 for psychiatric care per stay. Emergency room visits require a $115 copay, while urgent care services have a $40 copay, with both waiving these fees if you are admitted to the hospital. Beneficiaries also receive robust everyday benefits, including home health services, select dental care, and up to 24 one-way transportation trips annually with no copay and no coinsurance. Routine vision and hearing exams are available with no copay and a 20% coinsurance, alongside generous allowances for prescription hearing aids up to $1,500 per ear and eyewear up to a $500 annual limit. Additionally, the plan provides over-the-counter items, fitness benefits, and annual physical exams with no copay and no coinsurance.
Wellcare Dual Liberty Sync (HMO-POS D-SNP) partially covers inpatient hospital services with no coinsurance, requiring a copayment of $2,190 per stay for acute care and $2,080 per stay for psychiatric care. Prior authorization is required, and additional days, non-Medicare-covered stays, and acute upgrades are not covered.
Outpatient services covered by Wellcare Dual Liberty Sync (HMO-POS D-SNP) feature no copayments, but require a 20% coinsurance for outpatient hospital, ambulatory surgical center, outpatient substance abuse, and outpatient blood services. Prior authorization is required for outpatient hospital, ambulatory surgical center, and outpatient substance abuse services.
Partial hospitalization is covered by the Wellcare Dual Liberty Sync (HMO-POS D-SNP) plan with no copay and a 20% coinsurance. Prior authorization is required to receive these services.
Ambulance and transportation services are covered under the Wellcare Dual Liberty Sync (HMO-POS D-SNP), with ground and air ambulance services requiring 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 transportation to any health-related location is not covered.
Wellcare Dual Liberty Sync (HMO-POS D-SNP) covers emergency services with a $115 copay and urgently needed services with a $40 copay, both with no coinsurance and with copays waived if admitted to the hospital within 24 hours. Worldwide emergency and urgent care are partially covered up to a $50,000 maximum benefit with a $115 copay and no coinsurance, though worldwide emergency transportation is not covered.
Wellcare Dual Liberty Sync (HMO-POS D-SNP) covers primary care, specialist, therapy, mental health, psychiatric, and opioid treatment services with no copay and 20% coinsurance. Telehealth benefits are also available with a $0 to $40 copay and 20% coinsurance, while chiropractic and podiatry services are not covered.
Wellcare Dual Liberty Sync (HMO-POS D-SNP) offers partially covered preventive services, featuring no copay and no coinsurance for annual physical exams, fitness benefits, alternative therapies, PERS, and remote access technologies. Other covered services like kidney disease education, glaucoma screenings, and diabetes training require a 20% coinsurance and no copay, while sub-services such as health education, in-home safety assessments, and nutritional benefits are not covered.
Wellcare Dual Liberty Sync (HMO-POS D-SNP) covers hearing exams with no deductible, offering annual routine exams for no copay and 20% coinsurance, and fitting evaluations with no copay and no coinsurance. Prescription hearing aids are partially covered with no copay or coinsurance up to $1,500 per ear annually, but inner ear, outer ear, over the ear, and OTC hearing aids are not covered.
Wellcare Dual Liberty Sync (HMO-POS D-SNP) partially covers vision services, with other eye exam services being excluded from coverage. Routine eye exams are covered once annually with no copay and a 20% coinsurance, while covered eyewear features no copay—except for contact lenses which require a 20% coinsurance—up to a $500 annual maximum.
Wellcare Dual Liberty Sync (HMO-POS D-SNP) offers partially covered dental services, featuring Medicare-covered dental care with no copay and a 20% coinsurance, and other covered dental services with no copay and no coinsurance. However, maxillofacial prosthetics, implant services, and orthodontics are not covered under this plan.
Wellcare Dual Liberty Sync (HMO-POS D-SNP) covers home infusion bundled services with no copay, though prior authorization is required. Under this benefit, Medicare Part B insulin drugs require a $35 copay and no coinsurance, while chemotherapy and other Part B drugs have no copay and a coinsurance of 0% to 20%.
Dialysis Services are covered under the Wellcare Dual Liberty Sync (HMO-POS D-SNP) plan with no copay and a 20% coinsurance.
Wellcare Dual Liberty Sync (HMO-POS D-SNP) covers 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 are covered by Wellcare Dual Liberty Sync (HMO-POS D-SNP) with no copay, though a 20% coinsurance and prior authorization apply to all services, including lab work, diagnostic tests, therapeutic radiology, and X-rays.
Wellcare Dual Liberty Sync (HMO-POS D-SNP) covers home health services with no copay and no coinsurance, although prior authorization is required.
Wellcare Dual Liberty Sync (HMO-POS D-SNP) covers Cardiac Rehabilitation Services with no copay, but only some services are covered in practice. Specific programs, including cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation, are not covered and require a 20% coinsurance.
Skilled Nursing Facility (SNF) care is covered by Wellcare Dual Liberty Sync (HMO-POS D-SNP) with no coinsurance, requiring prior authorization but no prior three-day inpatient hospital stay. There is no copay for days 1 to 20 and days 71 to 100, a $218 daily copay for days 21 to 70, and additional days beyond the Medicare-covered limit are not covered.
Wellcare Dual Liberty Sync (HMO-POS D-SNP) provides partial coverage for other services, including over-the-counter (OTC) items and chronic illness meal benefits with no copay and no coinsurance. Acupuncture and highly integrated dual-eligible services are not covered under this benefit.
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Part B premium reduction is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be lower. Deductibles, copays and coinsurance may apply.
* Benefit(s) mentioned may be part of a special supplemental program for chronically ill members with one of the following conditions: Diabetes mellitus, Cardiovascular disorders, Chronic and disabling mental health conditions, Chronic lung disorders, Chronic heart failure. This is not a complete list of qualifying conditions. Having a qualifying condition alone does not mean you will receive the benefit(s). Other requirements may apply.
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