Wellcare Dual Access Open (PPO D-SNP)

Wellcare Dual Access Open (PPO D-SNP) is a PPO D-SNP plan offered by Meridian Health Plan of Michigan, Inc. available for the 2026 plan year to people living in Select counties in MI. This plan received an overall rating of 3 out of 5 stars in 2026.

It's important to know that Wellcare Dual Access Open (PPO D-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.

Key Plan Facts

Below are a few key facts and commonly-asked questions about Wellcare Dual Access Open (PPO D-SNP).

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.

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:

Drug Coverage

The Wellcare Dual Access Open (PPO D-SNP) prescription drug plan features an annual drug deductible of $470. For Tier 1 preferred generics and Tier 2 generics, copays start as low as $18 and $19 respectively for a one-month supply at preferred pharmacies, with no copay required for a three-month supply ordered through preferred mail order. Additionally, Tier 6 select care drugs are highly accessible, offering no copay across all participating pharmacy and mail order options. For higher-tier prescription medications, costs are determined by coinsurance during the initial coverage phase. Tier 3 preferred brands require a 20% coinsurance, while Tier 4 non-preferred drugs carry a 32% coinsurance for all supply durations. Tier 5 specialty drugs are covered with a 25% coinsurance for a one-month supply at both preferred and standard pharmacies.

Additional Benefits

The Wellcare Dual Access Open (PPO D-SNP) plan offers comprehensive medical coverage with varying cost-sharing requirements. Inpatient hospital admissions require a $2,050 copay with no coinsurance, while outpatient services, primary care, specialists, and diagnostics generally feature no copay and a 20% coinsurance. Emergency room visits carry a $115 copay and urgent care has a $40 copay, both of which are waived if you are admitted to the hospital within 24 hours. For supplemental care, this plan provides robust dental, vision, and hearing benefits with no deductibles. Preventive and comprehensive dental services are covered up to a $3,000 annual maximum with no copay and no coinsurance, while prescription hearing aids are covered up to $1,000 per ear with no copay or coinsurance. Additionally, members benefit from no copay and no coinsurance for home health services, over-the-counter items, and chronic illness meals.

Plan Providers

Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, Health Care Service Corporation, HealthSpring^SM, HealthSun, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.