Wellcare Dual Select Sync (HMO-POS D-SNP)

Wellcare Dual Select 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 OR. This plan received an overall rating of 3 out of 5 stars in 2026.

It's important to know that Wellcare Dual Select 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.

Key Plan Facts

Below are a few key facts and commonly-asked questions about Wellcare Dual Select Sync (HMO-POS 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 Select Sync (HMO-POS D-SNP) plan features an annual prescription drug deductible of $350. Under this plan, Tier 6 select care drugs are available with no copay across all pharmacy and mail-order options. For generic medications, Tier 1 preferred generics start at an $18 copay and Tier 2 generics start at a $19 copay for a one-month supply at preferred pharmacies, and both tiers offer a three-month supply with no copay through preferred mail order. Tier 3 preferred brands and Tier 5 specialty drugs require a 25% coinsurance, with specialty drugs limited to a one-month supply. Tier 4 non-preferred drugs carry a $100 copay for a one-month supply at both preferred and standard pharmacies. Standard pharmacies generally present slightly higher copays for lower-tier generics, making preferred pharmacies and mail-order services the most cost-effective choices for filling prescriptions.

Additional Benefits

The Wellcare Dual Select Sync (HMO-POS D-SNP) plan provides comprehensive medical coverage, though cost-sharing varies by service. Inpatient hospital stays require no coinsurance but carry set copays per admission, while outpatient services, primary care, specialists, and diagnostics generally feature no copay and a 20% coinsurance. Emergency care is accessible with a $115 copay, and urgent care is covered with a $40 copay, with both waiving the copay if you are admitted within 24 hours. For supplemental care, members enjoy no copay and no coinsurance for home health services, routine dental, and up to 12 one-way transportation trips per year. Vision and hearing benefits are partially covered, offering no copay and no coinsurance for items like eyeglasses and prescription hearing aids up to specific annual limits. Additionally, Medicare Part B insulin is capped at a $35 copay, while durable medical equipment and dialysis require a 20% coinsurance with no copay.