Wellcare Dual Reserve (HMO-POS D-SNP)

Wellcare Dual Reserve (HMO-POS D-SNP) is a HMO-POS D-SNP plan offered by Trillium Community Health Plan, Inc. available for the 2026 plan year to people living in Oregon. This plan received an overall rating of 3 out of 5 stars in 2026.

It's important to know that Wellcare Dual Reserve (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 Reserve (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 Reserve (HMO-POS D-SNP) prescription drug plan features an annual drug deductible of $615, with costs varying based on your pharmacy choice and drug tier. For Tier 6 select care drugs, you will pay no copay when using preferred retail pharmacies or preferred mail-order services. Tier 1 preferred generics and Tier 2 generics offer affordable copays starting at $18 and $19 respectively, and you can enjoy no copay on three-month supplies of these drugs when using preferred mail order. Higher-tier medications under this plan transition to coinsurance or set copayments. Tier 3 preferred brands and Tier 5 specialty drugs both carry a 25% coinsurance, while Tier 4 non-preferred drugs require a copay starting at $100 for a one-month supply. Utilizing preferred pharmacies and preferred mail-order options provides the greatest savings on your prescription medication costs.

Additional Benefits

The Wellcare Dual Reserve (HMO-POS D-SNP) offers comprehensive medical coverage featuring no copay for primary care visits, home health services, and routine preventive care. For more intensive services, inpatient hospital stays require a $425 daily copay for the first four days followed by no copay, while emergency room visits carry a $130 copay that is waived upon admission. Outpatient hospital services and specialist visits are also covered, with specialists requiring a $25 copay and no coinsurance. This plan also includes strong supplemental benefits, offering no copay for preventive and comprehensive dental care up to $1,500 annually, alongside no copay for routine eye exams and up to $200 for eyewear. Members also benefit from no copay on acupuncture and over-the-counter items, while durable medical equipment is covered with no copay and a twenty percent coinsurance. Routine hearing exams are available with no copay, plus up to $500 per ear annually for covered prescription hearing aids.

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.