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Wellcare Patriot Giveback (HMO-POS)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Wellcare Patriot Giveback (HMO-POS). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Wellcare Patriot Giveback (HMO-POS) in 2026, please refer to our full plan details page.
Wellcare Patriot Giveback (HMO-POS) is a HMO-POS plan offered by Centene Corporation available for enrollment in 2026 to people living in Select Counties in Louisiana. This plan received an overall rating of 3.5 out of 5 stars in 2026.
It's important to know that Wellcare Patriot Giveback (HMO-POS) is a Medicare Advantage (MA) Plan without drug coverage. That means that this plan covers medical services but doesn't cover prescription drugs. If you are looking for a plan with prescription drug coverage, please search for other MA and PDP plans offered in your area.
Key Plan Facts
Below are a few key facts and commonly-asked questions about Wellcare Patriot Giveback (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 Patriot Giveback (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 $125.00. 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.
Drugs are not covered by this plan, so a prescription drug deductible is not applicable.
Out-of-Pocket Maximums
This plan has a Maximum Out-Of-Pocket cost of $7000.00 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:
Specialist Visits:
Emergency Room:
Urgent Care:
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Drug Coverage
Prescription drugs are not covered by Wellcare Patriot Giveback (HMO-POS).
Additional Benefits
The Wellcare Patriot Giveback (HMO-POS) plan offers robust coverage with many essential services featuring no copays and no coinsurance, including primary care, routine dental, vision, hearing, and home health services. For specialized medical care, members can expect affordable copayments with no coinsurance for outpatient services, specialist visits, and emergency care. Inpatient hospital stays and skilled nursing facility care are also covered, utilizing daily copayments for initial days before transitioning to no copays for longer stays. To support overall wellness, this plan provides fitness benefits, over-the-counter items, and chronic illness meals with no copay and no coinsurance. While many diagnostic and preventative services require no copay, certain specialized treatments like dialysis, durable medical equipment, and Part B drugs may require a 20% coinsurance. This combination of comprehensive coverage and predictable cost-sharing helps members effectively manage their healthcare expenses.
Inpatient Hospital See details
Wellcare Patriot Giveback (HMO-POS) partially covers inpatient hospital services with no coinsurance, though prior authorization is required. Acute care requires a $325 daily copay for days 1 to 8 (no copay for days 9 to 90), and psychiatric care requires a $250 daily copay for days 1 to 8 (no copay for days 9 to 90). Additional hospital days, non-Medicare-covered stays, and upgrades are not covered.
Outpatient Services See details
Wellcare Patriot Giveback (HMO-POS) covers outpatient services with no coinsurance, featuring hospital outpatient copays from $0 to $500 and observation copays from $115 to $500 per stay. Ambulatory surgical center services require a $250 copay with no coinsurance, while outpatient substance abuse and blood services are covered with no copay and no coinsurance.
Partial Hospitalization See details
Partial hospitalization is covered under the Wellcare Patriot Giveback (HMO-POS) plan with a $105.00 copay and no coinsurance, though prior authorization is required.
Ambulance and Transportation Services See details
Ambulance and transportation services are partially covered under the Wellcare Patriot Giveback (HMO-POS) plan. Medicare-covered ground and air ambulance services require prior authorization and carry a $275 copay with no coinsurance, while transportation to plan-approved or health-related locations is not covered.
Emergency Services See details
Emergency services are covered by Wellcare Patriot Giveback (HMO-POS) with a $115 copay and no coinsurance, while urgently needed services require a $35 copay and no coinsurance. Worldwide emergency and urgent care are partially covered up to a $50,000 maximum with a $115 copay and no coinsurance, though worldwide emergency transportation is not covered.
Primary Care See details
Wellcare Patriot Giveback (HMO-POS) covers primary care, mental health, and psychiatric services with no copay and no coinsurance. Specialist visits, physical therapy, and occupational therapy require copays ranging from $35 to $40 with no coinsurance, while podiatry is not covered and chiropractic services are only partially covered.
Preventive Services See details
Wellcare Patriot Giveback (HMO-POS) provides partially covered preventive services, offering annual physical exams, fitness benefits, and alternative therapies with no copay and no coinsurance. Kidney disease education is covered with no copay and a 20% coinsurance, but several services including health education, weight management, and nutritional benefits are not covered.
Hearing Services See details
Wellcare Patriot Giveback (HMO-POS) covers Medicare-covered hearing exams for a $35 copay and no coinsurance, while routine exams and fitting evaluations have no copay and no coinsurance. Prescription hearing aids are partially covered with no copay or coinsurance up to a $350 maximum per ear annually, but inner ear, outer ear, over the ear, and over-the-counter hearing aids are not covered.
Vision Services See details
Wellcare Patriot Giveback (HMO-POS) offers partially covered vision services, as other eye exam services are not covered. Eye exams have a copay of $0 to $35 with no coinsurance, while routine exams and eyewear are covered with no copay and no coinsurance up to a $200 annual limit.
Dental Services See details
Wellcare Patriot Giveback (HMO-POS) partially covers dental services, offering Medicare-covered dental care with a $35 copay and no coinsurance, alongside preventive and comprehensive dental services with no copay and no coinsurance up to a $3,000 annual maximum. Maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
Wellcare Patriot Giveback (HMO-POS) covers home infusion bundled services with no copay, though prior authorization is required. Under this benefit, Medicare Part B insulin requires a $35 copay and no coinsurance, while chemotherapy, radiation, and other Part B drugs have no copay and 0% to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered under the Wellcare Patriot Giveback (HMO-POS) plan with no copay and a 20% coinsurance.
Medical Equipment See details
Medical equipment benefits under the Wellcare Patriot Giveback (HMO-POS) cover durable medical equipment, prosthetics, and medical supplies with no copay and a 20% coinsurance. Diabetic supplies are covered with no copay from specified manufacturers, while diabetic therapeutic shoes and inserts require a 20% coinsurance.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered under the Wellcare Patriot Giveback (HMO-POS) plan, with prior authorization required for both. Diagnostic services feature no coinsurance, offering lab services with no copay and diagnostic tests with a copay ranging from $0 to $40, while radiological services require a $50 copay for X-rays, a minimum 20% coinsurance for therapeutic radiology, and a $0 minimum copay for diagnostic radiology.
Home Health Services See details
Wellcare Patriot Giveback (HMO-POS) covers Home Health Services with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Wellcare Patriot Giveback (HMO-POS) partially covers Cardiac Rehabilitation Services with no coinsurance, though standard cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered and require copayments between $20 and $40.
Skilled Nursing Facility (SNF) See details
Wellcare Patriot Giveback (HMO-POS) covers Skilled Nursing Facility (SNF) services with no coinsurance and no prior three-day hospital stay required, though prior authorization is necessary. There is no copay for days 1 through 20 and days 61 through 100, while days 21 through 60 require a $218 daily copay, and additional days beyond Medicare coverage are not covered.
Other Services See details
Other services are partially covered by Wellcare Patriot Giveback (HMO-POS), which offers over-the-counter (OTC) items and chronic illness meal benefits with no copay and no coinsurance. Acupuncture is not covered under this plan.
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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.
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