Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Wellcare Dual Liberty (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 (HMO-POS D-SNP) in 2026, please refer to our full plan details page.
Wellcare Dual Liberty (HMO-POS D-SNP) is a HMO-POS D-SNP 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 Dual Liberty (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 (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 (HMO-POS D-SNP).
The cost of a Medicare Advantage Plan is made up of four main parts.
For Wellcare Dual Liberty (HMO-POS D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $27.20. 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 $500.00 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.
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
The Wellcare Dual Liberty (HMO-POS D-SNP) prescription drug plan features an annual drug deductible of $500. Under this plan, Tier 1 preferred generic drugs require an $18.00 copay for a one-month supply at preferred pharmacies, while Tier 2 generic drugs start at a $19.00 copay. Both Tier 1 and Tier 2 drugs feature no copay for a three-month supply when using preferred mail order, and Tier 6 select care drugs have no copay across all pharmacy and mail order options. Brand-name and specialty medications under this plan require coinsurance instead of flat copayments. Tier 3 preferred brand drugs carry a 20% coinsurance, while Tier 4 non-preferred drugs require a 32% coinsurance. Tier 5 specialty drugs are covered with a 25% coinsurance for a one-month supply at both preferred and standard pharmacies.
The Wellcare Dual Liberty (HMO-POS D-SNP) plan provides robust medical coverage with no copay and a 20% coinsurance for primary care, outpatient hospital services, and diagnostic tests. For inpatient hospital stays, members pay a $1,720 copay per stay with no coinsurance, while emergency care carries a $115 copay. Skilled nursing facility care is also covered with no coinsurance and no copay for days 1 through 20 and 71 through 100. In addition to medical care, the plan features comprehensive dental coverage with no copay or coinsurance up to a $4,000 annual maximum. Members also benefit from a $400 annual eyewear allowance, hearing aid coverage up to $750 per ear, and 24 one-way transportation trips per year to plan-approved locations with no copay or coinsurance. Home health care, annual physicals, and fitness programs are also fully covered with no copay or coinsurance.
Wellcare Dual Liberty (HMO-POS D-SNP) partially covers inpatient hospital services, requiring a $1,720 copay per stay and no coinsurance for acute and psychiatric admissions. Prior authorization is required, and additional days, upgrades, and non-Medicare-covered stays are not covered.
Wellcare Dual Liberty (HMO-POS D-SNP) covers outpatient services with no copay, though a 20% coinsurance applies to outpatient hospital, ambulatory surgical center, substance abuse, and blood services. Prior authorization is required for outpatient hospital, ambulatory surgical center, and substance abuse services.
Wellcare Dual Liberty (HMO-POS D-SNP) covers partial hospitalization services with no copay and a 20% coinsurance. Prior authorization is required to receive this benefit.
Wellcare Dual Liberty (HMO-POS D-SNP) covers ground and air ambulance services with 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 or coinsurance, though transportation to any health-related location is not covered.
Wellcare Dual Liberty (HMO-POS D-SNP) covers emergency services with a $115 copay and no coinsurance, and urgently needed services with a $40 copay and no coinsurance, 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 (HMO-POS D-SNP) covers primary care, specialist, therapy, and mental health services with no copay and a 20% coinsurance, though podiatry and certain chiropractic services are not covered. Routine chiropractic care is covered with no copay or coinsurance for up to 12 visits yearly, and telehealth benefits are available with a $0 to $40 copay and 20% coinsurance.
Preventive services are partially covered under the Wellcare Dual Liberty (HMO-POS D-SNP) plan, featuring no copay and no coinsurance for annual physicals, fitness, alternative therapies, remote access, and in-home support. While kidney education and select screenings require no copay and a 20% coinsurance, several services are not covered, including health education, in-home safety assessments, PERS, medical nutrition, post-discharge medication reconciliation, readmission prevention, wigs, weight management, therapeutic massage, adult day health, nutritional benefits, palliative care, caregiver support, smoking cessation, disease management, telemonitoring, home safety devices, and counseling.
Wellcare Dual Liberty (HMO-POS D-SNP) provides partially covered hearing services, which include one annual routine hearing exam with no copay and a 20% coinsurance, and one yearly fitting evaluation with no copay. Prescription hearing aids are covered up to $750 per ear annually with no copay or coinsurance, though OTC hearing aids and inner-ear, outer-ear, or over-the-ear prescription models are not covered.
Wellcare Dual Liberty (HMO-POS D-SNP) provides partially covered vision services, excluding other eye exam services, with no deductibles and a $400 annual maximum eyewear benefit. Routine eye exams and contact lenses have no copay but require a 20% coinsurance, while other covered eyewear benefits feature no copay and no coinsurance.
Wellcare Dual Liberty (HMO-POS D-SNP) dental services are partially covered, offering Medicare-covered dental with no copay and 20% coinsurance, and preventive and comprehensive dental with no copay and no coinsurance up to a $4,000 annual maximum. Prior authorization is required for most covered services, while maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home infusion bundled services are covered by Wellcare Dual Liberty (HMO-POS D-SNP) with no copay, while related Medicare Part B chemotherapy and other drugs require a 0% to 20% coinsurance. Additionally, Medicare Part B insulin is covered with a $35 copay and no coinsurance.
Dialysis Services are covered by Wellcare Dual Liberty (HMO-POS D-SNP) with no copay and a 20% coinsurance.
Wellcare Dual Liberty (HMO-POS D-SNP) covers medical equipment, including durable medical equipment (DME), prosthetics, medical supplies, and diabetic supplies, with no copay and a 20% coinsurance. Prior authorization is required for these covered benefits, and diabetic supplies are limited to specified manufacturers.
Wellcare Dual Liberty (HMO-POS D-SNP) covers diagnostic and radiological services, including lab work, tests, and X-rays, with no copay and a 20% coinsurance. Prior authorization is required for these covered services.
Wellcare Dual Liberty (HMO-POS D-SNP) covers Home Health Services with no copay and no coinsurance, though prior authorization is required.
Wellcare Dual Liberty (HMO-POS D-SNP) covers Cardiac Rehabilitation Services with no copay, but only some services are covered in practice. Specifically, cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered and require a 20% coinsurance.
Wellcare Dual Liberty (HMO-POS D-SNP) covers Skilled Nursing Facility (SNF) services with no coinsurance, requiring prior authorization but allowing admission without a prior three-day inpatient hospital stay. There is no copay for days 1 to 20 and days 71 to 100, but a $218 copay applies for days 21 to 70, with additional days beyond the standard 100-day Medicare limit not covered.
Wellcare Dual Liberty (HMO-POS D-SNP) partially covers other services with no copay and no coinsurance, offering benefits for up to 12 acupuncture treatments per year, over-the-counter items, and meals for certain medical conditions. However, highly integrated dual-eligible SNP services and other additional services are not covered.
SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
MedicareAdvantageRX.com is owned and operated by Dog Media Solutions LLC.
This is a promotional communication.
Every year, Medicare evaluates plans based on a 5-star rating system.
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.
Enrollment in Medicare/Medicare Advantage may be limited to certain times of the year unless you qualify for a Special Enrollment Period
We do not offer every plan available in your area. Currently, we represent 18 organizations, which offer 52,101 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
We represent Medicare Advantage HMO, PPO and PFFS organizations and stand-alone PDP prescription drug plans that are contracted with Medicare. Enrollment depends on the plan's contract renewal.
Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply.
Please contact Medicare.gov ,1-800-MEDICARE , or your local State Health Insurance Program (SHIP) to get information on all of your options.
Medicare has neither approved nor endorsed any information on this site.
Speak with a licensed insurance agent: 1-877-649-2073 / TTY 711 | 8am - 11pm ET | 7 days a week
© 2023 Dog Media Solutions LLC. All rights reserved