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Wellcare Dual Liberty (HMO-POS D-SNP)

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.

Overview IconKey Plan Facts

Below are a few key facts and commonly-asked questions about Wellcare Dual Liberty (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.

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.

Common Services:

Doctor Visits:

Regular visits to your primary care doctor are covered and will have a copay of and coinsurance of 20%.

Specialist Visits:

Visits to specialists are covered and will have a copay of and coinsurance of 20%. Specialist visits may require a referral from your primary care doctor or prior authorization.

Emergency Room:

Trips to the Emergency Room are covered, and will have a copay of and coinsurance of 0% (no coinsurance). Coverage may vary for in-network and out-of-network hospitals.

Urgent Care:

Trips to Urgent Care arecovered and will have a copay of and coinsurance of 0% (no coinsurance). Coverage may vary for in-network and out-of-network hospitals.

Sign up for Wellcare Dual Liberty (HMO-POS D-SNP)

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Drug Coverage IconDrug Coverage

The Wellcare Dual Liberty (HMO-POS D-SNP) prescription drug plan features an annual drug deductible of $500. For Tier 1 preferred generic and Tier 2 generic medications, one-month copays start at $18 and $19 respectively at preferred pharmacies, while three-month supplies filled through preferred mail order have no copay. Tier 6 select care drugs offer the most savings with no copay for any supply duration at standard or preferred pharmacies and mail order. Brand-name and specialty medications under this plan are subject to coinsurance rather than flat copays. Tier 3 preferred brands require a 20% coinsurance, and Tier 4 non-preferred drugs carry a 32% coinsurance. Tier 5 specialty drugs are covered at a 25% coinsurance for a one-month supply at both preferred and standard pharmacies.

Additional Benefits IconAdditional Benefits

The Wellcare Dual Liberty (HMO-POS D-SNP) plan offers comprehensive medical coverage, with many services requiring no copay and a 20% coinsurance, including primary care, outpatient hospital visits, and diagnostic tests. Inpatient hospital stays require a $1,680 copay per admission with no coinsurance, while emergency room visits carry a $115 copay. Additionally, skilled nursing facility stays feature no copay for days 1 to 20, and home health services are fully covered with no copay and no coinsurance. This plan also provides valuable supplemental benefits, including preventive dental care and routine eyewear with no copay and no coinsurance up to annual maximum limits. Members can also access routine chiropractic care, over-the-counter items, and up to 24 one-way transportation trips per year with no copay and no coinsurance. Prescription hearing aids are covered with no copay or coinsurance up to $750 per ear annually, helping to keep your health-related expenses predictable.

Inpatient Hospital See details

Inpatient hospital services are partially covered by Wellcare Dual Liberty (HMO-POS D-SNP) with a $1,680 copay per admission and no coinsurance for acute and psychiatric stays, subject to prior authorization. This benefit does not cover additional days, upgrades, or non-Medicare-covered stays.

Outpatient Services See details

Outpatient services are covered by Wellcare Dual Liberty (HMO-POS D-SNP) with no copays and a 20% coinsurance for outpatient hospital, ambulatory surgical center, outpatient substance abuse, and blood services. Prior authorization is required for most of these services, and the deductible is waived for the first three pints of blood.

Partial Hospitalization See details

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.

Ambulance and Transportation Services See details

Ambulance and transportation services are covered by Wellcare Dual Liberty (HMO-POS D-SNP), featuring a 20% coinsurance and no copay for ground and air ambulance services. Transportation services are partially covered with no copay or coinsurance for up to 24 one-way trips per year to plan-approved locations, though transportation to any health-related location is not covered.

Emergency Services See details

Emergency services are covered by Wellcare Dual Liberty (HMO-POS D-SNP) with a $115 copay and no coinsurance, while urgently needed services require a $40 copay and no coinsurance. Worldwide emergency and urgent care are partially covered up to a $50,000 maximum benefit with a $115 copay and no coinsurance, but worldwide emergency transportation is not covered.

Primary Care See details

Wellcare Dual Liberty (HMO-POS D-SNP) covers primary care, specialist, therapy, and mental health services with no copay and a 20% coinsurance, alongside telehealth options featuring a $0 to $40 copay and 20% coinsurance. Chiropractic services are partially covered with no copay or coinsurance for up to 12 routine visits yearly (other chiropractic services are not covered), while podiatry services are not covered.

Preventive Services See details

Preventive services under the Wellcare Dual Liberty (HMO-POS D-SNP) plan are partially covered, featuring no copay and no coinsurance for annual physical exams, fitness benefits, alternative therapies, and in-home support. However, kidney disease education, glaucoma screenings, and diabetes self-management training require a 20% coinsurance with no copay, while supplemental benefits like health education, in-home safety assessments, and personal emergency response systems are not covered.

Hearing Services See details

Wellcare Dual Liberty (HMO-POS D-SNP) provides partially covered hearing services, including Medicare-covered exams and annual hearing aid fittings with no copay, and one routine annual hearing exam with a 20% coinsurance and no copay. Prescription hearing aids are covered up to $750 per ear yearly with no copay or coinsurance, but OTC hearing aids as well as inner ear, outer ear, and over-the-ear prescription hearing aids are not covered.

Vision Services See details

Vision services are partially covered by Wellcare Dual Liberty (HMO-POS D-SNP), excluding other eye exam services, and require prior authorization with no deductibles. One annual routine eye exam and contact lenses are covered with a 20% coinsurance and no copay, while eyeglasses, lenses, frames, and upgrades have no copay and no coinsurance under a combined $400 annual maximum.

Dental Services See details

Dental services are partially covered by Wellcare Dual Liberty (HMO-POS D-SNP), offering Medicare-covered dental services with no copay and a 20% coinsurance, and other preventive and comprehensive services with no copay and no coinsurance up to a $4,000 annual maximum. Maxillofacial prosthetics, implant services, and orthodontics are not covered.

Home Infusion bundled Services See details

Wellcare Dual Liberty (HMO-POS D-SNP) covers Home Infusion bundled Services with no copay and no coinsurance, though prior authorization is required. Medicare Part B insulin drugs are covered with a $35 copay and no coinsurance, while chemotherapy and other Part B drugs require no copay and 0% to 20% coinsurance.

Dialysis Services See details

Dialysis Services are covered by Wellcare Dual Liberty (HMO-POS D-SNP) with no copay and a 20% coinsurance.

Medical Equipment See details

Wellcare Dual Liberty (HMO-POS D-SNP) covers durable medical equipment, prosthetics, and diabetic supplies with no copay and a 20% coinsurance. Prior authorization is required for these benefits, and diabetic supplies are limited to specified manufacturers.

Diagnostic and Radiological Services See details

Diagnostic and radiological services are covered by Wellcare Dual Liberty (HMO-POS D-SNP) with no copay and a 20% coinsurance, though prior authorization is required. This coverage includes outpatient diagnostic procedures, lab services, therapeutic and diagnostic radiological services, and outpatient X-rays.

Home Health Services See details

Home health services are covered by Wellcare Dual Liberty (HMO-POS D-SNP) with no copay and no coinsurance, though prior authorization is required.

Cardiac Rehabilitation Services See details

Wellcare Dual Liberty (HMO-POS D-SNP) provides cardiac rehabilitation benefits with no copay, though only some services are covered. Standard cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) services are not covered and require a 20% coinsurance.

Skilled Nursing Facility (SNF) See details

Skilled Nursing Facility (SNF) care is covered by Wellcare Dual Liberty (HMO-POS D-SNP) with no coinsurance, requiring prior authorization but no prior three-day hospital stay. There is no copay for days 1 to 20 and days 71 to 100, a $218 daily copay for days 21 to 70, and additional days beyond the Medicare-covered limit are not covered.

Other Services See details

Wellcare Dual Liberty (HMO-POS D-SNP) partially covers other services, providing acupuncture, over-the-counter items, and meal benefits with no copay and no coinsurance, while Other 1, Other 2, Other 3, and Dual Eligible SNPs with Highly Integrated Services are not covered. Covered acupuncture is limited to 12 treatments per year and requires prior authorization, while the meal benefit requires a referral.

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