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Wellcare Dual Liberty Sync (HMO-POS D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Wellcare Dual Liberty Sync (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 Sync (HMO-POS D-SNP) in 2026, please refer to our full plan details page.
Wellcare Dual Liberty 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 PA. This plan received an overall rating of 3.5 out of 5 stars in 2026.
It's important to know that Wellcare Dual Liberty 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.
Important:
Wellcare Dual Liberty Sync (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.
Key Plan Facts
Below are a few key facts and commonly-asked questions about Wellcare Dual Liberty 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.
For Wellcare Dual Liberty Sync (HMO-POS D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $32.70. 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 $490.00 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:
Specialist Visits:
Emergency Room:
Urgent Care:
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Drug Coverage
The Wellcare Dual Liberty Sync (HMO-POS D-SNP) prescription drug plan has an annual drug deductible of $490. For Tier 1 preferred generics and Tier 2 generics, one-month copays start as low as $18 and $19 at preferred pharmacies, while a three-month supply through preferred mail order has no copay. Additionally, Tier 6 select care drugs are completely covered with no copay regardless of the pharmacy type or supply duration. Brand-name and specialty medications are subject to coinsurance rather than flat copays during the initial coverage phase. You will pay 20% coinsurance for Tier 3 preferred brands and 32% coinsurance for Tier 4 non-preferred drugs. Tier 5 specialty drugs require a 25% coinsurance for a one-month supply at both preferred and standard pharmacies.
Additional Benefits
The Wellcare Dual Liberty Sync (HMO-POS D-SNP) offers comprehensive healthcare coverage with no copay for outpatient, primary care, and specialist visits, though a 20% coinsurance generally applies. Inpatient hospital stays require a $1,965 copay per admission with no coinsurance, while emergency room visits carry a $115 copay that is waived if you are admitted. Additionally, skilled nursing facility stays feature no copay for days 1 to 20 and 71 to 100, though a $218 daily copay applies for days 21 to 70. This plan also includes valuable supplemental benefits like routine dental, home health services, and over-the-counter items with no copay and no coinsurance. Vision benefits feature a $500 annual allowance for eyewear, and hearing aid coverage provides up to $1,000 per ear annually with no copay or coinsurance. Members can also take advantage of up to 60 free one-way trips per year to plan-approved health locations with no copay and no coinsurance.
Inpatient Hospital See details
Wellcare Dual Liberty Sync (HMO-POS D-SNP) covers inpatient acute and psychiatric hospital stays with a $1,965 copayment per admission and no coinsurance, subject to prior authorization. This benefit is partially covered, as upgrades, additional days, and non-Medicare-covered stays are not covered.
Outpatient Services See details
Outpatient services under Wellcare Dual Liberty Sync (HMO-POS D-SNP) are covered with no copayments, 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, and there is no deductible for blood services.
Partial Hospitalization See details
Partial hospitalization services are covered by Wellcare Dual Liberty Sync (HMO-POS D-SNP) with no copay and a 20% coinsurance. Prior authorization is required for these services.
Ambulance and Transportation Services See details
Wellcare Dual Liberty Sync (HMO-POS D-SNP) covers ground and air ambulance services with a 20% coinsurance and no copay. The plan also offers up to 60 one-way trips per year to plan-approved health-related locations with no copay and no coinsurance, though transportation to other health-related locations is not covered.
Emergency Services See details
Wellcare Dual Liberty Sync (HMO-POS D-SNP) covers emergency services with a $115 copay and urgently needed services with a $40 copay, featuring no coinsurance for either service and copays waived if admitted to the hospital within 24 hours. Worldwide emergency and urgent care are partially covered up to a $50,000 lifetime maximum with a $115 copay and no coinsurance, but worldwide emergency transportation is not covered.
Primary Care See details
Wellcare Dual Liberty Sync (HMO-POS D-SNP) offers primary care, specialist visits, physical/occupational therapy, and mental health services with no copay and 20% coinsurance, while telehealth services require a $0 to $40 copay and 20% coinsurance. Podiatry services and chiropractic care, including routine and other chiropractic services, are not covered under this plan.
Preventive Services See details
Wellcare Dual Liberty Sync (HMO-POS D-SNP) covers annual physical exams and select supplemental benefits with no copay and no coinsurance, while kidney disease education and other screenings require no copay and 20% coinsurance. Additional preventive benefits are only partially covered, excluding health education, in-home safety assessments, medical nutrition therapy, medication reconciliation, re-admission prevention, wigs, weight management, therapeutic massage, adult day health, nutritional benefits, palliative care, in-home support, caregiver support, smoking cessation, disease management, telemonitoring, home safety modifications, and counseling.
Hearing Services See details
Hearing services are partially covered under the Wellcare Dual Liberty Sync (HMO-POS D-SNP) plan, offering routine hearing exams with a 20% coinsurance and no copay, and fitting evaluations with no copay or coinsurance. Prescription hearing aids are covered up to $1,000 per ear annually with no copay or coinsurance, though OTC hearing aids and inner-ear, outer-ear, or over-the-ear prescription hearing aids are not covered.
Vision Services See details
Wellcare Dual Liberty Sync (HMO-POS D-SNP) vision services are partially covered, offering one annual routine eye exam with no copay and a 20% coinsurance, while other eye exam services are not covered. Covered eyewear has a combined annual limit of $500, with eyeglasses, lenses, frames, and upgrades requiring no copay and no coinsurance, while contact lenses have no copay and a 20% coinsurance.
Dental Services See details
Dental services are partially covered by Wellcare Dual Liberty Sync (HMO-POS D-SNP), with Medicare-covered dental services requiring no copay and a 20% coinsurance, and other preventive and comprehensive dental services requiring no copay and no coinsurance. Orthodontics and maxillofacial prosthetics are not covered under this plan, and prior authorization is required for most services.
Home Infusion bundled Services See details
Home infusion bundled services are covered by Wellcare Dual Liberty Sync (HMO-POS D-SNP) with no copay, though prior authorization is required. Covered Medicare Part B insulin drugs require a $35 copay and no coinsurance, while chemotherapy and other Part B drugs have a coinsurance ranging from 0% to 20%.
Dialysis Services See details
Wellcare Dual Liberty Sync (HMO-POS D-SNP) covers dialysis services with no copay and a 20% coinsurance.
Medical Equipment See details
Wellcare Dual Liberty Sync (HMO-POS D-SNP) covers durable medical equipment, prosthetics, medical supplies, and diabetic services 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 Sync (HMO-POS D-SNP) with no copay, but require prior authorization and a 20% coinsurance. This includes coverage for outpatient diagnostic procedures, lab services, therapeutic radiological services, and X-rays.
Home Health Services See details
Wellcare Dual Liberty Sync (HMO-POS D-SNP) covers home health services with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered by Wellcare Dual Liberty Sync (HMO-POS D-SNP) with no copay, though only some services are covered. Standard cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) rehabilitation services are not covered under this plan and require a 20% coinsurance.
Skilled Nursing Facility (SNF) See details
Wellcare Dual Liberty Sync (HMO-POS D-SNP) partially covers Skilled Nursing Facility (SNF) services with no coinsurance, featuring no copay for days 1 to 20 and 71 to 100, and a $218 daily copay for days 21 to 70. Additional days beyond the Medicare-covered limit are not covered, and prior authorization is required.
Other Services See details
Other Services are partially covered under Wellcare Dual Liberty Sync (HMO-POS D-SNP), which offers over-the-counter (OTC) items and chronic illness meal benefits with no copay and no coinsurance. However, acupuncture is not covered under this plan benefit.
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