A non-government entity
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 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 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 $7550.00 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:
Sign up for Wellcare Patriot Giveback (HMO-POS)
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
Drug Coverage
Prescription drugs are not covered by Wellcare Patriot Giveback (HMO-POS).
Additional Benefits
The Wellcare Patriot Giveback (HMO-POS) plan offers comprehensive medical coverage featuring no copay for primary care visits, preventive screenings, diagnostic tests, and home health services. For hospital care, beneficiaries face a $345 daily copay for the first five days of acute inpatient stays, while outpatient hospital services range from no copay up to a $350 copay. Emergency room visits require a $115 copay, which is waived if admitted, and urgent care visits carry a $40 copay. This plan also includes valuable supplemental benefits, including routine dental, vision, and hearing services with no copay, alongside annual allowances of up to $2,000 for dental and $200 for eyewear. Additionally, there is no copay for over-the-counter items and diabetic supplies, while durable medical equipment and dialysis services require a 20% coinsurance. Specialist visits and routine physical therapy are also highly accessible with low copays ranging from $15 to $30.
Inpatient Hospital See details
Inpatient hospital services are partially covered by Wellcare Patriot Giveback (HMO-POS) with no coinsurance, requiring a $345 daily copay for days 1 to 5 of acute stays and a $370 daily copay for days 1 to 5 of psychiatric stays, with no copay for days 6 to 90. Prior authorization is required, and additional days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
Wellcare Patriot Giveback (HMO-POS) covers outpatient services with no coinsurance, featuring a $0 to $350 copay for outpatient hospital services and a $220 copay for ambulatory surgical center services. Outpatient substance abuse sessions and outpatient blood services are covered with no copay and no coinsurance.
Partial Hospitalization See details
Wellcare Patriot Giveback (HMO-POS) covers partial hospitalization services with a $105.00 copay and no coinsurance. Prior authorization is required to receive this benefit.
Ambulance and Transportation Services See details
Wellcare Patriot Giveback (HMO-POS) covers ground and air ambulance services with a $260 copay and no coinsurance per service, subject to prior authorization. Transportation services to plan-approved or other health-related locations are not covered under this plan.
Emergency Services See details
Wellcare Patriot Giveback (HMO-POS) covers emergency services with a $115 copay and urgently needed services with a $40 copay, both featuring no coinsurance and waived copays 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, though worldwide emergency transportation is not covered.
Primary Care See details
Wellcare Patriot Giveback (HMO-POS) provides partially covered primary care services, excluding podiatry and non-routine chiropractic care. Beneficiaries enjoy no copay and no coinsurance for primary care visits, mental health, and psychiatric services, while specialist visits, physical therapy, and routine chiropractic care require copays of $15 to $30 with no coinsurance.
Preventive Services See details
Preventive services are partially covered by Wellcare Patriot Giveback (HMO-POS), with covered options like annual physicals, memory fitness, and health screenings requiring no copay and no coinsurance, while kidney disease education has no copay and a 20% coinsurance. Excluded sub-services include health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge medication reconciliation, re-admission prevention, chemotherapy wigs, weight management, therapeutic massage, adult day health, nutritional or dietary benefits, home-based palliative care, in-home support, caregiver support, smoking cessation counseling, enhanced disease management, telemonitoring, home safety modifications, and counseling.
Hearing Services See details
Wellcare Patriot Giveback (HMO-POS) covers Medicare-covered hearing exams with a $30 copay and no coinsurance, while routine exams and fitting evaluations are available with no copay and no coinsurance. Prescription hearing aids are partially covered with no copay or coinsurance up to a $500 maximum benefit per ear annually, though inner ear, outer ear, over the ear, and OTC hearing aids are not covered.
Vision Services See details
Wellcare Patriot Giveback (HMO-POS) partially covers vision services, offering routine eye exams and eyewear with no copay and no coinsurance, including a $200 annual maximum for glasses and contacts. Medicare-covered eye exams have a copay of up to $30 and no coinsurance, but other eye exam services are not covered.
Dental Services See details
Dental services are partially covered by Wellcare Patriot Giveback (HMO-POS), featuring a $30 copay and no coinsurance for Medicare-covered dental, and no copay or coinsurance for preventive and most comprehensive services up to a $2,000 yearly maximum. Covered benefits include cleanings, exams, and x-rays, while implant services, orthodontics, and maxillofacial prosthetics are not covered.
Home Infusion bundled Services See details
Home infusion bundled services are covered by Wellcare Patriot Giveback (HMO-POS) with no copay and no coinsurance, though prior authorization is required. Medicare Part B insulin drugs carry a $35 copay and no coinsurance, while chemotherapy and other Part B drugs have no copay and a 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
Wellcare Patriot Giveback (HMO-POS) covers durable medical equipment, prosthetics, and medical supplies with no copay and a 20% coinsurance, subject to prior authorization. Diabetic supplies are covered with no copay, while diabetic therapeutic shoes and inserts carry a 20% coinsurance, with diabetic equipment limited to specified manufacturers.
Diagnostic and Radiological Services See details
Wellcare Patriot Giveback (HMO-POS) covers diagnostic tests and lab services with no copay and no coinsurance. Covered radiological services require prior authorization and include a $25 copay plus coinsurance for X-rays, copays starting at $0 for diagnostic radiology, and a minimum 20% coinsurance for therapeutic radiology.
Home Health Services See details
Home health services are covered under the Wellcare Patriot Giveback (HMO-POS) with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Wellcare Patriot Giveback (HMO-POS) covers Cardiac Rehabilitation Services with no coinsurance, though copays apply to specific treatments. Patients will pay a $30 copay for standard cardiac rehabilitation, $40 for intensive cardiac rehabilitation, $25 for pulmonary rehabilitation, and $20 for supervised exercise therapy (SET).
Skilled Nursing Facility (SNF) See details
Wellcare Patriot Giveback (HMO-POS) covers Skilled Nursing Facility (SNF) services with no coinsurance, requiring prior authorization but allowing admission without a prior three-day hospital stay. There is no copay for days 1 to 20 and days 61 to 100, while days 21 to 60 require a $218 daily copay, and additional days beyond the Medicare-covered limit are not covered.
Other Services See details
Wellcare Patriot Giveback (HMO-POS) partially covers other services, providing over-the-counter (OTC) items with no copay and no coinsurance. Acupuncture, meal benefits, and other additional services are not covered under this plan.
Get Personalized Help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
*/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