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 NC. 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 $36.20. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $1.00. 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.
This plan has a $425.00 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.
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The Wellcare Dual Liberty (HMO-POS D-SNP) prescription drug plan features an annual drug deductible of $425. For Tier 1 preferred generics, you will pay a monthly copay starting at $18 at preferred pharmacies, while Tier 2 generics start at a $19 monthly copay. Notably, you can receive a three-month supply of both Tier 1 and Tier 2 drugs with no copay when using preferred mail order services. Tier 3 preferred brands and Tier 5 specialty drugs both require a 25% coinsurance, while Tier 4 non-preferred drugs carry a $100 copay for a one-month supply. Fortunately, Tier 6 select care drugs are available with no copay for all supply durations at both preferred and standard pharmacies. These structured cost-sharing tiers help you manage your prescription medication expenses effectively throughout the year.
The Wellcare Dual Liberty (HMO-POS D-SNP) plan offers robust coverage where many everyday medical services, including primary care, specialist visits, and diagnostic testing, require no copay and a 20% coinsurance. Preventive care, home health services, and preventive and comprehensive dental care are highly accessible with no copay and no coinsurance. For major care, inpatient hospital admissions require a $2,000 copay with no coinsurance, while outpatient hospital services feature no copay and a 20% coinsurance. Members also benefit from emergency care with a $115 copay and urgent care with a $40 copay, with coinsurance waived for both. The plan supports daily living with up to 24 free one-way transportation trips per year, over-the-counter benefits with no copay or coinsurance, and no-copay coverage for prescription hearing aids and eyewear up to plan limits. For skilled nursing facility care, there is no coinsurance and no copay for days 1 to 20 and 71 to 100, though days 21 to 70 carry a $218 daily copay.
Wellcare Dual Liberty (HMO-POS D-SNP) covers inpatient acute and psychiatric hospital stays with a $2,000 copayment per admission and no coinsurance, though prior authorization is required. This benefit is partially covered, as additional days, upgrades, and non-Medicare-covered stays are not covered under the plan.
Outpatient services are covered by Wellcare Dual Liberty (HMO-POS D-SNP) 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, and the deductible is waived for the first three pints of blood.
Partial hospitalization is covered by Wellcare Dual Liberty (HMO-POS D-SNP) with no copay and a 20% coinsurance. Prior authorization is required to receive these services.
Wellcare Dual Liberty (HMO-POS D-SNP) covers ground and air ambulance services with a 20% coinsurance and no copay, subject to prior authorization. The plan also partially covers transportation services, offering up to 24 one-way trips per year to plan-approved health-related locations with no copay or coinsurance, though transportation to non-approved locations 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 within 24 hours. Worldwide emergency services are partially covered up to a $50,000 maximum benefit with a $115 copay and no coinsurance, but worldwide emergency transportation is not covered.
Wellcare Dual Liberty (HMO-POS D-SNP) covers primary care, specialist, physical and occupational therapy, mental health, psychiatric, and opioid treatment services with no copay and a 20% coinsurance. Telehealth benefits are covered with a 20% coinsurance and a copay of $0.00 to $40.00, but podiatry is not covered, and while some chiropractic services are covered, routine and other chiropractic services are not.
Wellcare Dual Liberty (HMO-POS D-SNP) covers preventive services, offering an annual physical exam, fitness benefits, alternative therapies, personal emergency response systems, and remote access technologies with no copay and no coinsurance. Additional preventive benefits are partially covered, excluding health education, in-home safety assessments, medical nutrition therapy, post-discharge medication reconciliation, readmission prevention, wigs, weight management, therapeutic massage, adult day health, nutritional benefits, palliative care, in-home support, caregiver support, tobacco cessation, disease management, telemonitoring, home safety modifications, and counseling. Kidney disease education, glaucoma screenings, diabetes self-management training, digital rectal exams, and post-welcome visit EKGs are covered with no copay and a 20% coinsurance.
Wellcare Dual Liberty (HMO-POS D-SNP) provides hearing services with no deductible, including one annual routine exam with a 20% coinsurance and no copay, and one fitting evaluation with no copay or coinsurance. Prescription hearing aids are covered with no copay or coinsurance up to $500 per ear every year, but OTC, inner ear, outer ear, and over-the-ear hearing aids are not covered.
Vision services offered by Wellcare Dual Liberty (HMO-POS D-SNP) include one annual routine eye exam with no copay and a 20% coinsurance, though other eye exam services are not covered. Covered eyewear is subject to a $400 annual maximum with no deductible and no copays, although contact lenses require a 20% coinsurance.
Wellcare Dual Liberty (HMO-POS D-SNP) partially covers dental services, offering Medicare-covered dental care with no copay and 20% coinsurance, and preventive and comprehensive dental services with no copay and no coinsurance. However, maxillofacial prosthetics and orthodontics are not covered under this plan.
Wellcare Dual Liberty (HMO-POS D-SNP) covers home infusion bundled services with no copay, though prior authorization is required. Under this benefit, Medicare Part B chemotherapy and other Part B drugs have a 0% to 20% coinsurance, while Part B insulin is covered with a $35 copay and no coinsurance.
Dialysis Services are covered by the Wellcare Dual Liberty (HMO-POS D-SNP) plan with no copay and 20% coinsurance.
Medical equipment is covered by Wellcare Dual Liberty (HMO-POS D-SNP) with no copay and a 20% coinsurance for durable medical equipment, prosthetics, medical supplies, and diabetic services. Prior authorization is required for these benefits, and diabetic supplies are limited to specified manufacturers.
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. Covered benefits include outpatient diagnostic tests, lab services, diagnostic and therapeutic radiological services, and outpatient X-rays.
Wellcare Dual Liberty (HMO-POS D-SNP) covers Home Health Services with no copay and no coinsurance. Prior authorization is required to receive these services.
Cardiac rehabilitation services are provided by Wellcare Dual Liberty (HMO-POS D-SNP) with no copay, though only some services are covered because standard cardiac, intensive cardiac, pulmonary, and SET for PAD services are not covered and require a 20% coinsurance.
Skilled Nursing Facility (SNF) services are covered by Wellcare Dual Liberty (HMO-POS D-SNP) with no coinsurance, though prior authorization is required and additional days beyond the Medicare-covered limit are not covered. There is no copay for days 1 to 20 and days 71 to 100, while days 21 to 70 require a $218 daily copay.
Wellcare Dual Liberty (HMO-POS D-SNP) partially covers other services, offering over-the-counter (OTC) items and chronic illness meal benefits with no copay and no coinsurance. Acupuncture is not covered under this benefit.
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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.
* 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.
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