A non-government entity
Wellcare TexanPlus Patriot Giveback (HMO-POS)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Wellcare TexanPlus 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 TexanPlus Patriot Giveback (HMO-POS) in 2026, please refer to our full plan details page.
Wellcare TexanPlus 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 TX. This plan received an overall rating of 4 out of 5 stars in 2026.
It's important to know that Wellcare TexanPlus 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 TexanPlus 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 TexanPlus 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 $115.00. 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 $3000.00 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 TexanPlus 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 TexanPlus Patriot Giveback (HMO-POS).
Additional Benefits
The Wellcare TexanPlus Patriot Giveback (HMO-POS) plan offers comprehensive medical coverage with no copays and no coinsurance for primary care visits, home health services, and routine preventive care. Specialist visits require a $35 copay, while inpatient hospital stays carry a $300 to $350 copay per stay with no coinsurance. Emergency care is covered with a $150 copay, and outpatient hospital services feature copays ranging from no copay up to $225 with no coinsurance. For supplemental care, the plan provides routine dental, vision, and hearing benefits with no copays and no coinsurance, subject to annual coverage limits. Diagnostic lab tests and home infusion services also feature no copay, while durable medical equipment and dialysis services require a 20% coinsurance with no copay. Additionally, prescription hearing aids are covered up to $750 per ear annually, and dental services are covered up to a $1,500 annual limit.
Inpatient Hospital See details
Wellcare TexanPlus Patriot Giveback (HMO-POS) covers inpatient acute hospital stays with a $350 copay per stay and psychiatric stays with a $300 copay per stay, both with no coinsurance. Unlimited additional acute days are covered with no copay, but non-Medicare-covered stays, acute upgrades, and additional psychiatric days are not covered.
Outpatient Services See details
Outpatient services are covered by Wellcare TexanPlus Patriot Giveback (HMO-POS) with no coinsurance, featuring a $0 to $225 copay for outpatient hospital services, a $150 to $225 copay per stay for observation services, and a $75 copay for ambulatory surgical center services. Outpatient substance abuse and outpatient blood services are also covered with no copay and no coinsurance.
Partial Hospitalization See details
Partial hospitalization is covered by the Wellcare TexanPlus Patriot Giveback (HMO-POS) plan with a $175.00 copay and no coinsurance. Both prior authorization and a referral are required to access this benefit.
Ambulance and Transportation Services See details
Wellcare TexanPlus Patriot Giveback (HMO-POS) covers Medicare-approved ground and air ambulance services with a $250 copay and no coinsurance, though prior authorization is required. Transportation services are not covered under this plan.
Emergency Services See details
Wellcare TexanPlus Patriot Giveback (HMO-POS) covers emergency services with a $150 copay and no coinsurance, and urgently needed services with a $25 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 with a $150 copay and no coinsurance, but worldwide emergency transportation is not covered.
Primary Care See details
Wellcare TexanPlus Patriot Giveback (HMO-POS) covers primary care physician services with no copay and no coinsurance, and specialist visits with a $35 copay and no coinsurance. Physical, occupational, and speech therapy services require a $10 copay and no coinsurance, while chiropractic and podiatry services are not covered.
Preventive Services See details
Preventive services are partially covered under the Wellcare TexanPlus Patriot Giveback (HMO-POS) plan, featuring no copay and no coinsurance for annual physicals, glaucoma screenings, and diabetes training, while kidney disease education requires a 20% coinsurance and no copay. Uncovered sub-services include health education, in-home safety assessments, PERS, medical nutrition therapy, post-discharge medication reconciliation, readmission prevention, wigs, weight management, therapeutic massage, adult day health, nutritional/dietary benefits, home-based palliative care, in-home support, caregiver support, smoking cessation, disease management, telemonitoring, home safety devices, and counseling.
Hearing Services See details
Wellcare TexanPlus Patriot Giveback (HMO-POS) covers Medicare-covered hearing exams with a $35 copay and no coinsurance, while annual routine exams and fitting evaluations are covered with no copay and no coinsurance. Prescription hearing aids are partially covered with no copay or coinsurance up to $750 per ear annually, 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
Wellcare TexanPlus Patriot Giveback (HMO-POS) vision services are partially covered with no deductibles and no coinsurance, though other eye exam services are not covered. Routine eye exams and eyewear feature no copay, while other covered eye exams require a copay of $0 to $35, with eyewear benefits limited to a $100 annual maximum.
Dental Services See details
Wellcare TexanPlus Patriot Giveback (HMO-POS) covers Medicare-covered dental services for a $35 copay and no coinsurance, while preventive and most comprehensive dental services are covered with no copay and no coinsurance up to a $1,500 annual limit. Dental benefits are partially covered, as maxillofacial prosthetics, implant services, and orthodontics are not covered by the plan.
Home Infusion bundled Services See details
Wellcare TexanPlus Patriot Giveback (HMO-POS) covers Home Infusion bundled Services with no copay, although prior authorization is required. Medicare Part B chemotherapy and other drugs are covered with no copay and coinsurance ranging from no coinsurance to 20%, while Part B insulin is covered with a $35 copay and no coinsurance.
Dialysis Services See details
Dialysis services are covered by the Wellcare TexanPlus Patriot Giveback (HMO-POS) with no copay and a 20% coinsurance, and a referral is required.
Medical Equipment See details
Medical equipment is covered by Wellcare TexanPlus Patriot Giveback (HMO-POS) with no copay and 20% coinsurance for durable medical equipment (DME), prosthetics, medical supplies, and diabetic therapeutic shoes or inserts. Diabetic supplies are covered with no copay from specified manufacturers, and prior authorization is required for these benefits.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered under Wellcare TexanPlus Patriot Giveback (HMO-POS) with no copay and no coinsurance for lab services and diagnostic tests. Outpatient X-rays require a $25 copay, diagnostic radiological services feature copays starting at $0, and therapeutic radiological services carry a minimum 20% coinsurance.
Home Health Services See details
Home health services are covered under the Wellcare TexanPlus Patriot Giveback (HMO-POS) plan with no copay and no coinsurance. Prior authorization and a referral are required to access this benefit.
Cardiac Rehabilitation Services See details
Wellcare TexanPlus Patriot Giveback (HMO-POS) covers some cardiac rehabilitation services with no coinsurance, but in practice, cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered and require a referral along with copays ranging from $30 to $65.
Skilled Nursing Facility (SNF) See details
Wellcare TexanPlus Patriot Giveback (HMO-POS) covers Skilled Nursing Facility (SNF) services with no coinsurance, featuring no copay for days 1 to 20 and days 41 to 100, and a $218 daily copay for days 21 to 40. Prior authorization and referrals are required, and additional days beyond the standard Medicare-covered 100 days are not covered.
Other Services See details
Wellcare TexanPlus Patriot Giveback (HMO-POS) partially covers other services, offering a limited meal benefit with no copay and no coinsurance, though a referral is required. Acupuncture, over-the-counter (OTC) items, and other supplemental 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