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Wellcare Dual Select (HMO-POS D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Wellcare Dual Select (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 Select (HMO-POS D-SNP) in 2026, please refer to our full plan details page.
Wellcare Dual Select (HMO-POS D-SNP) is a HMO-POS D-SNP plan offered by Centene Corporation available for enrollment in 2026 to people living in Statewide in DE. The overall rating for this plan is not yet available for 2026.
It's important to know that Wellcare Dual Select (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 Select (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 Select (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 Select (HMO-POS D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $18.10. 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 $615.00 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 $3850.00 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 Select (HMO-POS D-SNP) prescription drug plan has an annual drug deductible of $615. For generic medications, preferred retail pharmacies offer one-month copays of $18 for preferred generics and $19 for standard generics, while select care drugs have no copay. You can also get a three-month supply of preferred generics, standard generics, or select care drugs for no copay through preferred mail order. Higher-tier medications under this plan utilize coinsurance or flat copays, such as a 25% coinsurance for Tier 3 preferred brands and Tier 5 specialty drugs. Tier 4 non-preferred drugs require a $100 copay for a one-month supply at both preferred and standard pharmacies. Standard pharmacies are also available for generic tiers with slightly higher copays, starting at $19 for preferred generics.
Additional Benefits
The Wellcare Dual Select (HMO-POS D-SNP) plan offers robust medical coverage with no coinsurance for many core services, including inpatient hospital stays, outpatient care, and home health services. Members pay no copay for primary care physician visits, while specialist visits, physical therapy, and Medicare-covered dental services require a low $15 copay. Emergency room visits carry a $150 copay, and outpatient hospital copays range from no copay up to $275, helping you manage your healthcare costs predictably. Routine preventive care, annual physicals, and routine eye and hearing exams are covered with no copay and no coinsurance. Additionally, the plan features no copay for prescription hearing aids up to $500 per ear and eyewear up to a $200 annual limit, though durable medical equipment and dialysis require a 20% coinsurance. To further support your health, the plan also includes over-the-counter items and up to 12 one-way transportation trips per year to plan-approved locations with no copay.
Inpatient Hospital See details
Wellcare Dual Select (HMO-POS D-SNP) inpatient hospital services are partially covered, requiring no coinsurance, a $350 copay for days 1 through 5, and no copay for days 6 through 90. Additional days, non-Medicare-covered stays, and upgrades are not covered.
Outpatient Services See details
Wellcare Dual Select (HMO-POS D-SNP) covers outpatient services with no coinsurance, featuring outpatient hospital copays ranging from $0 to $275 and ambulatory surgical center copays of $225. Outpatient substance abuse sessions require a $40 copay, while outpatient blood services are covered with no copay and no deductible.
Partial Hospitalization See details
Partial hospitalization is covered by Wellcare Dual Select (HMO-POS D-SNP) with a $175.00 copay and no coinsurance. Prior authorization is required to receive these services.
Ambulance and Transportation Services See details
Wellcare Dual Select (HMO-POS D-SNP) covers ground and air ambulance services with a $275 copay and no coinsurance. Transportation services are partially covered with no copay and no coinsurance for up to 12 one-way trips per year to plan-approved locations, though transportation to any health-related location is not covered.
Emergency Services See details
Wellcare Dual Select (HMO-POS D-SNP) covers emergency services with a $150 copay and no coinsurance, and urgently needed services with a $40 copay and no coinsurance, with both copays waived if admitted to the hospital within 24 hours. Worldwide emergency and urgent care are partially covered up to a $50,000 limit with a $150 copay and no coinsurance, though worldwide emergency transportation is not covered.
Primary Care See details
Wellcare Dual Select (HMO-POS D-SNP) covers primary care physician services with no copay and no coinsurance, while specialist, physical therapy, occupational therapy, and opioid treatment services require a $15 copay and no coinsurance. Mental health and psychiatric sessions have a $40 copay and no coinsurance, telehealth ranges from a $0 to $40 copay with no coinsurance, and chiropractic and podiatry services are not covered.
Preventive Services See details
Wellcare Dual Select (HMO-POS D-SNP) preventive services are partially covered, featuring annual physical exams, alternative therapies, memory fitness, remote access, and routine screenings with no copay and no coinsurance. Kidney disease education is covered with no copay and 20% coinsurance, but sub-services including health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge medication reconciliation, readmission prevention, wigs, weight management, therapeutic massage, adult day health, nutritional/dietary benefits, palliative care, in-home support, caregiver support, smoking cessation, disease management, telemonitoring, home safety devices, and counseling are not covered.
Hearing Services See details
Hearing services are partially covered by Wellcare Dual Select (HMO-POS D-SNP), featuring a $15 copay and no coinsurance for Medicare-covered exams, alongside routine exams and fitting evaluations with no copay and no coinsurance. Prescription hearing aids are covered with no copay and no coinsurance up to $500 per ear annually, but OTC hearing aids and inner-ear, outer-ear, and over-the-ear prescription models are not covered.
Vision Services See details
Wellcare Dual Select (HMO-POS D-SNP) provides vision services with no coinsurance and no deductibles, though prior authorization is required. Eye exams are partially covered with a copay of $0 to $15, which includes one annual routine exam with no copay, while other eye exam services are not covered. Eyewear is covered with no copay and no coinsurance up to a $200 annual maximum.
Dental Services See details
Wellcare Dual Select (HMO-POS D-SNP) partially covers dental services, excluding maxillofacial prosthetics, implant services, and orthodontics. Medicare-covered dental services require a $15 copay and no coinsurance, preventive care has no copay and no coinsurance, and covered comprehensive services require no copay and 20% coinsurance up to a $2,000 yearly maximum.
Home Infusion bundled Services See details
Home infusion bundled services are covered by Wellcare Dual Select (HMO-POS D-SNP) with no copay and no coinsurance, subject to prior authorization. Medicare Part B insulin drugs require a $35 copay and no coinsurance, while chemotherapy, radiation, and other Part B drugs are covered with no copay and 0% to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered by Wellcare Dual Select (HMO-POS D-SNP) with no copay and a 20% coinsurance.
Medical Equipment See details
Wellcare Dual Select (HMO-POS D-SNP) covers durable medical equipment (DME), prosthetics, medical supplies, and diabetic services, with prior authorization required. Covered DME, prosthetics, medical supplies, and diabetic therapeutic shoes or inserts feature no copay and a 20% coinsurance, while diabetic supplies are covered with no copay.
Diagnostic and Radiological Services See details
Wellcare Dual Select (HMO-POS D-SNP) covers diagnostic and radiological services, offering diagnostic procedures, lab tests, and diagnostic radiology with no copay and no coinsurance. Outpatient x-rays require a $50 copay, therapeutic radiological services carry a 20% coinsurance, and prior authorization is required for these services.
Home Health Services See details
Home Health Services are covered under the Wellcare Dual Select (HMO-POS D-SNP) plan with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered by Wellcare Dual Select (HMO-POS D-SNP) with no coinsurance, though copayments apply depending on the specific service. Members will pay a $50 copay for standard cardiac rehabilitation, $65 for intensive cardiac rehabilitation, $40 for pulmonary rehabilitation, and $30 for supervised exercise therapy (SET) for symptomatic peripheral artery disease.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by Wellcare Dual Select (HMO-POS D-SNP) with no coinsurance and require prior authorization, with no prior three-day inpatient hospital stay required. There is no copay for days 1 to 20 and days 41 to 100, a $218 daily copay for days 21 to 40, and additional days beyond the Medicare-covered limit are not covered.
Other Services See details
Other services are partially covered by Wellcare Dual Select (HMO-POS D-SNP), which offers over-the-counter (OTC) items and a chronic illness meal benefit with no copay and no coinsurance, though meals require a referral. Acupuncture, dual eligible SNPs with highly integrated services, and other additional services are not covered.
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