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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 Statewide in SC. This plan received an overall rating of 4 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 $165.00. 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 $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
Prescription drugs are not covered by Wellcare Patriot Giveback (HMO-POS).
Additional Benefits
The Wellcare Patriot Giveback (HMO-POS) plan offers comprehensive medical coverage with no copay for primary care visits and a $50 copay for specialist visits. Inpatient hospital stays require a $390 daily copay for the first six days and no copay thereafter, while outpatient services range from no copay up to a $400 copay. Emergency care is available with a $115 copay, which is waived if you are admitted to the hospital. This plan also features robust supplemental benefits, including routine dental, vision, and hearing exams with no copay or deductible, alongside generous annual allowances for eyewear and hearing aids. For other medical necessities, such as home health services, you will pay no copay, while diabetic supplies, durable medical equipment, and dialysis require a 20% coinsurance.
Inpatient Hospital See details
Wellcare Patriot Giveback (HMO-POS) covers inpatient acute and psychiatric hospital stays with no coinsurance, subject to prior authorization. For acute care, you will pay a $390 daily copay for days 1 through 6 and no copay for days 7 through 90, while psychiatric care requires a $575 daily copay for days 1 through 3 and no copay for days 4 through 90. This benefit is partially covered, as 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 $400 copay for outpatient hospital services and a $250 copay for ambulatory surgical center services. Outpatient substance abuse and blood services are covered with no copay and no coinsurance, while observation services carry a copay of $115 to $400 per stay.
Partial Hospitalization See details
Partial hospitalization is covered by Wellcare Patriot Giveback (HMO-POS) with a $105.00 copay and no coinsurance. Prior authorization is required for this benefit.
Ambulance and Transportation Services See details
Wellcare Patriot Giveback (HMO-POS) covers ground and air ambulance services with a $290 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, but transportation to any health-related location is not covered.
Emergency Services See details
Wellcare Patriot Giveback (HMO-POS) covers emergency services for a $115 copay and urgent care for a $35 copay, both with no coinsurance and copays waived if admitted within 24 hours. Worldwide emergency and urgent services are partially covered up to a $50,000 limit with a $115 copay and no coinsurance, but worldwide emergency transportation is not covered.
Primary Care See details
Wellcare Patriot Giveback (HMO-POS) covers primary care and mental health services with no copay and no coinsurance, while specialist visits require a $50 copay and no coinsurance. Physical, occupational, and speech therapies have a $35 copay and no coinsurance, podiatry is not covered, and some chiropractic services are covered but routine and other chiropractic services are not.
Preventive Services See details
Wellcare Patriot Giveback (HMO-POS) offers preventive services with no copay and no coinsurance for annual physical exams, fitness benefits, alternative therapies, remote access technologies, and routine screenings, though kidney disease education requires no copay and a 20% coinsurance. This benefit is partially covered, as several sub-services such as health education, weight management, medical nutrition therapy, and in-home safety assessments are not covered.
Hearing Services See details
Wellcare Patriot Giveback (HMO-POS) covers Medicare-covered hearing exams for a $50 copay and no coinsurance, while annual routine exams and fitting evaluations have no copay, no coinsurance, and no deductible. Prescription hearing aids are partially covered with no copay and no coinsurance up to a $1,000 maximum per ear annually, but OTC, inner ear, outer ear, and over-the-ear hearing aids are not covered.
Vision Services See details
Wellcare Patriot Giveback (HMO-POS) vision services are partially covered, featuring no copay, no coinsurance, and no deductible for annual routine eye exams and eyewear up to a $400 yearly limit. Other covered eye exams have a copay ranging from $0 to $50 with no coinsurance, though other eye exam services are not covered.
Dental Services See details
Wellcare Patriot Giveback (HMO-POS) offers partially covered dental services, featuring a $50 copay and no coinsurance for Medicare-covered care, and no copay or coinsurance for preventive and most comprehensive services. While many services are covered up to a $2,000 annual maximum, implant services, maxillofacial prosthetics, and orthodontics are not covered.
Home Infusion bundled Services See details
Home infusion bundled services are covered under the Wellcare Patriot Giveback (HMO-POS) plan with no copay, though prior authorization is required. Under this benefit, Medicare Part B insulin drugs have a $35 copay and no coinsurance, while chemotherapy, radiation, and other Part B drugs require a 0% to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered by the Wellcare Patriot Giveback (HMO-POS) plan with no copay and a 20% coinsurance.
Medical Equipment See details
Wellcare Patriot Giveback (HMO-POS) covers medical equipment, including durable medical equipment, prosthetics, and diabetic supplies, with no copay and 20% coinsurance. Prior authorization is required for these benefits, and diabetic supplies are limited to specific manufacturers.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by Wellcare Patriot Giveback (HMO-POS) with prior authorization required. Diagnostic services feature no coinsurance, offering lab services at no copay and diagnostic tests with a $0 to $100 copay, while radiological services range from no copay for diagnostic radiology to a $50 copay for X-rays and 20% coinsurance for therapeutic radiology.
Home Health Services See details
Home health services are covered under the Wellcare Patriot Giveback (HMO-POS) plan with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Wellcare Patriot Giveback (HMO-POS) offers cardiac rehabilitation services with no coinsurance, though only some services are covered. Standard cardiac rehabilitation (with a $30 copay), intensive cardiac rehabilitation ($40 copay), pulmonary rehabilitation ($25 copay), and supervised exercise therapy for PAD ($20 copay) are not covered under this plan.
Skilled Nursing Facility (SNF) See details
Wellcare Patriot Giveback (HMO-POS) covers Skilled Nursing Facility (SNF) services with no coinsurance, requiring prior authorization but no prior three-day hospital stay. There is no copay for days 1 through 20 and days 71 through 100, a $218 daily copay for days 21 through 70, and additional days beyond the standard 100 days are not covered.
Other Services See details
Wellcare Patriot Giveback (HMO-POS) partially covers other services, offering a chronic illness meal benefit with no copay and no coinsurance, although a referral is required. Acupuncture and over-the-counter (OTC) items are not covered under this benefit.
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