Wellcare Absolute Total Care Dual Align (HMO D-SNP)

Wellcare Absolute Total Care Dual Align (HMO D-SNP) is a HMO D-SNP plan offered by Centene Corporation available for enrollment in 2026 to people living in Select counties in SC. The overall rating for this plan is not yet available for 2026.

It's important to know that Wellcare Absolute Total Care Dual Align (HMO D-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.

Key Plan Facts

Below are a few key facts and commonly-asked questions about Wellcare Absolute Total Care Dual Align (HMO 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.

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:

Drug Coverage

The Wellcare Absolute Total Care Dual Align (HMO D-SNP) prescription drug plan features an annual drug deductible of $480. For Tier 1 preferred generics and Tier 2 generics, copays start as low as $18.00 and $19.00 respectively for a one-month supply at preferred pharmacies, with no copay for three-month supplies through preferred mail order. Additionally, Tier 6 select care drugs are covered with no copay regardless of the pharmacy or supply duration you choose. For higher-tier medications, Tier 3 preferred brand drugs require a 20% coinsurance, and Tier 4 non-preferred drugs carry a $100.00 copay for a one-month supply. Specialty drugs in Tier 5 require a 25% coinsurance for a one-month supply at both preferred and standard pharmacies. Choosing preferred pharmacies or mail-order options can help lower your out-of-pocket costs with this plan.

Additional Benefits

The Wellcare Absolute Total Care Dual Align (HMO D-SNP) offers comprehensive medical coverage, including inpatient hospital stays for a $1,870 copay per admission and outpatient services with no copay and a 20% coinsurance. Primary and specialist care, diagnostics, and dialysis generally require no copay but carry a 20% coinsurance, while emergency care is accessible with a $115 copay. Additionally, skilled nursing facility stays feature no copay for days 1 to 20 and 71 to 100, though days 21 to 70 require a $218 daily copay. For supplemental care, this plan provides home health services, routine dental care, and up to 24 one-way transportation trips per year with no copay and no coinsurance. Beneficiaries also enjoy no copay or coinsurance for prescription hearing aids up to $1,500 annually, eyewear up to a $500 yearly limit, and select over-the-counter items. Routine vision and hearing exams are covered with no copay, though they are subject to a 20% coinsurance.