Wellcare Dual Liberty (HMO D-SNP)

Benefits Summary and Overview

This page is a benefits summary and overview of key plan information for Wellcare Dual Liberty (HMO 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 D-SNP) in 2026, please refer to our full plan details page.

This summary reflects 2026 plan information. Where this plan continues in 2027, the full plan details page links to its 2027 benefits and costs.

Wellcare Dual Liberty (HMO D-SNP) is a HMO D-SNP plan offered by Superior Healthplan, Inc. available for the 2026 plan year to people living in Select counties in TX. 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 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 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.

Overview IconKey Plan Facts

Below are a few key facts and commonly-asked questions about Wellcare Dual Liberty (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.

For Wellcare Dual Liberty (HMO D-SNP), the main costs are as follows:

Monthly Premium

The Monthly Premium for this plan is $4.80. 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

Health deductible: information not available.

This plan has a $615.00 drug deductible that applies only to drugs in certain tiers. You pay this amount toward covered prescriptions in those tiers before the plan's cost sharing begins; drugs in the other tiers are not subject to the deductible. See the full plan details page for the tier table.

Out-of-Pocket Maximums

This plan has a Maximum Out-Of-Pocket cost of $9250.00 for in-network services. You will pay copays, coinsurance, and deductibles toward this amount. Once your out-of-pocket costs reach $9250.00 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:

Regular visits to your primary care doctor are covered and will have a coinsurance of 20%.

Specialist Visits:

Visits to specialists are covered and will have a coinsurance of 20%. Specialist visits may require a referral from your primary care doctor or prior authorization.

Emergency Room:

Trips to the Emergency Room are covered, and will have a coinsurance of 0% (no coinsurance). Coverage may vary for in-network and out-of-network hospitals.

Urgent Care:

Trips to Urgent Care are covered and will have a coinsurance of 0% (no coinsurance). Coverage may vary for in-network and out-of-network hospitals.

Sign up for Wellcare Dual Liberty (HMO D-SNP)

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Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. Call-center hours (ET): Mon-Fri 8am-10pm; Sat 9am-8pm; Sun closed.

Drug Coverage IconDrug Coverage

The Wellcare Dual Liberty (HMO D-SNP) plan has an annual drug deductible of $615. For Tier 1 preferred generics and Tier 2 generics, one-month copays start at $18 and $19 at preferred pharmacies, and members pay no copay for a three-month supply filled via preferred mail order. Tier 6 select care drugs are fully covered with no copay across all retail and mail-order options. Tier 3 preferred brand drugs cost a $47 copay for a one-month supply at both preferred and standard pharmacies. Higher-tier medications require coinsurance, with Tier 4 non-preferred drugs carrying a 42% coinsurance and Tier 5 specialty drugs requiring a 25% coinsurance for a one-month supply. Utilizing preferred pharmacies and three-month mail-order options can help plan members lower their overall out-of-pocket expenses.

Additional Benefits IconAdditional Benefits

Wellcare Dual Liberty (HMO D-SNP) offers comprehensive medical coverage with varying cost-sharing structures. Inpatient hospital stays require a $1,900 copay per admission with no coinsurance, while primary care, specialist visits, and outpatient services generally feature no copay and a 20% coinsurance. Emergency care is available with a $115 copay, whereas urgent care visits carry a $40 copay, both with no coinsurance. This plan also provides robust supplemental benefits, including preventive and comprehensive dental care with no copay or coinsurance up to a $5,000 annual limit. Vision and hearing benefits feature no copay and no coinsurance for eyeglasses up to a $400 maximum and hearing aids up to $1,500 annually. Additionally, members can access up to 48 one-way transportation trips, home health services, and over-the-counter items with no copay and no coinsurance.

Inpatient Hospital See details

Wellcare Dual Liberty (HMO D-SNP) partially covers inpatient acute and psychiatric hospital stays with a $1,900 copayment per admission, no coinsurance, and prior authorization required. Additional days, non-Medicare-covered stays, and upgrades are not covered under this benefit.

Outpatient Services See details

Wellcare Dual Liberty (HMO D-SNP) covers outpatient services, including outpatient hospital, ambulatory surgical center, substance abuse, and blood services, with no copay and a 20% coinsurance. Prior authorization is required for most outpatient services, and there is no deductible for outpatient blood services.

Partial Hospitalization See details

Wellcare Dual Liberty (HMO D-SNP) covers partial hospitalization with no copay and a 20% coinsurance. Prior authorization is required for this benefit.

Ambulance and Transportation Services See details

Wellcare Dual Liberty (HMO D-SNP) covers ground and air ambulance services with a 20% coinsurance and no copay. Transportation services are partially covered with no copay or coinsurance for up to 48 one-way trips per year to plan-approved locations, but transportation to any health-related location is not covered.

Emergency Services See details

Wellcare Dual Liberty (HMO D-SNP) covers emergency services with a $115 copay and urgently needed services with a $40 copay, both featuring no coinsurance and copays waived if admitted within 24 hours. Worldwide emergency and urgent care 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 Dual Liberty (HMO D-SNP) covers primary care, specialist, psychiatric, and therapy services with no copay and 20% coinsurance, while podiatry services require no copay and no coinsurance. Telehealth benefits are offered with a $0 to $40 copay and 20% coinsurance, though chiropractic services are not covered in practice.

Preventive Services See details

Wellcare Dual Liberty (HMO D-SNP) covers annual physical exams with no copay and no coinsurance, while kidney disease education and other preventive screenings are covered with no copay and a 20% coinsurance. Additional preventive services are partially covered with no copay and no coinsurance for fitness, alternative therapies, PERS, and remote access, but sub-services like health education, in-home support, and weight management are not covered.

Hearing Services See details

Wellcare Dual Liberty (HMO D-SNP) hearing services are partially covered with no deductible, offering one annual fitting evaluation and up to two prescription hearing aids per year (up to $1,500) with no copay and no coinsurance. One routine exam per year is covered with a 20% coinsurance and no copay, while OTC hearing aids and inner, outer, or over the ear prescription hearing aids are not covered.

Vision Services See details

Wellcare Dual Liberty (HMO D-SNP) vision services are partially covered, as other eye exam services are not covered. Routine eye exams (limited to one per year) and contact lenses feature no copay and a 20% coinsurance, while eyeglasses, lenses, frames, and upgrades are covered with no copay, no coinsurance, and no deductible up to a $400 annual maximum.

Dental Services See details

Wellcare Dual Liberty (HMO D-SNP) dental services are partially covered, featuring no copay and 20% coinsurance for Medicare-covered dental care, and no copay or coinsurance for preventive and most comprehensive services up to a $5,000 annual limit. Prior authorization is required for most services, and maxillofacial prosthetics, implant services, and orthodontics are not covered.

Home Infusion bundled Services See details

Home infusion bundled services are covered by Wellcare Dual Liberty (HMO D-SNP) with no copay and no coinsurance, though prior authorization is required. Under this benefit, Medicare Part B insulin drugs carry a $35 copay and no coinsurance, while chemotherapy and other Part B drugs have no copay and 0% to 20% coinsurance.

Dialysis Services See details

Wellcare Dual Liberty (HMO D-SNP) covers dialysis services with no copay and a 15% coinsurance.

Medical Equipment See details

Wellcare Dual Liberty (HMO D-SNP) covers durable medical equipment, prosthetics, medical supplies, and diabetic equipment with no copay and a 20% coinsurance. Prior authorization is required for these services, and diabetic supplies are limited to specified manufacturers.

Diagnostic and Radiological Services See details

Diagnostic and radiological services are covered under the Wellcare Dual Liberty (HMO D-SNP) plan with no copayment and a 20% coinsurance, subject to prior authorization. This coverage applies to all diagnostic procedures, lab services, diagnostic and therapeutic radiological services, and outpatient X-rays.

Home Health Services See details

Home health services are covered by Wellcare Dual Liberty (HMO D-SNP) with no copay and no coinsurance, though prior authorization is required.

Cardiac Rehabilitation Services See details

Cardiac rehabilitation services are offered with no copay under the Wellcare Dual Liberty (HMO D-SNP) plan, though some services are covered while cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) services are not covered and require a 20% coinsurance.

Skilled Nursing Facility (SNF) See details

Wellcare Dual Liberty (HMO D-SNP) covers Skilled Nursing Facility (SNF) services with no coinsurance, requiring prior authorization and no prior three-day hospital stay. There is no copay for days 1 to 20 and days 71 to 100, but a $218 copay per day applies for days 21 to 70, with additional days beyond Medicare coverage not covered.

Other Services See details

Wellcare Dual Liberty (HMO D-SNP) partially covers other services, providing over-the-counter (OTC) items and a chronic illness meal benefit with no copay and no coinsurance. Acupuncture, dual eligible highly integrated services, and other miscellaneous services are not covered under this benefit.

Plan Providers IconPlan Providers

Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, Health Care Service Corporation, HealthSpringSM, HealthSun, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.

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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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