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Wellcare Dual Liberty Sync (HMO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Wellcare Dual Liberty Sync (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 Sync (HMO D-SNP) in 2026, please refer to our full plan details page.
Wellcare Dual Liberty Sync (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 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 Sync (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 Sync (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.
Key Plan Facts
Below are a few key facts and commonly-asked questions about Wellcare Dual Liberty Sync (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 Sync (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
This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.
This plan has a $490.00 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 $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
The Wellcare Dual Liberty Sync (HMO D-SNP) prescription drug plan features an annual drug deductible of $490. Under this plan, Select Care Drugs in Tier 6 are highly accessible and available with no copay across all pharmacy and mail-order options. Generic medications are also cost-effective, with Tier 1 preferred generics starting at an $18 copay for a one-month supply at preferred pharmacies and offering no copay for a three-month preferred mail-order delivery. For brand-name and specialty medications, the plan utilizes a mix of coinsurance and copays to determine your out-of-pocket costs. Tier 3 preferred brands require a flat 20% coinsurance, while Tier 5 specialty drugs carry a 25% coinsurance for a one-month supply. Tier 4 non-preferred drugs have copays starting at $100 for a one-month supply at both preferred and standard pharmacies.
Additional Benefits
The Wellcare Dual Liberty Sync (HMO D-SNP) provides robust medical coverage, featuring a $1,900 copay per admission for inpatient hospital stays and no copay with a 20% coinsurance for outpatient services and specialist visits. Emergency room visits require a $115 copay, which is waived if you are admitted within 24 hours, while home health services and routine podiatry require no copay or coinsurance. Members also receive generous allowance-based benefits, including no copay or coinsurance for preventive and comprehensive dental care up to $4,000, eyewear up to $600, and prescription hearing aids up to $1,500 per ear annually. Additional perks include up to 48 one-way transportation trips with no copay or coinsurance to approved locations, alongside no copay for over-the-counter items.
Inpatient Hospital See details
Wellcare Dual Liberty Sync (HMO D-SNP) covers inpatient acute and psychiatric hospital stays with a $1,900 copayment per admission and no coinsurance, though prior authorization is required. This benefit is partially covered because additional days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
Wellcare Dual Liberty Sync (HMO D-SNP) covers outpatient services, including outpatient hospital, ambulatory surgical center, outpatient substance abuse, and blood services, with no copay and a 20% coinsurance. Prior authorization is required for outpatient hospital, ambulatory surgical center, and outpatient substance abuse services.
Partial Hospitalization See details
Wellcare Dual Liberty Sync (HMO D-SNP) covers partial hospitalization services with no copay and a 20% coinsurance. Prior authorization is required before receiving these covered services.
Ambulance and Transportation Services See details
Ambulance and transportation services are covered by Wellcare Dual Liberty Sync (HMO D-SNP) and require prior authorization, with ground and air ambulance services requiring a 20% coinsurance and no copay. Transportation services are partially covered with no copay and no coinsurance, offering up to 48 one-way trips per year to plan-approved locations, though transportation to any health-related location is not covered.
Emergency Services See details
Emergency services under the Wellcare Dual Liberty Sync (HMO D-SNP) are covered with a $115 copay and no coinsurance, while urgently needed services require 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 $115 copay and no coinsurance, though worldwide emergency transportation is not covered.
Primary Care See details
Wellcare Dual Liberty Sync (HMO D-SNP) covers primary care, specialist, therapy, and psychiatric services with no copay and 20% coinsurance, while podiatry and routine chiropractic care have no copay and no coinsurance. Chiropractic services are partially covered because other chiropractic services are not covered, and telehealth benefits require a $0 to $40 copay and 20% coinsurance.
Preventive Services See details
Wellcare Dual Liberty Sync (HMO D-SNP) offers partially covered preventive services, including an annual physical, fitness benefits, alternative therapies, and remote access technologies with no copay and no coinsurance. Kidney disease education and select screenings require a 20% coinsurance and no copay, while several sub-services—including health education, in-home safety assessments, and medical nutrition therapy—are not covered.
Hearing Services See details
Wellcare Dual Liberty Sync (HMO D-SNP) covers routine hearing exams with a 20% coinsurance and no copay, alongside fitting evaluations with no copay or coinsurance. Prescription hearing aids are partially covered with no copay or coinsurance up to a $1,500 maximum per ear annually, though OTC, inner ear, outer ear, and over the ear hearing aids are not covered.
Vision Services See details
Wellcare Dual Liberty Sync (HMO D-SNP) partially covers vision services with no deductibles, though other eye exam services are not covered. Routine eye exams and contact lenses are covered with no copay and a 20% coinsurance, while eyeglasses, lenses, frames, and upgrades have no copay or coinsurance under a $600 annual maximum.
Dental Services See details
Dental services are partially covered by Wellcare Dual Liberty Sync (HMO D-SNP), featuring no copay and a 20% coinsurance for Medicare-covered dental, and no copay and no coinsurance for covered preventive and comprehensive services up to a $4,000 yearly limit. Prior authorization is required for most services, and maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
Wellcare Dual Liberty Sync (HMO D-SNP) covers home infusion bundled services with no copay, though prior authorization is required. Medicare Part B insulin is covered with a $35 copay and no coinsurance, while chemotherapy, radiation, and other Part B drugs require no copay and a coinsurance ranging from 0% to 20%.
Dialysis Services See details
Dialysis Services are covered under the Wellcare Dual Liberty Sync (HMO D-SNP) plan with no copay and a 15% coinsurance.
Medical Equipment See details
Wellcare Dual Liberty Sync (HMO D-SNP) covers medical equipment, including durable medical equipment, prosthetics, medical supplies, and diabetic equipment, with no copay and a 20% coinsurance. Prior authorization is required for these covered services, and diabetic supplies are limited to specified manufacturers.
Diagnostic and Radiological Services See details
Wellcare Dual Liberty Sync (HMO D-SNP) covers diagnostic and radiological services, including lab tests, therapeutic radiology, and outpatient X-rays, subject to prior authorization. Patients will pay no copay, but a 20% coinsurance applies to all of these Medicare-covered diagnostic and radiological services.
Home Health Services See details
Home Health Services are covered by Wellcare Dual Liberty Sync (HMO D-SNP) with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Wellcare Dual Liberty Sync (HMO D-SNP) covers some cardiac rehabilitation services with no copay, but standard cardiac, intensive cardiac, pulmonary, 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
Skilled nursing facility (SNF) services are covered by Wellcare Dual Liberty Sync (HMO D-SNP) with no coinsurance, although prior authorization is required. There is no copay for days 1 to 20 and days 71 to 100, but a $218 copay applies to days 21 to 70, and additional days beyond the Medicare-covered limit are not covered.
Other Services See details
Wellcare Dual Liberty Sync (HMO D-SNP) offers partially covered other services, including over-the-counter (OTC) items and meal benefits for chronic illnesses with no copay and no coinsurance. Acupuncture and Dual Eligible SNPs with Highly Integrated Services are not covered.
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