A non-government entity
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 $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 $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:
Sign up for Wellcare Dual Liberty Sync (HMO D-SNP)
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
Drug Coverage
The Wellcare Dual Liberty Sync (HMO D-SNP) prescription drug plan features an annual drug deductible of $615. For Tier 1 preferred generics and Tier 2 generics, copays range from $18 to $20 for a one-month supply at retail pharmacies, but you pay no copay for a three-month supply filled through preferred mail order. Tier 6 select care drugs are highly accessible, offering no copay across all standard and preferred retail or mail-order options. For higher-tier prescriptions, Tier 3 preferred brands and Tier 5 specialty drugs require a 25% coinsurance. Tier 4 non-preferred drugs carry a $100 copay for a one-month supply at both standard and preferred pharmacies, which can go up to $300 for a three-month supply. Utilizing preferred pharmacies and mail-order services helps maximize your prescription savings on this Medicare Advantage plan.
Additional Benefits
The Wellcare Dual Liberty Sync (HMO D-SNP) offers comprehensive healthcare coverage with structured out-of-pocket costs. Inpatient hospital stays require a set copayment per stay with no coinsurance, while outpatient care, diagnostic services, and specialist visits generally feature no copay and a 20% coinsurance. Emergency room visits carry a $115 copay, which is waived if you are admitted to the hospital within 24 hours. This plan also features strong supplemental benefits, including dental, routine vision, and hearing services that often require no copay or coinsurance. Furthermore, members can access home health services, over-the-counter items, and up to 48 one-way transportation trips per year with no copay or coinsurance.
Inpatient Hospital See details
Inpatient hospital services are covered by Wellcare Dual Liberty Sync (HMO D-SNP) with no coinsurance, requiring a copayment of $2,230 per stay for acute care and $2,080 per stay for psychiatric care. Prior authorization is required for these services, and additional days, upgrades, or 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, 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
Partial hospitalization is covered under the Wellcare Dual Liberty Sync (HMO D-SNP) plan with no copay and a 20% coinsurance. Prior authorization is required for these services.
Ambulance and Transportation Services See details
Ambulance and transportation services are covered under the Wellcare Dual Liberty Sync (HMO D-SNP), featuring a 20% coinsurance and no copay for ground and air ambulance services. Transportation services are partially covered with no copay or coinsurance for 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 are covered by Wellcare Dual Liberty Sync (HMO D-SNP) with a $115 copay and no coinsurance, and urgently needed services have 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 maximum with a $115 copay and no coinsurance, but worldwide emergency transportation is not covered.
Primary Care See details
Wellcare Dual Liberty Sync (HMO D-SNP) covers primary care, specialist, therapy, psychiatric, and opioid treatment services with no copay and 20% coinsurance, while podiatry services are covered with no copay and no coinsurance. Additional telehealth benefits are available with a $0 to $40 copay and 20% coinsurance, but chiropractic services are not covered.
Preventive Services See details
Preventive services under the Wellcare Dual Liberty Sync (HMO D-SNP) are partially covered, offering annual physical exams, fitness benefits, and alternative therapies with no copay and no coinsurance, though sub-services like health education and nutritional therapy are not covered. Other services, including kidney disease education, diabetes self-management, and glaucoma screenings, are covered with no copay and a 20% coinsurance.
Hearing Services See details
Wellcare Dual Liberty Sync (HMO D-SNP) provides partially covered hearing services with no deductible, featuring routine hearing exams with a 20% coinsurance and no copay, and fitting evaluations with no copay and no coinsurance. Prescription hearing aids are covered up to $1,500 per ear annually with no copay or coinsurance, but 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 have no copay and a 20% coinsurance, while eyeglasses and frames have no copay and no coinsurance up to a $500 annual limit.
Dental Services See details
Wellcare Dual Liberty Sync (HMO D-SNP) partially covers dental services, offering Medicare-covered dental with no copay and a 20% coinsurance, and other covered preventive and comprehensive services with no copay and no coinsurance. Prior authorization is required for these 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 Sync (HMO D-SNP) with no copay, though prior authorization and step therapy are required. Medicare Part B chemotherapy, radiation, and other Part B drugs feature no copay and a 0% to 20% coinsurance, while Medicare Part B insulin is covered with a $35 copay and no coinsurance.
Dialysis Services See details
Dialysis Services are covered by Wellcare Dual Liberty Sync (HMO D-SNP) with no copay and a 15% coinsurance.
Medical Equipment See details
Wellcare Dual Liberty Sync (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
Wellcare Dual Liberty Sync (HMO D-SNP) covers diagnostic and radiological services, including lab work, diagnostic tests, therapeutic radiology, and outpatient X-rays, with no copay and a 20% coinsurance. Prior authorization is required for all of these covered services.
Home Health Services See details
Wellcare Dual Liberty Sync (HMO D-SNP) covers home health services with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac rehabilitation services are covered by Wellcare Dual Liberty Sync (HMO D-SNP) with no copay, though in practice only some services are covered. Standard cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered and require a 20% coinsurance.
Skilled Nursing Facility (SNF) See details
Wellcare Dual Liberty Sync (HMO D-SNP) covers Skilled Nursing Facility (SNF) stays with no coinsurance, featuring no copay for days 1 to 20 and 71 to 100, and a $218 daily copay for days 21 to 70. Prior authorization is required, and additional days beyond the Medicare-covered 100 days are not covered.
Other Services See details
Wellcare Dual Liberty Sync (HMO D-SNP) partially covers other services, offering over-the-counter (OTC) items and chronic illness meal benefits with no copay and no coinsurance. A referral is required for the meal benefit, while acupuncture and highly integrated dual-eligible services are not covered.
Get Personalized Help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
*/SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
MedicareAdvantageRX.com is owned and operated by Dog Media Solutions LLC.
This is a promotional communication.
Every year, Medicare evaluates plans based on a 5-star rating system.
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.
Enrollment in Medicare/Medicare Advantage may be limited to certain times of the year unless you qualify for a Special Enrollment Period
We do not offer every plan available in your area. Currently, we represent 18 organizations, which offer 52,101 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
We represent Medicare Advantage HMO, PPO and PFFS organizations and stand-alone PDP prescription drug plans that are contracted with Medicare. Enrollment depends on the plan's contract renewal.
Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply.
Please contact Medicare.gov ,1-800-MEDICARE , or your local State Health Insurance Program (SHIP) to get information on all of your options.
Medicare has neither approved nor endorsed any information on this site.
Speak with a licensed insurance agent: 1-877-649-2073 / TTY 711 | 8am - 11pm ET | 7 days a week
© 2023 Dog Media Solutions LLC. All rights reserved