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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.

Overview IconKey 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:

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

Specialist Visits:

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

Urgent Care:

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

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

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Drug Coverage IconDrug 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 start as low as $18 and $19 respectively for a one-month supply at preferred pharmacies, with no copay required for a three-month supply filled via preferred mail order. Tier 6 select care drugs also feature no copay at preferred pharmacies and preferred mail order, while standard pharmacies charge a minimal copay starting at $1. Brand-name and specialty medications under this plan generally require coinsurance rather than flat copays. Both Tier 3 preferred brands and Tier 5 specialty drugs require a 25% coinsurance payment. Tier 4 non-preferred drugs have a copay starting at $100 for a one-month supply at both preferred and standard pharmacies.

Additional Benefits IconAdditional Benefits

The Wellcare Dual Liberty Sync (HMO D-SNP) offers comprehensive coverage with predictable cost-sharing for essential medical services. For inpatient hospital stays, members pay a copayment of up to $2,085 per stay with no coinsurance, while outpatient services, primary care, and specialist visits feature no copay and a 20% coinsurance. Emergency care is available with a $115 copay, which is waived if you are admitted to the hospital within 24 hours. This plan also provides valuable extra benefits, including preventive dental care, home health services, and fitness programs with no copay and no coinsurance. Routine hearing and vision exams are covered with no copay and a 20% coinsurance, with generous allowance limits available for hearing aids and eyewear. Additionally, members can access over-the-counter items and up to 48 one-way transportation trips per year to plan-approved locations with no copay and no coinsurance.

Inpatient Hospital See details

Wellcare Dual Liberty Sync (HMO D-SNP) covers inpatient acute hospital stays with a $2,085 copayment per stay and psychiatric hospital stays with a $2,080 copayment per stay, both with no coinsurance and requiring prior authorization. Additional hospital 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 outpatient 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 to receive this benefit.

Ambulance and Transportation Services See details

Wellcare Dual Liberty Sync (HMO D-SNP) covers ground and air ambulance services with a 20% coinsurance and no copay. Transportation benefits 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

Wellcare Dual Liberty Sync (HMO D-SNP) covers emergency services with a $115 copay and urgently needed services with a $40 copay, both with no coinsurance and copays waived if admitted within 24 hours. Worldwide emergency and urgent services are partially covered up to $50,000 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, mental health, therapy, and opioid treatment services with no copay and 20% coinsurance, while podiatry services feature no copay and no coinsurance. Chiropractic services are not covered, and additional 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, featuring annual physicals, fitness benefits, remote access, and PERS with no copay and no coinsurance. Kidney disease education, glaucoma screenings, and diabetes training are covered with no copay and a 20% coinsurance, while services like health education, in-home safety assessments, and weight management programs are not covered.

Hearing Services See details

Wellcare Dual Liberty Sync (HMO D-SNP) covers hearing services with no deductible, offering one routine hearing exam per year with a 20% coinsurance and no copay, and one fitting evaluation with no copay or coinsurance. While prescription hearing aids are covered up to $1,500 per ear annually with no copay or coinsurance, some services are covered but inner ear, outer ear, over the ear, and OTC hearing aids are not covered.

Vision Services See details

Wellcare Dual Liberty Sync (HMO D-SNP) vision services are partially covered, featuring one annual routine eye exam with no copay and 20% coinsurance, while other eye exam services are not covered. Covered eyewear has no copay and a combined annual limit of $500, with contact lenses requiring 20% coinsurance and eyeglasses, lenses, frames, and upgrades requiring no coinsurance.

Dental Services See details

Wellcare Dual Liberty Sync (HMO D-SNP) dental services are partially covered, offering Medicare-covered dental care with no copay and 20% coinsurance, and preventive and comprehensive dental benefits with no copay and no coinsurance. Prior authorization is required, and implant services, orthodontics, and maxillofacial prosthetics 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, while associated Medicare Part B chemotherapy, radiation, and other drugs require a 0% to 20% coinsurance. Additionally, Medicare Part B insulin is covered with a $35 copay and no coinsurance, with prior authorization and step therapy required for certain services.

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 20% coinsurance. Prior authorization is required for these services, and diabetic supplies are limited to specific manufacturers.

Diagnostic and Radiological Services See details

Diagnostic and radiological services are covered under the Wellcare Dual Liberty Sync (HMO D-SNP) with no copay, though prior authorization and a 20% coinsurance apply to all services. This includes diagnostic procedures, lab tests, diagnostic and therapeutic radiological services, and outpatient X-rays.

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 technically covered by Wellcare Dual Liberty Sync (HMO D-SNP) with no copay, but in practice, key sub-services—including standard cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation—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 and do not require a prior three-day inpatient hospital stay. There is no copay for days 1 through 20 and days 71 through 100, but a $218 copay per day applies for days 21 through 70, and additional days beyond the Medicare-covered limit 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 a chronic illness meal benefit with no copay and no coinsurance. A referral is required for the meal benefit, while acupuncture and highly integrated services are not covered.

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