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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 at preferred pharmacies, with no copay for three-month supplies ordered through preferred mail delivery. Additionally, Tier 6 select care drugs are highly accessible with no copay across all pharmacies and mail order options. Tier 3 preferred brand drugs and Tier 5 specialty drugs both require a 25% coinsurance payment across preferred and standard pharmacies. Tier 4 non-preferred drugs carry a copay of $100 for a one-month supply at both preferred and standard pharmacies, though savings are available through preferred mail order options.

Additional Benefits IconAdditional Benefits

The Wellcare Dual Liberty Sync (HMO D-SNP) plan offers comprehensive medical coverage with a focus on low out-of-pocket costs for many services. Inpatient hospital stays require a copay of $2,200 for acute care and $2,080 for psychiatric care with no coinsurance, while outpatient hospital services and primary care 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 includes valuable supplemental benefits such as dental, vision, and hearing coverage, most of which feature no copay and no coinsurance up to generous annual limits. Additionally, members can take advantage of routine transportation with no copay for up to 48 one-way trips per year, alongside home health services and select over-the-counter items at no cost. Preventive services like annual physical exams and fitness benefits are also fully covered with no copay and no coinsurance.

Inpatient Hospital See details

Wellcare Dual Liberty Sync (HMO D-SNP) covers inpatient hospital services with a $2,200 copay per stay for acute care and a $2,080 copay per stay for psychiatric care, both with no coinsurance. Prior authorization is required, and 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, 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 to access 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 services are partially covered with no copay or coinsurance for up to 48 one-way trips per year to plan-approved locations, while 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 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, psychiatric, and opioid treatment services with no copay and 20% coinsurance, while podiatry services feature no copay and no coinsurance. Telehealth services are also covered with a $0 to $40 copay and 20% coinsurance, though routine and other chiropractic services are not covered.

Preventive Services See details

Wellcare Dual Liberty Sync (HMO D-SNP) covers annual physical exams, fitness benefits, PERS, and alternative therapies with no copay and no coinsurance, though supplemental services like health education, in-home safety assessments, and nutritional benefits are not covered. Kidney disease education, diabetes self-management, glaucoma screenings, digital rectal exams, and post-welcome-visit EKGs are covered with no copay and a 20% coinsurance.

Hearing Services See details

Wellcare Dual Liberty Sync (HMO D-SNP) partially covers hearing services with no deductible, offering routine hearing exams with a 20% coinsurance and no copay, and fitting evaluations with no copay. Covered prescription hearing aids have no copay or coinsurance up to a $1,500 annual limit, but OTC hearing aids and inner ear, outer ear, or over-the-ear prescription hearing aids are not covered.

Vision Services See details

Wellcare Dual Liberty Sync (HMO D-SNP) provides partially covered vision services with no deductibles, including one annual routine eye exam with no copay and 20% coinsurance, though other eye exam services are not covered. Covered eyewear, such as eyeglasses and upgrades, features no copay and no coinsurance, while contact lenses require a 20% coinsurance with no copay, up to a $500 annual limit under prior authorization.

Dental Services See details

Dental services are partially covered by Wellcare Dual Liberty Sync (HMO D-SNP), featuring no copay and 20% coinsurance for Medicare-covered dental, and no copay or coinsurance for most preventive and comprehensive services up to a $4,000 annual limit. Maxillofacial prosthetics, implant services, and orthodontics are not covered, and prior authorization is required for most services.

Home Infusion bundled Services See details

Wellcare Dual Liberty Sync (HMO D-SNP) covers Home Infusion bundled Services with no copay and no coinsurance, though prior authorization is required. Covered Medicare Part B insulin drugs require a $35 copay and no coinsurance, while chemotherapy and other Part B drugs feature no copay and a coinsurance ranging from 0% to 20%.

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 covered benefits, 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 and a 20% coinsurance, though prior authorization is required. Covered benefits include outpatient diagnostic procedures, lab services, 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

Wellcare Dual Liberty Sync (HMO D-SNP) covers some cardiac rehabilitation services with no copay. However, standard cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) are not covered in practice and require a 20% coinsurance.

Skilled Nursing Facility (SNF) See details

Wellcare Dual Liberty Sync (HMO D-SNP) covers Skilled Nursing Facility (SNF) services with no coinsurance, though prior authorization is required and additional days beyond the Medicare-covered limit are not covered. There is no copay for days 1 to 20 and days 71 to 100, while days 21 to 70 require a daily copay of $218.

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. Acupuncture is not covered under this plan, and a referral is required to access the meal benefit.

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