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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 $590.00 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 $590. 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 three-month supplies ordered through preferred mail order. Additionally, Tier 6 select care drugs are highly accessible with no copay across all pharmacies and fill durations. For brand-name and specialty medications, Tier 3 preferred brands and Tier 5 specialty drugs both require a 25% coinsurance. Tier 4 non-preferred drugs carry a higher flat cost, with copays starting at $100 for a one-month supply at both preferred and standard pharmacies. This structured tier system allows members of the Wellcare Dual Liberty Sync (HMO D-SNP) plan to optimize their prescription savings by utilizing preferred pharmacies and mail-order services.
Additional Benefits
The Wellcare Dual Liberty Sync (HMO D-SNP) offers comprehensive coverage with many services requiring no copay, though a standard 20% coinsurance typically applies to outpatient care, specialist visits, diagnostic services, and durable medical equipment. Inpatient hospital stays require a flat copayment per stay, while emergency care features a $115 copay that is waived if you are admitted. Preventive services, home health, and routine dental care are highly accessible with no copay and no coinsurance. Additional benefits include up to 48 one-way trips to plan-approved locations and over-the-counter items with no copay or coinsurance. Vision and hearing benefits feature generous annual allowances for eyewear and prescription hearing aids with no copays, though routine exams may require a 20% coinsurance. Skilled nursing facility care also offers no copay for the first 20 days, helping beneficiaries manage their recovery costs effectively.
Inpatient Hospital See details
Wellcare Dual Liberty Sync (HMO D-SNP) partially covers inpatient hospital services, requiring a $2,210 copayment per stay for acute care and a $2,080 copayment per stay for psychiatric care, with no coinsurance required for either. 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, 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 covered benefit.
Ambulance and Transportation Services See details
Wellcare Dual Liberty Sync (HMO D-SNP) covers ambulance services with a 20% coinsurance and no copay, requiring prior authorization. Transportation services are partially covered with no copay or coinsurance for up to 48 one-way trips per year to plan-approved locations, though trips to any health-related location are not covered.
Emergency Services See details
Wellcare Dual Liberty Sync (HMO D-SNP) covers emergency services with a $115 copay and no coinsurance, and urgent care with a $40 copay and no coinsurance, with both copays waived if you are admitted to the hospital within 24 hours. Worldwide emergency and urgent services are partially covered with a $115 copay, no coinsurance, and a $50,000 maximum limit, though worldwide emergency transportation is not covered.
Primary Care See details
Wellcare Dual Liberty Sync (HMO D-SNP) covers primary care, specialist, therapy, mental health, psychiatric, and opioid treatment services with no copay and a 20% coinsurance. Podiatry services are covered with no copay and no coinsurance, telehealth services require a $0 to $40 copay and a 20% coinsurance, and chiropractic services are not covered.
Preventive Services See details
Wellcare Dual Liberty Sync (HMO D-SNP) provides partially covered preventive services, including annual physical exams, fitness benefits, and remote access technologies with no copay and no coinsurance. Kidney disease education, diabetes self-management training, and glaucoma screenings are covered with no copay and a 20% coinsurance, while services such as health education and nutritional therapy are not covered.
Hearing Services See details
Wellcare Dual Liberty Sync (HMO D-SNP) covers hearing services with no deductible, featuring one routine hearing exam annually with a 20% coinsurance and no copay, and one fitting evaluation with no copay. Prescription hearing aids are covered up to $1,500 per ear every year with no copay or coinsurance, though OTC hearing aids and inner, outer, or over-the-ear prescription models are not covered.
Vision Services See details
Wellcare Dual Liberty Sync (HMO D-SNP) offers partially covered vision services with no deductible, including one annual routine eye exam with no copay and a 20% coinsurance, while other eye exams are not covered. Requiring prior authorization, eyewear is covered up to $500 annually with no copay for glasses, frames, lenses, and upgrades, and no copay with a 20% coinsurance for contact lenses.
Dental Services See details
Dental services are partially covered by Wellcare Dual Liberty Sync (HMO D-SNP), offering Medicare-covered dental with no copay and a 20% coinsurance, and preventive and comprehensive dental with no copay and no coinsurance. 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 Sync (HMO D-SNP) with no copay, though prior authorization and step therapy are required. Covered Medicare Part B insulin drugs require a $35 copay and no coinsurance, while Medicare Part B chemotherapy, radiation, and other drugs carry 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 durable medical equipment, prosthetics, medical supplies, and diabetic services with no copay and a 20% coinsurance. Prior authorization is required for these benefits, and diabetic supplies are limited to specified manufacturers.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by Wellcare Dual Liberty Sync (HMO D-SNP) with no copay and a 20% coinsurance, subject to prior authorization. Covered benefits include outpatient diagnostic procedures, lab services, diagnostic and therapeutic radiological services, and outpatient X-rays.
Home Health Services See details
Home health services are covered under the Wellcare Dual Liberty Sync (HMO D-SNP) plan with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Wellcare Dual Liberty Sync (HMO D-SNP) offers cardiac rehabilitation services with no copay, but only some services are covered in practice. 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
Skilled Nursing Facility (SNF) services are covered by Wellcare Dual Liberty Sync (HMO D-SNP) with no coinsurance, requiring prior authorization but no prior three-day hospital stay. There is no copay for days 1 to 20 and days 71 to 100, a $218 copay for 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) partially covers other services, offering over-the-counter (OTC) items and chronic illness meal benefits with no copay and no coinsurance, though meals require a referral. Acupuncture and other additional services are not covered under this plan.
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