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 2025 to people living in Select counties in AZ. 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.
Below are a few key facts and commonly-asked questions about Wellcare Dual Liberty Sync (HMO D-SNP).
The cost of a Medicare Advantage Plan is made up of four main parts.
For Wellcare Dual Liberty Sync (HMO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $17.00. 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.
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
The Wellcare Dual Liberty Sync (HMO D-SNP) features a $490.00 prescription drug deductible and a $17.00 Part D premium, which may be reduced if you qualify for Extra Help. During the initial coverage phase, Tier 1 preferred generics cost a $19.00 copay at preferred pharmacies and a $20.00 copay at standard pharmacies. Tier 2 standard generics require 20% coinsurance, while Tier 3 preferred brands and Tier 4 non-preferred drugs require 34% and 25% coinsurance, respectively. Tier 5 specialty drugs offer no copay at preferred pharmacies or a $1.00 copay at standard pharmacies. Once your total yearly out-of-pocket drug costs reach $2,100.00, you enter the catastrophic coverage phase where you pay nothing for covered Part D prescriptions.
The Wellcare Dual Liberty Sync (HMO D-SNP) plan offers robust coverage where most outpatient services, primary care visits, diagnostics, and medical equipment feature no copay and a 20% coinsurance. Inpatient hospital stays require a $2,050 copay per stay with no coinsurance, while emergency care carries a $115 copay. Skilled nursing facility care is also covered, featuring no copay for days 1 through 20 and a $218 daily copay for days 21 through 70. This plan also includes valuable supplemental benefits, such as preventive and comprehensive dental care up to $4,000 annually and home health services with no copay and no coinsurance. Additionally, members benefit from a $300 annual eyewear allowance, up to $1,000 per ear annually for prescription hearing aids, and up to 24 one-way transportation trips per year at no cost. Over-the-counter items and meal benefits are also covered with no copay and no coinsurance.
Inpatient hospital benefits are partially covered by Wellcare Dual Liberty Sync (HMO D-SNP), requiring a $2,050 copay per stay and no coinsurance for acute and psychiatric stays. Prior authorization is required, and sub-services such as additional days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient services are covered by Wellcare Dual Liberty Sync (HMO D-SNP) with no copay and a 20% coinsurance for all included services. Covered benefits include outpatient hospital, observation, ambulatory surgical center, substance abuse, and blood services.
Partial hospitalization is covered by Wellcare Dual Liberty Sync (HMO D-SNP) with a 20% coinsurance and no copay. Prior authorization is required for these services.
Wellcare Dual Liberty Sync (HMO D-SNP) covers ground and air ambulance services with a 20% coinsurance and no copay, subject to prior authorization. Transportation services are partially covered with no copay and no coinsurance for up to 24 one-way trips per year to plan-approved locations, though transportation to any health-related location is not covered.
Wellcare Dual Liberty Sync (HMO D-SNP) covers emergency services with a $115 copay and urgently needed services with a $40 copay, both featuring no coinsurance. Worldwide emergency and urgent care are also covered up to a $50,000 maximum with a $115 copay and no coinsurance, though worldwide emergency transportation is not covered.
Wellcare Dual Liberty Sync (HMO D-SNP) provides partially covered primary care benefits, with most services requiring no copay and a 20% coinsurance. Covered services include primary care, specialist, therapy, and telehealth visits (which carry a $0 to $40 copay and 20% coinsurance), while podiatry services and routine chiropractic care are not covered.
Wellcare Dual Liberty Sync (HMO D-SNP) partially covers preventive services, offering annual physicals, fitness benefits, and alternative therapies with no copay and no coinsurance, while kidney disease education, glaucoma screenings, and diabetes self-management training require a 20% coinsurance and no copay. However, several sub-services are not covered, including health education, in-home safety assessments, medical nutrition therapy, post-discharge medication reconciliation, readmission prevention, wigs, weight management, therapeutic massage, adult day health, nutritional/dietary benefits, palliative care, in-home support, caregiver support, smoking cessation, disease management, telemonitoring, home safety devices, and counseling.
Hearing services are partially covered by Wellcare Dual Liberty Sync (HMO D-SNP), featuring no copay and 20% coinsurance for routine hearing exams, and no copay or coinsurance for hearing aid fittings. Prescription hearing aids are covered up to $1,000 per ear annually with no copay and no coinsurance, but OTC hearing aids and inner, outer, or over-the-ear prescription hearing aids are not covered.
Vision services are covered by Wellcare Dual Liberty Sync (HMO D-SNP), including one routine eye exam per year with no copay and a 20% coinsurance. The plan also features a $300 annual eyewear allowance, covering contact lenses with a 20% coinsurance and no copay, and eyeglasses, lenses, frames, and upgrades with no copay and no coinsurance.
Wellcare Dual Liberty Sync (HMO D-SNP) dental benefits are partially covered, excluding maxillofacial prosthetics, implant services, and orthodontics. Medicare-covered dental services require a 20% coinsurance and no copay, while other covered preventive and comprehensive dental services are offered with no copay and no coinsurance up to a $4,000 annual limit.
Wellcare Dual Liberty Sync (HMO D-SNP) covers home infusion bundled services, which require prior authorization and may involve step therapy. Medicare Part B insulin drugs are covered with a $35 copay and no coinsurance, while chemotherapy, radiation, and other Part B drugs have no copay and a coinsurance ranging from no coinsurance to 20%.
Dialysis Services are covered by the Wellcare Dual Liberty Sync (HMO D-SNP) plan with a 20% coinsurance and no copay.
Wellcare Dual Liberty Sync (HMO D-SNP) covers medical equipment, including durable medical equipment (DME), 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 are covered by Wellcare Dual Liberty Sync (HMO D-SNP) with no copay and a 20% coinsurance. This benefit includes diagnostic procedures, lab services, radiological services, and outpatient X-rays, all of which require prior authorization.
Home Health Services are covered by Wellcare Dual Liberty Sync (HMO D-SNP) with no copay and no coinsurance, though prior authorization is required.
Wellcare Dual Liberty Sync (HMO D-SNP) indicates some services are covered under Cardiac Rehabilitation Services, but Cardiac Rehabilitation, Intensive Cardiac Rehabilitation, Pulmonary Rehabilitation, and SET for PAD Services are not covered. Because these sub-services are not covered in practice, there is no copay or coinsurance required for them.
Skilled Nursing Facility (SNF) benefits are partially covered by Wellcare Dual Liberty Sync (HMO D-SNP) with no coinsurance, featuring no copay for days 1-20 and 71-100, and a $218 daily copay for days 21-70. Prior authorization is required, and additional days beyond the standard Medicare-covered limit are not covered.
Other services are partially covered by Wellcare Dual Liberty Sync (HMO D-SNP), featuring over-the-counter items and meal benefits with no copay and no coinsurance. Acupuncture and dual eligible SNPs with highly integrated services are not covered.
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* 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.
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