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Wellcare Arizona Complete Health Dual Align (HMO D-SNP)

Benefits Summary and Overview

This page is a benefits summary and overview of key plan information for Wellcare Arizona Complete Health Dual Align (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 Arizona Complete Health Dual Align (HMO D-SNP) in 2026, please refer to our full plan details page.

Wellcare Arizona Complete Health Dual Align (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 Arizona. This plan received an overall rating of 3.5 out of 5 stars in 2026.

It's important to know that Wellcare Arizona Complete Health Dual Align (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 Arizona Complete Health Dual Align (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 Arizona Complete Health Dual Align (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 Arizona Complete Health Dual Align (HMO D-SNP), the main costs are as follows:

Monthly Premium

The Monthly Premium for this plan is $14.40. 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 Arizona Complete Health Dual Align (HMO D-SNP)

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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 IconDrug Coverage

The Wellcare Arizona Complete Health Dual Align (HMO D-SNP) offers a basic alternative drug benefit with a yearly prescription deductible of $615.00. After meeting this deductible, your copayments and coinsurance during the initial coverage phase will depend on the drug tier and pharmacy type. For example, Tier 1 preferred generics cost a $19.00 copay at preferred pharmacies or $20.00 at standard pharmacies, while Tier 5 specialty drugs feature no copay at either pharmacy. Once your out-of-pocket drug costs reach $2,100.00, you enter the catastrophic coverage phase and will pay nothing for covered Part D prescription drugs. Furthermore, beneficiaries who qualify for the Low-Income Subsidy (LIS) may see their Part D premium reduced to $14.40.

Additional Benefits IconAdditional Benefits

The Wellcare Arizona Complete Health Dual Align (HMO D-SNP) offers comprehensive coverage for core medical services, featuring 20% coinsurance and no copay for primary care, specialist visits, outpatient care, and diagnostic services. For inpatient hospital stays, the plan requires a copay of $2,225 per stay for acute care and $2,080 per stay for psychiatric care, with no coinsurance for either. Emergency services are available with a $115 copay, while urgent care visits carry a $40 copay. In addition to medical care, members benefit from routine dental services and home health care with no copay and no coinsurance. The plan also includes routine vision and hearing benefits with no copay, offering up to $300 annually for eyewear and up to $1,000 per ear for prescription hearing aids. To support daily wellness, the plan covers over-the-counter items and up to 24 one-way transportation trips to approved locations per year with no copay or coinsurance.

Inpatient Hospital See details

Wellcare Arizona Complete Health Dual Align (HMO D-SNP) partially covers inpatient hospital benefits, featuring a $2,225 copay per stay for acute care and a $2,080 copay per stay for psychiatric care, with no coinsurance required for either. Sub-services such as additional days, upgrades, and non-Medicare-covered stays are not covered under these benefits.

Outpatient Services See details

Wellcare Arizona Complete Health Dual Align (HMO D-SNP) covers outpatient services, including outpatient hospital care, ambulatory surgical center services, substance abuse sessions, and blood services, with no copay and 20% coinsurance. Prior authorization is required for several of these services, and there is no deductible for outpatient blood services.

Partial Hospitalization See details

Wellcare Arizona Complete Health Dual Align (HMO D-SNP) covers partial hospitalization benefits with a 20% coinsurance and no copay. Prior authorization is required for these services.

Ambulance and Transportation Services See details

Wellcare Arizona Complete Health Dual Align (HMO D-SNP) covers ground and air ambulance services with a 20% coinsurance and no copay. Transportation services are partially covered, offering up to 24 one-way trips to plan-approved locations per year with no copay and no coinsurance, while transportation to any health-related location is not covered.

Emergency Services See details

Wellcare Arizona Complete Health Dual Align (HMO D-SNP) covers emergency services with a $115 copay and no coinsurance, and urgently needed services with a $40 copay and no coinsurance. Worldwide emergency and urgent care are partially covered with a $115 copay and no coinsurance up to a $50,000 limit, but worldwide emergency transportation is not covered.

Primary Care See details

Wellcare Arizona Complete Health Dual Align (HMO D-SNP) covers primary care, specialist visits, mental health, and therapy services with a 20% coinsurance and no copay, while telehealth benefits require a 20% coinsurance and a copay ranging from no copay to $40. Podiatry and routine chiropractic services are not covered.

Preventive Services See details

Wellcare Arizona Complete Health Dual Align (HMO D-SNP) offers partially covered preventive services, including annual physicals, fitness benefits, and alternative therapies with no copay or coinsurance, while kidney education and other screenings carry a 20% coinsurance and no copay. Uncovered sub-services include health education, in-home safety assessments, medical nutrition therapy, medication reconciliation, re-admission prevention, wigs, weight management, therapeutic massage, adult day health, nutritional/dietary benefits, palliative care, in-home support, caregiver support, tobacco cessation counseling, disease management, telemonitoring, bathroom safety devices, and counseling.

Hearing Services See details

Wellcare Arizona Complete Health Dual Align (HMO D-SNP) partially covers hearing services, featuring routine hearing exams with a 20% coinsurance and no copay, and fitting evaluations with no copay or coinsurance. Prescription hearing aids are covered up to $1,000 per ear annually with no copay or coinsurance, though OTC, inner ear, outer ear, and over-the-ear hearing aids are not covered.

Vision Services See details

Vision services are covered with no deductible by Wellcare Arizona Complete Health Dual Align (HMO D-SNP), including one routine eye exam per year with no copay and a 20% coinsurance. The plan also offers a $300 annual combined maximum for eyewear, covering contact lenses with no copay and a 20% coinsurance, and eyeglasses, lenses, frames, and upgrades with no copay.

Dental Services See details

Dental services are partially covered by Wellcare Arizona Complete Health Dual Align (HMO D-SNP), featuring no copay and no coinsurance for covered preventive and comprehensive services. Medicare-covered dental care requires a 20% coinsurance and no copay, while maxillofacial prosthetics, implant services, and orthodontics are not covered.

Home Infusion bundled Services See details

Wellcare Arizona Complete Health Dual Align (HMO D-SNP) covers home infusion bundled services, requiring prior authorization and step therapy for certain medications. 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 coinsurance ranging from no coinsurance to 20%.

Dialysis Services See details

Wellcare Arizona Complete Health Dual Align (HMO D-SNP) covers dialysis services with no copay and a 20% coinsurance. This benefit ensures you have access to vital renal dialysis treatments with clear and predictable out-of-pocket costs.

Medical Equipment See details

Wellcare Arizona Complete Health Dual Align (HMO D-SNP) covers medical equipment, including durable medical equipment, prosthetics, and diabetic supplies, with no copayment 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

Wellcare Arizona Complete Health Dual Align (HMO D-SNP) covers diagnostic and radiological services, including lab tests, therapeutic radiology, and outpatient X-rays, with no copay and a 20% coinsurance. Prior authorization is required for these covered services.

Home Health Services See details

Home health services are covered under the Wellcare Arizona Complete Health Dual Align (HMO D-SNP) plan with no copay and no coinsurance, although prior authorization is required.

Cardiac Rehabilitation Services See details

Cardiac Rehabilitation Services are covered under the Wellcare Arizona Complete Health Dual Align (HMO D-SNP) plan with some services covered, though cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered in practice.

Skilled Nursing Facility (SNF) See details

Wellcare Arizona Complete Health Dual Align (HMO D-SNP) partially covers Skilled Nursing Facility (SNF) services with no coinsurance, requiring no copay for days 1 to 20 and days 71 to 100, and a $218 daily copay for days 21 to 70. Prior authorization is required, and additional days beyond the Medicare-covered limit are not covered.

Other Services See details

Other Services are partially covered by Wellcare Arizona Complete Health Dual Align (HMO D-SNP), which provides over-the-counter (OTC) items and meal benefits with no copay and no coinsurance. Acupuncture and Dual Eligible SNPs with Highly Integrated Services are not covered under this plan.

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