Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Wellcare Fidelis 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 Fidelis Dual Liberty Sync (HMO D-SNP) in 2026, please refer to our full plan details page.
Wellcare Fidelis 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 NY. This plan received an overall rating of 3 out of 5 stars in 2026.
It's important to know that Wellcare Fidelis 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 Fidelis 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 Fidelis Dual Liberty Sync (HMO D-SNP).
The cost of a Medicare Advantage Plan is made up of four main parts.
For Wellcare Fidelis Dual Liberty Sync (HMO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $58.80. 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 $580.00 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 Fidelis Dual Liberty Sync (HMO D-SNP) has a prescription drug deductible of $580. Tier 6 select care drugs are fully covered with no copay across all pharmacy and mail-order options. For Tier 1 preferred generics and Tier 2 generics, copays start as low as $18 and $19 respectively, and you will pay no copay for a three-month supply filled via preferred mail order. For brand-name and specialty medications, Tier 3 preferred brands require a 20% coinsurance, while Tier 5 specialty drugs have a 25% coinsurance for a one-month supply. Tier 4 non-preferred drugs carry a $100 copay for a one-month supply at both preferred and standard pharmacies. These structured cost-sharing tiers help you understand your out-of-pocket prescription expenses with this Wellcare plan.
The Wellcare Fidelis Dual Liberty Sync (HMO D-SNP) offers comprehensive medical coverage, though many services require a coinsurance or a set copayment. For inpatient hospital stays, members face a $2,230 copay for acute care and a $2,080 copay for psychiatric care with no coinsurance, while emergency room visits require a $115 copay. Most outpatient services, primary care visits, specialist consultations, and diagnostic tests feature no copay but require a 20% coinsurance. This plan also includes key supplemental benefits like home health care and routine dental services with no copay and no coinsurance. Vision and hearing benefits are partially covered, offering no copay alongside a 20% coinsurance for routine exams, plus annual allowance limits for glasses and prescription hearing aids. Skilled nursing facility stays feature no copay for the first 20 days, followed by a $218 daily copay for days 21 through 70.
Wellcare Fidelis Dual Liberty Sync (HMO D-SNP) inpatient hospital benefits are partially covered with no coinsurance, requiring prior authorization for both acute and psychiatric stays. Acute stays require a $2,230 copayment per admission and psychiatric stays require a $2,080 copayment, while additional days, upgrades, and non-Medicare-covered stays are not covered.
Wellcare Fidelis 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 ambulatory surgical center, outpatient hospital, and outpatient substance abuse services.
Wellcare Fidelis 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.
Wellcare Fidelis Dual Liberty Sync (HMO D-SNP) covers Medicare-approved ground and air ambulance services with a 20% coinsurance and no copay, though prior authorization is required. Transportation services to health-related locations are not covered under this plan.
Emergency services are covered by Wellcare Fidelis Dual Liberty Sync (HMO D-SNP) with a $115 copay for emergency care and a $40 copay for urgent care, both featuring no coinsurance and counting toward the deductible. 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.
Wellcare Fidelis Dual Liberty Sync (HMO D-SNP) covers primary care, specialist, psychiatric, and therapy services with no copay and 20% coinsurance. While some chiropractic services are covered, routine and other chiropractic services are not covered, podiatry is not covered, and telehealth benefits carry a $0 to $40 copay and 20% coinsurance.
Wellcare Fidelis Dual Liberty Sync (HMO D-SNP) offers partially covered preventive services, providing annual physicals, fitness benefits, and alternative therapies with no copay and no coinsurance. Other covered services, such as kidney disease education, diabetes training, and glaucoma screenings, feature no copay but require a 20% coinsurance. Multiple sub-services, including health education, nutritional benefits, and personal emergency response systems, are not covered.
Wellcare Fidelis Dual Liberty Sync (HMO D-SNP) provides hearing services with no copays for fittings and Medicare-covered exams, while routine exams require a 20% coinsurance and no copay. Prescription hearing aids are partially covered with no copay or coinsurance up to a $500 annual limit per ear, but OTC hearing aids and inner ear, outer ear, or over-the-ear prescription models are not covered.
Wellcare Fidelis Dual Liberty Sync (HMO D-SNP) provides partially covered vision services, with other eye exam services not covered. One annual routine exam and contact lenses are covered with no copay and a 20% coinsurance, while eyeglasses are covered with no copay or coinsurance up to a $200 yearly limit with no deductible.
Wellcare Fidelis Dual Liberty Sync (HMO D-SNP) covers Medicare-covered dental services with no copay and a 20% coinsurance, while other preventive and comprehensive dental services are offered with no copay and no coinsurance. The dental benefit is partially covered because orthodontics is not covered, and prior authorization is required for most services.
Wellcare Fidelis Dual Liberty Sync (HMO D-SNP) covers home infusion bundled services with no copay, though prior authorization is required. Under this benefit, Medicare Part B insulin drugs require a $35 copay and no coinsurance, while chemotherapy, radiation, and other Part B drugs have a coinsurance ranging from 0% to 20%.
Dialysis services are covered under the Wellcare Fidelis Dual Liberty Sync (HMO D-SNP) with no copay and a 20% coinsurance.
Wellcare Fidelis Dual Liberty Sync (HMO D-SNP) covers medical equipment, including durable medical equipment, prosthetics, medical supplies, and diabetic equipment, with no copay and a 20% coinsurance. Prior authorization is required for these benefits, and coverage for diabetic supplies is limited to specified manufacturers.
Wellcare Fidelis Dual Liberty Sync (HMO D-SNP) covers diagnostic and radiological services with no copay, subject to prior authorization. These covered services, including diagnostic procedures, lab services, diagnostic and therapeutic radiological services, and outpatient X-rays, require a 20% coinsurance.
Home Health Services are covered under the Wellcare Fidelis Dual Liberty Sync (HMO D-SNP) with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services are covered by Wellcare Fidelis Dual Liberty Sync (HMO D-SNP) with no copay, but some services are not covered, including standard cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) rehabilitation, which carry a 20% coinsurance.
Wellcare Fidelis Dual Liberty Sync (HMO D-SNP) covers skilled nursing facility (SNF) services with no coinsurance and no prior three-day hospital stay requirement. There is no copay for days 1 to 20 and days 71 to 100, a $218 daily copay applies for days 21 to 70, and additional days beyond the Medicare-covered limit are not covered.
Wellcare Fidelis Dual Liberty Sync (HMO D-SNP) partially covers other services, offering over-the-counter (OTC) items and meal benefits for chronic illnesses with no copay and no coinsurance. However, acupuncture is not covered under this plan, and the meal benefit requires a referral.
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Part B premium reduction is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be lower. Deductibles, copays and coinsurance may apply.
* 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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