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Wellcare Dual Liberty Sync Open (PPO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Wellcare Dual Liberty Sync Open (PPO 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 Open (PPO D-SNP) in 2026, please refer to our full plan details page.
Wellcare Dual Liberty Sync Open (PPO D-SNP) is a PPO D-SNP plan offered by Centene Corporation available for enrollment in 2025 to people living in Select counties in WA. This plan received an overall rating of 2.5 out of 5 stars in 2026.
It's important to know that Wellcare Dual Liberty Sync Open (PPO 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 Open (PPO 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 Open (PPO 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 Open (PPO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $10.50. 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 $495.00 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 combined Maximum Out-Of-Pocket cost of $13900.00 (in-network or out-of-network combined). You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $13900.00 for covered services, the plan will pay 100% of covered costs for the rest of the year.
The plan may have separate out-pocket-maximums for in-network and out-of-network services. See our full plan details page for more information.
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 Open (PPO D-SNP) prescription drug plan features an annual drug deductible of $495. For generic medications, Tier 1 preferred generics start at an $18 copay for a one-month supply at preferred pharmacies, while Tier 2 generics start at a $19 copay. You can lower your out-of-pocket costs by choosing a three-month supply of Tier 1 or Tier 2 drugs through preferred mail order, which features no copay. Brand-name and specialty medications require coinsurance, with Tier 3 preferred brands at 20% coinsurance and Tier 5 specialty drugs at 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. Fortunately, Tier 6 select care drugs are fully covered with no copay across all pharmacies and mail order options.
Additional Benefits
The Wellcare Dual Liberty Sync Open (PPO D-SNP) plan offers comprehensive coverage where many outpatient services, doctor visits, and diagnostic tests require no copay and a 20% coinsurance. For hospital stays, members pay a copayment of $2,230 per acute inpatient admission and $2,080 per psychiatric admission, with no coinsurance required. Emergency room visits carry a $115 copay, which is waived if admitted within 24 hours, while urgent care services require a $40 copay. Supplemental benefits include dental care with no copay and no coinsurance up to a $1,000 annual maximum, alongside a $500 annual allowance per ear for hearing aids. Vision benefits provide a $100 annual limit for eyewear with no copay, though routine exams require a 20% coinsurance. Additionally, skilled nursing facility stays feature no copay for days 1 to 20 and 71 to 100, with a $218 daily copay required for days 21 to 70.
Inpatient Hospital See details
Inpatient hospital services are partially covered by Wellcare Dual Liberty Sync Open (PPO D-SNP), requiring prior authorization and no coinsurance. Medicare-covered acute stays incur a $2,230 copayment per admission, and psychiatric stays incur a $2,080 copayment per admission, while upgrades, additional days, and non-Medicare-covered stays are not covered.
Outpatient Services See details
Wellcare Dual Liberty Sync Open (PPO 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 substance abuse services.
Partial Hospitalization See details
Partial hospitalization services are covered by Wellcare Dual Liberty Sync Open (PPO D-SNP) with no copay and a 20% coinsurance. Prior authorization is required for this benefit.
Ambulance and Transportation Services See details
Wellcare Dual Liberty Sync Open (PPO D-SNP) covers ground and air ambulance services with a 20% coinsurance and no copay, though prior authorization is required. Transportation services to plan-approved or health-related locations are not covered under this plan.
Emergency Services See details
Wellcare Dual Liberty Sync Open (PPO D-SNP) covers emergency services with a $115 copay and no coinsurance, and urgently needed services with a $40 copay and no coinsurance, with both copays waived if admitted to the hospital within 24 hours. Worldwide emergency services are partially covered up to a $50,000 lifetime limit with a $115 copay and no coinsurance for emergency and urgent care, but worldwide emergency transportation is not covered.
Primary Care See details
Wellcare Dual Liberty Sync Open (PPO D-SNP) covers primary care, specialist, therapy, and mental health services with no copay and 20% coinsurance. Chiropractic services are partially covered, offering up to 12 routine visits per year with no copay and no coinsurance, but other chiropractic services are not covered. Podiatry services feature no copay and no coinsurance, while telehealth benefits have a $0.00 to $40.00 copay and 20% coinsurance.
Preventive Services See details
Preventive services offered by Wellcare Dual Liberty Sync Open (PPO D-SNP) are partially covered, with no copay and no coinsurance for annual physicals, fitness benefits, PERS, and alternative therapies. Kidney disease education and other preventive screenings have no copay but require a 20% coinsurance, while several services such as health education, nutritional therapy, and in-home safety assessments are not covered.
Hearing Services See details
Wellcare Dual Liberty Sync Open (PPO D-SNP) covers hearing services with no deductible, including annual routine exams for a 20% coinsurance and no copay, and fitting evaluations with no copay or coinsurance. Prescription hearing aids are partially covered with no copay or coinsurance up to $500 per ear yearly, though OTC hearing aids and inner ear, outer ear, or over-the-ear prescription models are not covered.
Vision Services See details
Wellcare Dual Liberty Sync Open (PPO D-SNP) provides partially covered vision services, including one annual routine eye exam with no copay and a 20% coinsurance, though other eye exams are not covered. Eyewear is covered with no copays, a 20% coinsurance on contact lenses, no deductible, and a combined annual benefit limit of $100.
Dental Services See details
Dental services are partially covered by Wellcare Dual Liberty Sync Open (PPO D-SNP), with Medicare-covered dental requiring no copay and a 20% coinsurance, and other covered services requiring no copay and no coinsurance up to a $1,000 annual maximum. Maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
Wellcare Dual Liberty Sync Open (PPO D-SNP) covers home infusion bundled services with no copay, although prior authorization and step therapy are required. Under this benefit, Medicare Part B insulin drugs have a $35 copay and no coinsurance, while chemotherapy, radiation, and other Part B drugs require a 0% to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered by Wellcare Dual Liberty Sync Open (PPO D-SNP) with no copay and a 20% coinsurance.
Medical Equipment See details
Wellcare Dual Liberty Sync Open (PPO 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 Open (PPO D-SNP) with no copay and a 20% coinsurance, subject to prior authorization. This coverage includes outpatient diagnostic procedures, lab services, diagnostic and therapeutic radiological services, and outpatient X-rays.
Home Health Services See details
Home health services are covered by Wellcare Dual Liberty Sync Open (PPO D-SNP) with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Wellcare Dual Liberty Sync Open (PPO D-SNP) covers some cardiac rehabilitation services with no copay, but standard cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for peripheral artery disease (PAD) 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 Open (PPO D-SNP) with no coinsurance, featuring 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 100-day limit are not covered.
Other Services See details
Wellcare Dual Liberty Sync Open (PPO D-SNP) partially covers other services with no copay and no coinsurance, including up to 12 acupuncture treatments per year, over-the-counter items, and meals for chronic illnesses. Other unspecified services and highly integrated services for dual-eligible SNPs are not covered under this benefit.
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