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Wellcare Dual Liberty Open (PPO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Wellcare Dual Liberty 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 Open (PPO D-SNP) in 2025, please refer to our full plan details page.
Wellcare Dual Liberty 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 South Carolina. This plan received an overall rating of 3.5 out of 5 stars in 2025.
It's important to know that Wellcare Dual Liberty 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 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 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 Open (PPO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $42.10. 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 combined Maximum Out-Of-Pocket cost of $14000.00 (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 $14000.00 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 Open (PPO D-SNP) plan has a $590 deductible for prescription drugs. After the deductible, you will pay the costs for drugs based on their tier until your total drug costs reach $2000. Once you reach $2000 in drug costs, you will enter the next phase of coverage. If you qualify for the low-income subsidy (LIS), your monthly Part D premium will be $42.10. After your yearly out-of-pocket drug costs reach $2000, you will pay nothing for your Part D covered drugs.
Additional Benefits
The Wellcare Dual Liberty Open (PPO D-SNP) plan offers a range of benefits with varying costs. Inpatient hospital stays have a $1,600 copay per admission, while outpatient services often have a 20% coinsurance, with some services having no copay. Emergency services have a $110 copay, and primary care and specialist visits have a 20% coinsurance. Preventive services, hearing exams, routine eye exams, and many dental services have no copay. The plan also includes coverage for home health services, dialysis, and medical equipment, typically with a 20% coinsurance. Additional benefits include transportation services, OTC items, and meal benefits.
Inpatient Hospital See details
Inpatient Hospital benefits, including acute and psychiatric care, are covered, with a copay of $1,600 per admission or stay. Additional days, and non-Medicare-covered stays for inpatient hospital care are not covered.
Outpatient Services See details
Outpatient services are covered by the Wellcare Dual Liberty Open (PPO D-SNP) plan. Outpatient Hospital Services have a 20% coinsurance and no copay, while Observation Services have a 20% coinsurance with no copay. Ambulatory Surgical Center (ASC) Services, Individual and Group Sessions for Outpatient Substance Abuse, and Outpatient Blood Services are also covered with a 20% coinsurance.
Partial Hospitalization See details
Partial Hospitalization is covered by the Wellcare Dual Liberty Open (PPO D-SNP) plan, but requires prior authorization. You will pay a 20% coinsurance for this benefit.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered, with prior authorization required. Ground and air ambulance services have a 20% coinsurance, and transportation services to a plan-approved health-related location have no copay and are limited to 24 one-way trips per year using rideshares, buses/subways, or medical transport. Transportation services to any health-related location are not covered.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Coverage are covered under the Wellcare Dual Liberty Open (PPO D-SNP) plan. Emergency Services and Worldwide Emergency Coverage have a $110 copay, while Urgently Needed Services have a $45 copay, and all three have no coinsurance. Worldwide Emergency Transportation is not covered.
Primary Care See details
Primary Care services include coverage for Primary Care Physician Services with 20% coinsurance and Chiropractic Services with 20% coinsurance and a copay for "Other" services. Occupational Therapy Services, Physician Specialist Services, Physical Therapy and Speech-Language Pathology Services, Mental Health Specialty Services, and Psychiatric Services all have 20% coinsurance. Podiatry Services and Additional Telehealth Benefits have a 20% coinsurance as well as a copay between $0 and $45. Opioid Treatment Program Services have 20% coinsurance.
Preventive Services See details
Preventive Services include Medicare-covered preventive services with no copay, an annual physical exam with no copay, and additional preventive services. Other preventive services include a 20% coinsurance.
Hearing Services See details
The Wellcare Dual Liberty Open (PPO D-SNP) plan covers hearing exams and fitting/evaluation for hearing aids with no copay and a coinsurance of at most 20% for hearing exams; prescription hearing aids are covered with a maximum benefit of $1000 per year, with no copay. Prescription hearing aids for the inner ear, outer ear, and over the ear are not covered, and OTC hearing aids are not covered.
Vision Services See details
Vision Services include eye exams, eyewear, and upgrades. Eye exams have no copay and 20% coinsurance, with routine eye exams covered with no copay. Eyewear has a 20% coinsurance, and contact lenses, eyeglasses, eyeglass lenses, eyeglass frames, and upgrades have no copay.
Dental Services See details
Dental Services are covered, with 20% coinsurance for Medicare Dental Services. Oral exams, dental x-rays, other diagnostic dental services, prophylaxis, fluoride treatment, restorative services, adjunctive general services, endodontics, periodontics, prosthodontics (removable and fixed), and oral and maxillofacial surgery are covered with no copay. Orthodontic services have a $4,000 maximum benefit per year, while maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered, and prior authorization is required. Medicare Part B Insulin Drugs have a $35 copay, while Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs have a coinsurance between 0% and 20%.
Dialysis Services See details
Dialysis Services are covered under the Wellcare Dual Liberty Open (PPO D-SNP) plan. The coinsurance for dialysis services is 20%.
Medical Equipment See details
Medical Equipment is covered, including Durable Medical Equipment (DME), Prosthetics/Medical Supplies, and Diabetic Equipment. Durable Medical Equipment has a 20% coinsurance and requires prior authorization, while Durable Medical Equipment for use outside the home is not covered. Prosthetics, Medical Supplies, and Diabetic Supplies have a 20% coinsurance, and Diabetic Therapeutic Shoes/Inserts has a 20% coinsurance.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services, including diagnostic procedures/tests, lab services, diagnostic radiological services, therapeutic radiological services, and outpatient X-ray services, are covered. Diagnostic Procedures/Tests and all Radiological Services have a coinsurance of at most 20%, and Lab Services have a coinsurance of at most 20% with no copay.
Home Health Services See details
Home Health Services are covered by the Wellcare Dual Liberty Open (PPO D-SNP) plan with no copay and no coinsurance. However, additional hours of care and personal care services are not covered.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered by the Wellcare Dual Liberty Open (PPO D-SNP) plan. This includes Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, and SET for PAD Services.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by the Wellcare Dual Liberty Open (PPO D-SNP) plan, but require prior authorization. There is no copay for days 1-20, and a $214 copay for days 21-100. Additional days beyond Medicare-covered and non-Medicare-covered stays for SNF are not covered.
Other Services See details
Other Services include acupuncture with no copay, and up to 36 treatments per year, over-the-counter (OTC) items with no copay, and a meal benefit with no copay, but other services like Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services, and Private Duty Nursing Services are not covered. The plan does not cover Dual Eligible SNPs with Highly Integrated Services.
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