A non-government entity
Wellcare Patriot Giveback Open (PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Wellcare Patriot Giveback Open (PPO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Wellcare Patriot Giveback Open (PPO) in 2026, please refer to our full plan details page.
Wellcare Patriot Giveback Open (PPO) is a PPO plan offered by Centene Corporation available for enrollment in 2025 to people living in Select counties in KS. This plan received an overall rating of 2.5 out of 5 stars in 2026.
It's important to know that Wellcare Patriot Giveback Open (PPO) is a Medicare Advantage (MA) Plan without drug coverage. That means that this plan covers medical services but doesn't cover prescription drugs. If you are looking for a plan with prescription drug coverage, please search for other MA and PDP plans offered in your area.
Key Plan Facts
Below are a few key facts and commonly-asked questions about Wellcare Patriot Giveback Open (PPO).
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 Patriot Giveback Open (PPO), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $0.00. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $105.00. You must continue to pay paying your reduced Part B Premium.
Deductibles
This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.
Drugs are not covered by this plan, so a prescription drug deductible is not applicable.
Out-of-Pocket Maximums
This plan has a combined Maximum Out-Of-Pocket cost of $10100.00 (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 $10100.00 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:
Sign up for Wellcare Patriot Giveback Open (PPO)
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
Prescription drugs are not covered by Wellcare Patriot Giveback Open (PPO).
Additional Benefits
The Wellcare Patriot Giveback Open (PPO) plan offers affordable medical coverage with no copay and no coinsurance for primary care visits, mental health services, and routine preventive care. Specialist visits and therapy services require a $35 copay, while emergency room visits carry a $130 copay. Inpatient hospital stays are covered with daily copays for the first six days of care, followed by no copay for the remaining days of your stay. This plan also includes strong supplemental benefits, featuring no copay for routine dental, vision, and hearing exams. Members receive a $400 annual allowance for eyewear and up to $1,000 per ear for prescription hearing aids, alongside comprehensive dental coverage with a 40% coinsurance up to $1,500. Additionally, over-the-counter items are available with no copay, while durable medical equipment is covered with a 20% coinsurance.
Inpatient Hospital See details
Wellcare Patriot Giveback Open (PPO) partially covers inpatient hospital stays with no coinsurance, requiring a $425 daily copay for days 1 to 6 of acute care and a $375 daily copay for days 1 to 6 of psychiatric care, followed by no copay for days 7 to 90. Additional days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
Wellcare Patriot Giveback Open (PPO) covers outpatient services with no coinsurance, including outpatient hospital services with copays ranging from $0 to $325 and ambulatory surgical center services for a $275 copay. Observation services require a copay of $130 to $325 per stay, while outpatient substance abuse and blood services are covered with no copays and no coinsurance.
Partial Hospitalization See details
Wellcare Patriot Giveback Open (PPO) covers partial hospitalization services with a $140.00 copay and no coinsurance. Prior authorization is required to access this benefit.
Ambulance and Transportation Services See details
Wellcare Patriot Giveback Open (PPO) covers Medicare-approved ground and air ambulance services with a $290 copay and no coinsurance, subject to prior authorization. Transportation services are not covered under this plan.
Emergency Services See details
Wellcare Patriot Giveback Open (PPO) covers emergency services with a $130 copay and urgently needed services with a $35 copay, both with no coinsurance and copays waived if admitted within 24 hours. Worldwide emergency and urgent services are partially covered up to a $50,000 maximum with a $130 copay and no coinsurance, though worldwide emergency transportation is not covered.
Primary Care See details
Wellcare Patriot Giveback Open (PPO) offers primary care physician visits and mental health or psychiatric services with no copay and no coinsurance. Specialist visits, physical therapy, occupational therapy, and speech therapy require a $35 copay and no coinsurance, while chiropractic and podiatry services are not covered.
Preventive Services See details
Preventive services are partially covered by Wellcare Patriot Giveback Open (PPO) with no copay and no coinsurance for annual physicals, fitness benefits, alternative therapies, remote access, and standard screenings, while kidney disease education has no copay and 20% coinsurance. However, sub-services such as health education, in-home safety assessments, PERS, medical nutrition therapy, medication reconciliation, re-admission prevention, chemotherapy wigs, weight management, therapeutic massage, adult day health, nutritional benefits, palliative care, in-home support, caregiver support, tobacco cessation counseling, disease management, telemonitoring, bathroom safety, and counseling are not covered.
Hearing Services See details
Hearing services are covered by Wellcare Patriot Giveback Open (PPO), featuring a $35 copay and no coinsurance for Medicare-covered exams, and no copay, deductible, or coinsurance for annual routine exams and fitting evaluations. Prescription hearing aids are partially covered with no copay or coinsurance up to a $1,000 maximum per ear annually, though OTC, inner ear, outer ear, and over-the-ear hearing aids are not covered.
Vision Services See details
Wellcare Patriot Giveback Open (PPO) vision services are partially covered with no deductibles, featuring one routine eye exam per year with no copay and no coinsurance, though other eye exam services are not covered. Covered eyewear, including contact lenses and eyeglasses, also has no copay and no coinsurance up to a combined maximum benefit of $400 per year.
Dental Services See details
Wellcare Patriot Giveback Open (PPO) partially covers dental services, offering Medicare-covered dental with a $35 copay and no coinsurance, and preventive care with no copay and no coinsurance. Covered comprehensive options require no copay and 40% coinsurance up to a $1,500 annual limit, though removable prosthodontics, maxillofacial prosthetics, implant services, fixed prosthodontics, and orthodontics are not covered.
Home Infusion bundled Services See details
Wellcare Patriot Giveback Open (PPO) covers home infusion bundled services with no copay, though prior authorization and step therapy are required. Under this benefit, Medicare Part B insulin drugs are covered with a $35 copay and no coinsurance, while chemotherapy, radiation, and other Part B drugs require a 0% to 20% coinsurance.
Dialysis Services See details
Wellcare Patriot Giveback Open (PPO) covers dialysis services with no copay and a 20% coinsurance.
Medical Equipment See details
Medical Equipment is covered under the Wellcare Patriot Giveback Open (PPO) with no copay and a 20% coinsurance for durable medical equipment (DME), prosthetics, medical supplies, and diabetic supplies. Diabetic therapeutic shoes and inserts are also covered with a 20% coinsurance, and prior authorization is required for these services.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered by Wellcare Patriot Giveback Open (PPO) with no copay and no coinsurance for lab services and diagnostic tests, though prior authorization is required. Diagnostic radiological services feature a copay starting at $0, outpatient x-rays require a $25 copay, and therapeutic radiological services have a minimum 20% coinsurance.
Home Health Services See details
Wellcare Patriot Giveback Open (PPO) covers Home Health Services with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered with no coinsurance under the Wellcare Patriot Giveback Open (PPO), but only some services are covered because standard cardiac, intensive cardiac, pulmonary, and SET for PAD services are not covered and require copays of $40.00, $50.00, $35.00, and $25.00 respectively.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) care is covered by Wellcare Patriot Giveback Open (PPO) with no coinsurance, though prior authorization is required and admission does not require a prior three-day hospital stay. There is no copay for days 1 to 20 and days 51 to 100, but a $218 daily copay applies for days 21 to 50, with no coverage for additional days beyond the Medicare-covered limit.
Other Services See details
Wellcare Patriot Giveback Open (PPO) offers partial coverage for other services, which includes over-the-counter (OTC) items with no copay and no coinsurance. Acupuncture and meal benefits are not covered under this plan.
Get Personalized Help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
*/SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
MedicareAdvantageRX.com is owned and operated by Dog Media Solutions LLC.
This is a promotional communication.
Every year, Medicare evaluates plans based on a 5-star rating system.
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.
Enrollment in Medicare/Medicare Advantage may be limited to certain times of the year unless you qualify for a Special Enrollment Period
We do not offer every plan available in your area. Currently, we represent 18 organizations, which offer 52,101 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
We represent Medicare Advantage HMO, PPO and PFFS organizations and stand-alone PDP prescription drug plans that are contracted with Medicare. Enrollment depends on the plan's contract renewal.
Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply.
Please contact Medicare.gov ,1-800-MEDICARE , or your local State Health Insurance Program (SHIP) to get information on all of your options.
Medicare has neither approved nor endorsed any information on this site.
Speak with a licensed insurance agent: 1-877-649-2073 / TTY 711 | 8am - 11pm ET | 7 days a week
© 2023 Dog Media Solutions LLC. All rights reserved