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Wellcare Dual Liberty (HMO-POS D-SNP)

Benefits Summary and Overview

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

Wellcare Dual Liberty (HMO-POS D-SNP) is a HMO-POS D-SNP plan offered by Centene Corporation available for enrollment in 2025 to people living in Statewide in AR. This plan received an overall rating of 3.5 out of 5 stars in 2026.

It's important to know that Wellcare Dual Liberty (HMO-POS 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 (HMO-POS 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 Dual Liberty (HMO-POS 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 (HMO-POS D-SNP), the main costs are as follows:

Monthly Premium

The Monthly Premium for this plan is $8.90. 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 $480.00 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 Dual Liberty (HMO-POS D-SNP)

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Drug Coverage IconDrug Coverage

The Wellcare Dual Liberty (HMO-POS D-SNP) prescription drug plan features a $480.00 annual drug deductible, which may be reduced to $8.90 for individuals qualifying for the low-income subsidy (LIS). Once your yearly out-of-pocket drug costs reach $2,100.00, you enter the catastrophic coverage phase and pay nothing for covered Medicare Part D prescription drugs. During the initial coverage phase, 30-day Tier 1 preferred generics cost a $19.00 copay at preferred pharmacies and a $20.00 copay at standard pharmacies, while Tier 3 preferred brands cost a $100.00 copay. You will pay a 20% coinsurance for Tier 2 standard generics, a 25% coinsurance for Tier 4 non-preferred drugs, and no copay for Tier 5 specialty drugs.

Additional Benefits IconAdditional Benefits

The Wellcare Dual Liberty (HMO-POS D-SNP) plan offers robust coverage with many essential services requiring no copay, though coinsurance applies to several key benefits. For medical care, primary care and specialist visits feature no copay and a 20% coinsurance, while inpatient hospital stays require a $1,665 copay per stay with no coinsurance. Outpatient services, diagnostic tests, and durable medical equipment are also covered with no copay and a 20% coinsurance. Additional benefits include dental services with no copay and no coinsurance up to a $3,000 annual limit, alongside routine vision exams and up to $200 for annual eyewear. Members also benefit from no copay and no coinsurance for home health care, over-the-counter items, and up to 36 annual one-way transportation trips. Prescription hearing aids are covered with no copay up to $750 per ear annually, while emergency room visits require a $115 copay.

Inpatient Hospital See details

Wellcare Dual Liberty (HMO-POS D-SNP) partially covers inpatient hospital services, requiring a $1,665 copay per stay and no coinsurance for both acute and psychiatric admissions. Specific sub-services that are not covered include additional days, non-Medicare-covered stays, and upgrades for acute care, as well as additional days and non-Medicare-covered stays for psychiatric care.

Outpatient Services See details

Outpatient services are covered by Wellcare Dual Liberty (HMO-POS D-SNP) with no copay and a 20% coinsurance. This coverage applies to outpatient hospital, observation, ambulatory surgical center, substance abuse, and blood services, with prior authorization required for most services.

Partial Hospitalization See details

Partial hospitalization is covered under the Wellcare Dual Liberty (HMO-POS D-SNP) plan with no copay and a 20% coinsurance. Prior authorization is required for these services.

Ambulance and Transportation Services See details

Wellcare Dual Liberty (HMO-POS D-SNP) partially covers ambulance and transportation services, requiring prior authorization for covered benefits. Ground and air ambulance services have a 20% coinsurance and no copay, while up to 36 annual one-way trips to plan-approved locations are offered with no copay or coinsurance; however, transportation to any health-related location is not covered.

Emergency Services See details

Wellcare Dual Liberty (HMO-POS D-SNP) partially covers emergency services, as worldwide emergency transportation is not covered. Emergency care requires a $115 copay, urgently needed services require a $40 copay, and covered worldwide emergency and urgent services require a $115 copay up to a $50,000 limit, with no coinsurance for these benefits.

Primary Care See details

Wellcare Dual Liberty (HMO-POS D-SNP) covers primary care, specialist, and therapy services with a 20% coinsurance and no copay, while telehealth services require a 20% coinsurance and a $0 to $40 copay. Podiatry services are covered with no copay and no coinsurance, but chiropractic services are only partially covered since routine chiropractic care is not covered.

Preventive Services See details

Wellcare Dual Liberty (HMO-POS D-SNP) partially covers preventive services, offering annual physical exams, fitness benefits, and in-home support with no copay and no coinsurance. Kidney disease education and select screenings are covered with a 20% coinsurance and no copay, while health education, therapeutic massage, and weight management programs are not covered.

Hearing Services See details

Wellcare Dual Liberty (HMO-POS D-SNP) provides partially covered hearing services, including annual routine hearing exams with no copay and up to 20% coinsurance, and fitting evaluations with no copay and no coinsurance. Prescription hearing aids (all types) are covered with no copay up to a $750 maximum per ear annually, but OTC hearing aids and inner ear, outer ear, and over the ear prescription hearing aids are not covered.

Vision Services See details

Wellcare Dual Liberty (HMO-POS D-SNP) covers vision services, including one routine eye exam per year with no copay and a 20% coinsurance. Up to $200 in annual eyewear coverage is also provided, featuring contact lenses with no copay and a 20% coinsurance, alongside eyeglasses, frames, lenses, and upgrades with no copay and no coinsurance.

Dental Services See details

Dental services are partially covered by Wellcare Dual Liberty (HMO-POS D-SNP), excluding maxillofacial prosthetics, implant services, and orthodontics. Medicare-covered dental services require a 20% coinsurance and no copay, while other covered dental services require no copay and no coinsurance, up to a $3,000 annual maximum for select services.

Home Infusion bundled Services See details

Home Infusion bundled Services are covered by Wellcare Dual Liberty (HMO-POS D-SNP) and require prior authorization. Medicare Part B insulin drugs have a $35 copay and no coinsurance, while chemotherapy, radiation, and other Part B drugs have no copay and a coinsurance ranging from no coinsurance to 20%.

Dialysis Services See details

Dialysis services are covered under the Wellcare Dual Liberty (HMO-POS D-SNP) plan with a 20% coinsurance and no copay.

Medical Equipment See details

Wellcare Dual Liberty (HMO-POS 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 services, and diabetic supplies are limited to specified manufacturers.

Diagnostic and Radiological Services See details

Wellcare Dual Liberty (HMO-POS D-SNP) covers diagnostic and radiological services with no copay and a 20% coinsurance, though prior authorization is required. This coverage applies to outpatient diagnostic procedures, lab services, therapeutic radiology, and X-rays.

Home Health Services See details

Wellcare Dual Liberty (HMO-POS D-SNP) covers home health services with no copay and no coinsurance. Prior authorization is required to receive these benefits.

Cardiac Rehabilitation Services See details

Wellcare Dual Liberty (HMO-POS D-SNP) does not cover Cardiac Rehabilitation Services, including intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD).

Skilled Nursing Facility (SNF) See details

Wellcare Dual Liberty (HMO-POS D-SNP) partially covers skilled nursing facility (SNF) services, as additional days beyond the Medicare-covered limit are not covered. Covered days require prior authorization and feature no coinsurance, with no copay for days 1 to 20 and 71 to 100, and a $218 daily copay for days 21 to 70.

Other Services See details

Wellcare Dual Liberty (HMO-POS D-SNP) partially covers Other Services, providing over-the-counter (OTC) items with no copay and no coinsurance. Acupuncture, meal benefits, and dual eligible SNPs with highly integrated services are not covered under this plan.

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