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Wellcare Patriot Giveback Preferred (HMO-POS)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Wellcare Patriot Giveback Preferred (HMO-POS). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Wellcare Patriot Giveback Preferred (HMO-POS) in 2026, please refer to our full plan details page.
Wellcare Patriot Giveback Preferred (HMO-POS) is a HMO-POS 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 Patriot Giveback Preferred (HMO-POS) 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 Preferred (HMO-POS).
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 Preferred (HMO-POS), 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 $110.00. 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 Maximum Out-Of-Pocket cost of $4900.00 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:
Specialist Visits:
Emergency Room:
Urgent Care:
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Drug Coverage
Prescription drugs are not covered by Wellcare Patriot Giveback Preferred (HMO-POS).
Additional Benefits
The Wellcare Patriot Giveback Preferred (HMO-POS) plan offers comprehensive medical coverage with strong cost-saving features, including no copays or coinsurance for primary care visits, home health services, and annual preventive exams. Specialist visits require a $20 copay, while emergency room services have a $130 copay and no coinsurance. Inpatient hospital stays are covered with no coinsurance, requiring a $350 copay for the first five days of acute care and no copay for days six through ninety. This plan also features excellent supplemental benefits, providing routine dental, vision, and hearing services with no copay or coinsurance. Members benefit from no copay for up to 24 annual one-way transportation trips, over-the-counter items, and diabetic supplies. Durable medical equipment and dialysis services are covered with a 20% coinsurance and no copay.
Inpatient Hospital See details
Wellcare Patriot Giveback Preferred (HMO-POS) partially covers inpatient hospital benefits with no coinsurance required. Acute care requires a $350 copay for days 1-5 and no copay for days 6-90, while psychiatric care requires a $325 copay for days 1-4 and no copay for days 5-90. Upgrades, non-Medicare-covered stays, and additional days for both acute and psychiatric care are not covered.
Outpatient Services See details
Outpatient services are covered by Wellcare Patriot Giveback Preferred (HMO-POS) with no coinsurance, featuring copays of $0 to $300 for outpatient hospital services, $130 to $300 per stay for observation services, and $200 for ambulatory surgical center services. Outpatient blood services and substance abuse group or individual sessions are covered with no copay and no deductible.
Partial Hospitalization See details
Wellcare Patriot Giveback Preferred (HMO-POS) covers partial hospitalization services with a $140 copay and no coinsurance. Prior authorization is required for this benefit.
Ambulance and Transportation Services See details
Ambulance and transportation services are partially covered by Wellcare Patriot Giveback Preferred (HMO-POS). Ground and air ambulance services require a $200 copay and no coinsurance, while up to 24 annual one-way trips to plan-approved locations are covered with no copay or coinsurance. Transportation to any health-related location is not covered.
Emergency Services See details
Emergency services are partially covered by Wellcare Patriot Giveback Preferred (HMO-POS), as worldwide emergency transportation is not covered. Covered emergency services require a $130 copay, urgently needed services require a $35 copay, and worldwide emergency and urgent care require a $130 copay up to a $50,000 maximum, with no coinsurance for any of these services.
Primary Care See details
Wellcare Patriot Giveback Preferred (HMO-POS) covers primary care, mental health, and psychiatric services with no copay or coinsurance. Specialist visits require a $20 copay, physical and occupational therapies require a $30 copay, and chiropractic services are partially covered, excluding routine chiropractic care, with no coinsurance for these benefits. Podiatry services are not covered.
Preventive Services See details
Preventive services are covered by Wellcare Patriot Giveback Preferred (HMO-POS) with no copay and no coinsurance for annual physical exams, zero-dollar preventive services, and select screenings, while kidney disease education requires a 20% coinsurance and no copay. Additional preventive benefits are partially covered with no copay and no coinsurance for fitness, alternative therapies, PERS, and remote access; however, health education, in-home safety, medical nutrition, medication reconciliation, readmission prevention, wigs, weight management, therapeutic massage, adult day health, nutritional benefits, palliative care, in-home support, caregiver support, smoking cessation, disease management, telemonitoring, home safety devices, and counseling are not covered.
Hearing Services See details
Wellcare Patriot Giveback Preferred (HMO-POS) covers hearing services with no coinsurance, offering Medicare-covered exams for a $20 copay and annual routine exams and fittings with no copay. Prescription hearing aids are partially covered with no copay up to a $500 annual maximum per ear, but OTC hearing aids and prescription models for the inner ear, outer ear, or over the ear are not covered.
Vision Services See details
Wellcare Patriot Giveback Preferred (HMO-POS) covers vision services with no copay for annual routine eye exams, a $0 to $20 copay for other eye exams, and no coinsurance. Eyewear, including lenses, frames, and contact lenses, is also covered with no copay or coinsurance up to a $200 annual maximum.
Dental Services See details
Dental services are partially covered by Wellcare Patriot Giveback Preferred (HMO-POS), with no copay and no coinsurance for most preventive and comprehensive care. Medicare-covered dental services require a $20 copay and no coinsurance, while maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
Home infusion bundled services are covered by Wellcare Patriot Giveback Preferred (HMO-POS) and require prior authorization. Medicare Part B insulin drugs require 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 by Wellcare Patriot Giveback Preferred (HMO-POS) with a 20% coinsurance and no copayment.
Medical Equipment See details
Wellcare Patriot Giveback Preferred (HMO-POS) covers durable medical equipment, prosthetics, medical supplies, and diabetic therapeutic shoes or inserts with a 20% coinsurance and no copay. Diabetic supplies are covered with no copay, and prior authorization is required for these medical equipment benefits.
Diagnostic and Radiological Services See details
Wellcare Patriot Giveback Preferred (HMO-POS) covers diagnostic and radiological services, with prior authorization required. Lab services feature no copay and no coinsurance, outpatient X-rays require a $25 copay with no coinsurance, and therapeutic radiology has a 20% coinsurance with no copay. Diagnostic procedures range from no copay to $20, and diagnostic radiological services range from no copay to $200, both with no coinsurance.
Home Health Services See details
Wellcare Patriot Giveback Preferred (HMO-POS) covers Home Health Services with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Wellcare Patriot Giveback Preferred (HMO-POS) does not cover Cardiac Rehabilitation Services, as none of the associated sub-services are covered under this plan. This lack of coverage applies to cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) services.
Skilled Nursing Facility (SNF) See details
Wellcare Patriot Giveback Preferred (HMO-POS) partially covers Skilled Nursing Facility (SNF) services with prior authorization required and no coinsurance. There is no copay for days 1 to 20 and days 51 to 100, a $218 daily copay for days 21 to 50, and additional days beyond the Medicare-covered limit are not covered.
Other Services See details
Other Services under the Wellcare Patriot Giveback Preferred (HMO-POS) plan are partially covered, offering over-the-counter (OTC) items and chronic illness meal benefits with no copay and no coinsurance. Acupuncture and Dual Eligible SNPs with Highly Integrated Services are not covered, and a doctor referral is required to access the meal benefit.
Get Personalized Help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
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