Wellcare Dual Access Sync (HMO-POS D-SNP)

Wellcare Dual Access Sync (HMO-POS D-SNP) is a HMO-POS D-SNP plan offered by Wellcare Health Insurance Company of Kentucky, Inc available for the 2026 plan year to people living in All counties in KY. This plan received an overall rating of 3.5 out of 5 stars in 2026.

It's important to know that Wellcare Dual Access Sync (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.

Key Plan Facts

Below are a few key facts and commonly-asked questions about Wellcare Dual Access Sync (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.

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:

Drug Coverage

The Wellcare Dual Access Sync (HMO-POS D-SNP) prescription drug plan features an annual drug deductible of $510. For Tier 1 preferred generics, copays start as low as $18 for a one-month supply at preferred pharmacies, while Tier 2 generics start at $19. Notably, there is no copay for Tier 6 select care drugs, and three-month supplies of Tier 1 and Tier 2 drugs also have no copay when filled through preferred mail order. For higher-tier medications, Tier 3 preferred brands require a 20% coinsurance, and Tier 5 specialty drugs carry a 25% coinsurance for a one-month supply. Tier 4 non-preferred drugs have a flat $100 copay for a one-month supply at both preferred and standard pharmacies. These detailed copay and coinsurance structures help you estimate your out-of-pocket costs when choosing this Medicare plan.

Additional Benefits

The Wellcare Dual Access Sync (HMO-POS D-SNP) plan offers comprehensive medical coverage, featuring an inpatient hospital copayment of $2,065 per admission and no copay with a 20% coinsurance for most outpatient, specialist, and diagnostic services. Emergency room visits require a $115 copay, while urgent care has a $40 copay, both of which are waived if you are admitted to the hospital within 24 hours. Additionally, primary care, routine annual physicals, and home health services are available to members with no copay. This plan also provides valuable supplemental benefits, including routine dental care, eyeglasses and frames up to a $300 annual limit, and prescription hearing aids up to $1,000 per ear with no copay. Members can access over-the-counter items and up to 36 one-way transportation trips per year to approved locations with no copay or coinsurance. Skilled nursing facility stays are covered with no coinsurance, requiring no copay for days 1 through 20 and a $218 daily copay for days 21 through 70.

Plan Providers

Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, Health Care Service Corporation, HealthSpring^SM, HealthSun, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.