Wellcare 'Ohana Dual Align (HMO-POS D-SNP)

Wellcare 'Ohana Dual Align (HMO-POS D-SNP) is a HMO-POS D-SNP plan offered by Centene Corporation available for enrollment in 2026 to people living in Select counties in Hawaii. The overall rating for this plan is not yet available for 2026.

It's important to know that Wellcare 'Ohana Dual Align (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 'Ohana Dual Align (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 'Ohana Dual Align (HMO-POS D-SNP) plan has a $450 drug deductible, but it offers Select Care Drugs under Tier 6 with no copay across all pharmacies and mail-order services. For Tier 1 preferred generics, copays start at $18 for a one-month supply at preferred pharmacies, while Tier 2 generics start at $19. Additionally, you can receive a three-month supply of Tier 1 and Tier 2 drugs with no copay when using preferred mail order. Tier 3 preferred brand drugs require a 20% coinsurance, while Tier 4 non-preferred drugs carry a $100 copay for a one-month supply. Specialty medications in Tier 5 are subject to a 25% coinsurance for a one-month supply at both preferred and standard pharmacies. Knowing these tier-based copays and coinsurance rates helps you estimate your out-of-pocket prescription costs under this plan.

Additional Benefits

The Wellcare 'Ohana Dual Align (HMO-POS D-SNP) plan provides comprehensive medical coverage with clear cost-sharing structures. Inpatient hospital stays require copayments of $2,220 for acute care or $2,080 for psychiatric care, while outpatient services, primary care, specialist visits, and diagnostic tests generally feature no copay and a 20% coinsurance. Emergency care is available with a $115 copay, which is waived if you are admitted, and urgent care visits require a $40 copay. This plan also includes valuable supplemental benefits, such as home health services, routine acupuncture, and over-the-counter items with no copay and no coinsurance. Routine dental and hearing services are partially covered, including a $3,000 annual limit for select dental care and up to $500 per ear annually for prescription hearing aids with no copay. Vision care is also supported, offering eyeglasses with no copay or coinsurance and contact lenses with no copay and 20% coinsurance up to a $100 annual limit.