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WellCare Dual Access (HMO D-SNP) (WellCare) — Florida Medicare Advantage Plan

Mitchell Budwig, Licensed Insurance Agent

By Mitchell Budwig, Licensed Insurance Agent

WellCare Dual Access (HMO D-SNP) is an HMO D-SNP Medicare Advantage plan from WellCare with a $0 monthly premium, a CMS rating of 4.5 out of 5 stars, and a $3,700 annual out-of-pocket maximum. Prescription drug coverage is included. Included benefits: dental, vision, hearing, over-the-counter allowance, transportation, fitness membership.

  • 4.5+ Star Rated
  • $0 Premium
  • Includes Dental
  • Includes Drug Coverage
Enroll Into Plan Today

Takes about a minute · A licensed agent completes the application with you

At a glance

WellCare Dual Access (HMO D-SNP) at a glance
DetailValue
Monthly plan premium$0 per month
Annual medical deductible$0
Annual out-of-pocket maximum$3,700
CMS star rating4.5 out of 5 stars
Plan typeHMO D-SNP
Contract / plan IDH1416-031

What this plan covers

Medical (Part B)

A Dual Eligible Special Needs Plan for people with both Medicare and Medicaid, with a care coordinator assigned to each member.

Hospital (Part A)

Part A hospital and skilled nursing benefits with Medicaid covering most cost sharing.

Prescription drugs (Part D)

Part D is included and most members pay only nominal Extra Help copays.

Extra benefits

  • Dental
  • Vision
  • Hearing
  • Fitness membership
  • Over-the-counter allowance: $110 per month for over-the-counter items and groceries
  • Transportation: 36 one-way trips per year

Costs and copays

Typical copays for WellCare Dual Access (HMO D-SNP)
ServiceYou pay in network
Primary care visit$0
Specialist visit$0
Urgent care$0
Emergency room$0
Inpatient hospital (per stay)$0
Lab work$0
Diagnostic imaging (MRI, CT)$0
Generic drugs (Tier 1)$0 – $4.90 depending on your Extra Help level
Preferred brand drugs (Tier 3)$0 – $11.20 depending on your Extra Help level

Typical in-network cost sharing. Amounts shown are standard cost shares for this plan and can change each plan year — always confirm against the plan's Summary of Benefits before enrolling.

Who this plan may fit

  • North and central Florida residents with both Medicare and Medicaid
  • People who want the lowest out-of-pocket maximum available in their county
  • Anyone who would use a monthly grocery and over-the-counter card

Who it may not suit

Medicaid eligibility is required, and the network is narrower than a standard HMO in some rural counties.

How to use this plan

Finding in-network providers
Search the carrier's online provider directory by name, specialty, and ZIP code, or call us and we will check your doctors against the network before you enroll.
Do you need referrals?
Yes — this is an HMO, so you choose a primary care physician who coordinates your care and issues referrals to specialists.
How prior authorization works
Certain services — planned inpatient stays, advanced imaging, some outpatient surgeries, durable medical equipment, and specialty drugs — need approval before the plan pays. Your provider submits the request; ask them to confirm approval before scheduling.
Traveling and coverage away from home
Urgent and emergency care is covered anywhere in the United States. Routine care outside the service area is generally not covered, so schedule check-ups for when you are home.

How to enroll in this plan

You can join this plan when you first become eligible for Medicare, during your seven-month Initial Enrollment Period around your 65th birthday.

After that, the Annual Enrollment Period runs October 15 to December 7 each year, with coverage starting January 1. If you are already in a Medicare Advantage plan, Medicare Advantage Open Enrollment from January 1 to March 31 lets you make one switch.

Outside those windows, a qualifying life event such as a move, a loss of employer coverage, or a change in Medicaid eligibility can open a Special Enrollment Period that lets you enroll right away.

Enroll Into Plan Today

Takes about a minute · A licensed agent completes the application with you

Open enrollment datesSpecial enrollment periods

Answer These Quick Questions to Enroll Into WellCare Today

Enroll into WellCare Dual Access (HMO D-SNP)

Send your details and a licensed agent will call you to confirm your eligibility, check your doctors and prescriptions against WellCare Dual Access (HMO D-SNP), and complete the WellCare application with you over the phone. Nothing is submitted to WellCare until you approve it.

The plan you're inquiring about

Plan:
WellCare Dual Access (HMO D-SNP)
Carrier:
WellCare
Plan type:
HMO D-SNP
Monthly premium:
$0 per month
CMS rating:
4.5 out of 5 stars
Plan ID:
H1416-031

Looking at a different plan? Compare all Florida plans

No cost, no obligation. Medicare caps what an agent can be paid, and the carrier pays it whether you enroll with us or on your own. Your premium is exactly the same either way. We never sell your information, and you can ask us to stop contacting you at any time.

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Monday – Friday, 8:00 am – 8:00 pm ET · Saturday, 9:00 am – 5:00 pm ET

Check whether this plan covers your doctors and prescriptions

A licensed agent will run your providers and medication list against this plan before you enroll, and show you the comparable plans in your county so you can see the trade-offs.

Monday – Friday, 8:00 am – 8:00 pm ET · Saturday, 9:00 am – 5:00 pm ET

Questions about this plan

How much does WellCare Dual Access (HMO D-SNP) cost each month?

The plan premium is $0 per month. You also continue to pay your Medicare Part B premium, which goes to Medicare rather than to WellCare. Beyond premiums you pay copays as you use services, up to an annual out-of-pocket maximum of $3,700.

Does WellCare Dual Access (HMO D-SNP) include prescription drug coverage?

Yes. Part D coverage is built into this plan, so you do not need — and should not buy — a separate prescription drug plan. Tier 1 generics start at $0 – $4.90 depending on your Extra Help level.

Do I need a referral to see a specialist on WellCare Dual Access (HMO D-SNP)?

Yes — this is an HMO, so you choose a primary care physician who coordinates your care and issues referrals to specialists.

What is the CMS star rating for WellCare Dual Access (HMO D-SNP)?

Medicare rates this plan 4.5 out of 5 stars. Star ratings measure things like preventive care, member experience, customer service, and how quickly problems get resolved. Ratings are published each fall and can change from year to year.

Which Florida counties can I enroll in WellCare Dual Access (HMO D-SNP)?

CMS approved this plan in 19 Florida counties. Medicare Advantage plans are approved county by county, so your eligibility depends on the address where you actually live.

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