WellCare Dual Access (HMO D-SNP) (WellCare) — Florida Medicare Advantage Plan
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
Takes about a minute · A licensed agent completes the application with you
At a glance
| Detail | Value |
|---|---|
| Monthly plan premium | $0 per month |
| Annual medical deductible | $0 |
| Annual out-of-pocket maximum | $3,700 |
| CMS star rating | 4.5 out of 5 stars |
| Plan type | HMO D-SNP |
| Contract / plan ID | H1416-031 |
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
| Service | You 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.
Where this plan is available (19 counties)
Select your county to see everything available where you live. Eligibility is based on your permanent address.
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.
Takes about a minute · A licensed agent completes the application with you
Answer These Quick Questions to Enroll Into WellCare Today
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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