California Medicare-Medicaid Dual Eligible D-SNP Plan (2026 Plan)
Wellcare Health Net Dual Align (HMO D-SNP) is a Medicare-Medicaid Dual Eligible Medicare Advantage Plan (D-SNP), which is available in California and offered by the health insurance company Wellcare. This plan’s network type is HMO which determines in-network doctors who accept the health plan and whether a referral is needed.
Wellcare Health Net Dual Align (HMO D-SNP) has a monthly premium cost of $0 per month, with an annual deductible of $0 and a maximum out of pocket cost sharing of $9,250 In-network. The most common benefit costs which people evaluate when choosing a plan are costs for a primary doctor visit, specialist doctor visit, emergency room visit, and ambulance. These costs are listed in this summary section and a full list of benefit costs for Wellcare Health Net Dual Align (HMO D-SNP) are defined below.
Wellcare Health Net Dual Align (HMO D-SNP) is a Medicare Advantage plan which does include Medicare Part D Prescription Drug coverage. Other common benefits included with Medicare Advantage plans are coverage for dental, vision, and hearing. Wellcare Health Net Dual Align (HMO D-SNP) includes coverage for hearing, vision, dental.
Medicare Advantage health plans can offer even more additional benefits. Wellcare Health Net Dual Align (HMO D-SNP) includes coverage for the following additional benefits:
Each year the federal government evaluates the quality of Medicare Advantage and Part D Prescription Drug plans based on a 5-star scoring system. For 2026, Wellcare Health Net Dual Align (HMO D-SNP) received an overall government quality rating of 3.5 stars out of 5 stars.
Wellcare Health Net Dual Align (HMO D-SNP) performed worse than California’s State average overall quality score of 3.6 stars.
The government calculates an “Overall star rating” based on ratings for sub components including “Health plan star rating” and “Drug plan star rating”, which includes further subcomponents of each.
Wellcare Health Net Dual Align (HMO D-SNP) received 3.5 stars for its health plan quality score which is worse than the California State average health plan quality score of 3.8 stars.
Wellcare Health Net Dual Align (HMO D-SNP) received 3.5 stars for its drug plan quality score which is worse than the California State average drug plan quality score of 3.7 stars.
| Tiers | Initial coverage phase | Catastrophic coverage phase |
|---|---|---|
| Preferred Generic | $19.00 copay | $0 copay |
| Generic | $20.00 copay | $0 copay |
| Preferred Brand | 20% coinsurance | $0 copay |
| Non-Preferred Drug | 32% coinsurance | $0 copay |
| Specialty Tier | 25% coinsurance | $0 copay |
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Health Plan RadarIn this article we rank California Medicare Advantage plans based on our evaluation of government 5-star quality scores. Each year the government rates the quality of Medicare Advantage health insurance plans with a 5-star quality score. An overall quality score is assigned to each plan which is based on the scores of various quality metrics.
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