Wellcare Dual Access (HMO D-SNP)
Maine Medicare-Medicaid Dual Eligible D-SNP Plan (2023 Plan)
Overall Government Star Rating3.5
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Wellcare Dual Access (HMO D-SNP) is a Medicare-Medicaid Dual Eligible Medicare Advantage Plan (D-SNP), which is available in Maine 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 Dual Access (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 $8,300 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 Dual Access (HMO D-SNP) are defined below.
Additional Benefits and Coverage
Wellcare Dual Access (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 Dual Access (HMO D-SNP) includes coverage for hearing, vision, dental.
Medicare Advantage health plans can offer even more additional benefits. Wellcare Dual Access (HMO D-SNP) includes coverage for the following additional benefits:
Comparing the Quality Score of Wellcare Dual Access (HMO D-SNP) to Other Plans in Maine
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 2023, Wellcare Dual Access (HMO D-SNP) received an overall government quality rating of 3.5 stars out of 5 stars.
Wellcare Dual Access (HMO D-SNP) performed worse than Maine’s State average overall quality score of 3.7 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 Dual Access (HMO D-SNP) received 3 stars for its health plan quality score which is worse than the Maine State average health plan quality score of 3.5 stars.
Wellcare Dual Access (HMO D-SNP) received 3.5 stars for its drug plan quality score which is better than the Maine State average drug plan quality score of 3.3 stars.
Plan Benefits and Coverage Details
Tests, labs, & imaging
Skilled nursing facility
Mental health services
Opioid treatment services
Prescription Drug Benefits
Tier drug costs for: Standard retail pharmacy drug cost for 1-month
|Tiers||Initial coverage phase||Gap coverage phase||Catastrophic coverage phase|
Brand-name drugs :
Brand-name drugs :
Part B Drugs
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In this article we rank Maine 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.
The Medicare landscape in Maine is constantly changing. In this article we show a summary of new and returning health insurance companies offering Medicare Advantage Plans (Part C) and Medicare Prescription Drug Plans (Part D) in Maine.