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Read more →Wellcare Dual Access Open (PPO D-SNP)
by Wellcare
2026 Medicare-Medicaid Dual Eligible D-SNP plan available in Michigan
Plan ID H2117-002-0
Additional coverage:
RxHearingVisionDental
Medicare-Medicaid Dual Eligible D-SNP PPO $0 premium 3.0 Overall
Monthly plan premium $0 / mo
Annual deductible $0 / yr
Max out-of-pocket · in-network $9,250 / yr
Drug deductible $470 / yr
3.0 Overall Government Star Rating 2026 · out of 5 stars
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Plan Overview
Wellcare Dual Access Open (PPO D-SNP) is a Medicare-Medicaid Dual Eligible Medicare Advantage Plan (D-SNP), which is available in Michigan and offered by the health insurance company Wellcare. This plan's network type is PPO, which determines the in-network doctors who accept the plan and whether a referral is needed.
Plan Name Wellcare Dual Access Open (PPO D-SNP)
Insurance Carrier Wellcare
Plan Type Medicare-Medicaid Dual Eligible Medicare Advantage Plan (D-SNP)
Network Type PPO
Cost Summary
Wellcare Dual Access Open (PPO 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. The most common costs people evaluate when choosing a plan are listed here; a full list of benefit costs is defined below.
Monthly Premium $0 / mo
Health portion of premium $0
Drug portion of premium $0
Annual Deductible $0 / yr
Max Out-of-Pocket · in-network $9,250 / yr
Primary doctor visit $0 copay
Specialist visit $0 copay
ER visit $0 copay
Ambulance $0 copay
Additional Benefits and Coverage
Wellcare Dual Access Open (PPO D-SNP) is a Medicare Advantage plan which includes Medicare Part D prescription drug coverage. Other common benefits included with Medicare Advantage plans are coverage for dental, vision, and hearing. Wellcare Dual Access Open (PPO D-SNP) includes coverage for hearing, vision, dental.
Part D Prescription Drug Coverage Yes
Dental Yes
Vision Yes
Hearing Yes
Nationwide Coverage No
Other benefits
Fitness benefit Limited coverage
Over-the-counter drug benefits Limited coverage
In-home support services Not covered
Home & bathroom safety devices Not covered
Meals for short duration Limited coverage
Annual physical exams Limited coverage
Telehealth Limited coverage
Medical Benefits
Doctor Services
Primary doctor visit In-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Specialist visit In-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Tests, labs & imaging
Diagnostic tests & procedures In-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Lab services In-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Diagnostic radiology services (like MRI) In-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Outpatient x-rays In-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Emergency care $0 copay
Urgent care $0 copay
Hospital Services
Inpatient hospital coverage In-network:
Tier 1
$0 per stay
Out-of-network:
$0 per stay
Tier 1
$0 per stay
Out-of-network:
$0 per stay
Outpatient hospital coverage In-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Skilled nursing facility
Skilled nursing facility In-network:
Tier 1
$0 per day for days 1-20
$0 per day for days 21-70
$0 per day for days 71-100
Out-of-network:
$0 per day for days 1-20
$0 per day for days 21-70
$0 per day for days 71-100
$0 per stay
Tier 1
$0 per day for days 1-20
$0 per day for days 21-70
$0 per day for days 71-100
Out-of-network:
$0 per day for days 1-20
$0 per day for days 21-70
$0 per day for days 71-100
$0 per stay
Preventive services
Preventive services In-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Ambulance
Ground ambulance In-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Therapy services
Occupational therapy visit In-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Physical therapy & speech & language therapy visit In-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Mental health services
Outpatient group therapy with a psychiatrist In-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Outpatient individual therapy with a psychiatrist In-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Outpatient group therapy visit In-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Outpatient individual therapy visit In-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Opioid treatment services
Opioid treatment services Covered
Other services
Durable medical equipment (like wheelchairs & oxygen) In-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Prosthetics (like braces, artificial limbs) In-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Diabetes supplies In-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Prescription drugs (Part D benefits)
Drug tier standard retail · 1-month supply Initial coverage Catastrophic
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
Part B drugs
Chemotherapy drugs In-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Other Part B drugs In-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Medicare star rating
Each year the federal government rates Medicare Advantage and Part D plans on a 5-star system covering quality of care, chronic-condition management, member experience, and customer service. For 2026, Wellcare Dual Access Open (PPO D-SNP) earned an overall rating of 3.0 stars — worse than Michigan's state average of 3.4 stars.
Rating category This plan State average
Overall star rating ★ 3.0 3.4
Health plan quality
Summary rating of health plan quality ★ 3.0 3.4
Staying healthy: screenings, tests & vaccines ★ 2.0 2.9
Managing chronic (long-term) conditions ★ 3.0 3.1
Member experience with health plan ★ 3.0 3.5
Member complaints & changes in performance ★ 3.0 3.6
Health plan customer service ★ 4.0 4.4
Drug plan quality
Summary rating of drug plan quality ★ 3.0 3.2
Drug plan customer service ★ 5.0 4.9
Member complaints & changes in performance ★ 3.0 3.4
Member experience with the drug plan – 3.5
Drug safety & accuracy of drug pricing ★ 3.0 3.1
Extra Benefits
Hearing
Hearing exam In-network: $0 copay
Out-of-network: 40% coinsurance
Out-of-network: 40% coinsurance
Fitting/evaluation In-network: $0 copay
Out-of-network: 40% coinsurance
Out-of-network: 40% coinsurance
Hearing aids - prescription In-network: $0 copay
Out-of-network: 40% coinsurance
Out-of-network: 40% coinsurance
Hearing aids - over the counter Not covered
Preventive dental
Oral exam In-network: $0 copay
Out-of-network: 50% coinsurance
Out-of-network: 50% coinsurance
Cleaning In-network: $0 copay
Out-of-network: 50% coinsurance
Out-of-network: 50% coinsurance
Fluoride treatment In-network: $0 copay
Out-of-network: 50% coinsurance
Out-of-network: 50% coinsurance
Dental x-rays In-network: $0 copay
Out-of-network: 50% coinsurance
Out-of-network: 50% coinsurance
Comprehensive dental
Restorative services In-network: $0 copay
Out-of-network: 50% coinsurance
Out-of-network: 50% coinsurance
Endodontics In-network: $0 copay
Out-of-network: 50% coinsurance
Out-of-network: 50% coinsurance
Periodontics In-network: $0 copay
Out-of-network: 50% coinsurance
Out-of-network: 50% coinsurance
Prosthodontics, removable In-network: $0 copay
Out-of-network: 50% coinsurance
Out-of-network: 50% coinsurance
Prosthodontics, fixed In-network: $0 copay
Out-of-network: 50% coinsurance
Out-of-network: 50% coinsurance
Maxillofacial prosthetics Not covered
Implant services Not covered
Oral and maxillofacial surgery In-network: $0 copay
Out-of-network: 50% coinsurance
Out-of-network: 50% coinsurance
Orthodontics Not covered
Adjunctive general services In-network: $0 copay
Out-of-network: 50% coinsurance
Out-of-network: 50% coinsurance
Vision
Routine eye exam In-network: $0 copay
Out-of-network: 40% coinsurance
Out-of-network: 40% coinsurance
Contact lenses In-network: $0 copay
Out-of-network: 40% coinsurance
Out-of-network: 40% coinsurance
Eyeglasses (frames & lenses) In-network: $0 copay
Out-of-network: 40% coinsurance
Out-of-network: 40% coinsurance
Eyeglass frames (only) In-network: $0 copay
Out-of-network: 40% coinsurance
Out-of-network: 40% coinsurance
Eyeglass lenses (only) In-network: $0 copay
Out-of-network: 40% coinsurance
Out-of-network: 40% coinsurance
Upgrades In-network: $0 copay
Out-of-network: 40% coinsurance
Out-of-network: 40% coinsurance
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