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Wellcare Dual Access Medicare (HMO D-SNP)
North Carolina Medicare-Medicaid Dual Eligible D-SNP Plan (2024 Plan)
Monthly Premium
Your Cost
$0
by Wellcare
Additional Coverage
HearingVisionDental
Overall Government Star Rating
3.0
out of 5 stars
Ready to Enroll Online?
Plan Overview
Plan Name
Wellcare Dual Access Medicare (HMO D-SNP)
Insurance Carrier
Wellcare
Plan Type
Medicare-Medicaid Dual Eligible Medicare Advantage Plan (D-SNP)
Network Type
HMO
Wellcare Dual Access Medicare (HMO D-SNP) is a Medicare-Medicaid Dual Eligible Medicare Advantage Plan (D-SNP), which is available in North Carolina 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.
Cost Summary
Monthly Premium
$0
Annual Deductible
$0
Max Out-of-Pocket
$8,850
Primary doctor visit
$0 copay
Specialist visit
$0 copay
ER visit
$0 copay
Ambulance
$0 copay
Wellcare Dual Access Medicare (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 $8,850 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 Medicare (HMO D-SNP) are defined below.
Additional Benefits and Coverage
Yes
Part D Prescription Drug Coverage
Yes
Dental
Yes
Vision
Yes
Hearing
Wellcare Dual Access Medicare (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 Medicare (HMO D-SNP) includes coverage for hearing, vision, dental.
Medicare Advantage health plans can offer even more additional benefits. Wellcare Dual Access Medicare (HMO D-SNP) includes coverage for the following additional benefits:
Other benefits
Fitness benefit
Limited coverage
Over the counter drug benefits
Limited coverage
In-home support services
Limited coverage
Home and bathroom safety devices
Not covered
Meals for short duration
Limited coverage
Annual physical exams
Limited coverage
Telehealth
Limited coverage
Comparing the Quality Score of Wellcare Dual Access Medicare (HMO D-SNP) to Other Plans in North Carolina
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 2024, Wellcare Dual Access Medicare (HMO D-SNP) received an overall government quality rating of 3.0 stars out of 5 stars.
Wellcare Dual Access Medicare (HMO D-SNP) performed worse than North Carolina’s State average overall quality score of 4.0 stars.
This Plan’s 5-star Gov’t Quality Score
North Carolina State Average Score
Overall Government 5 Star Quality Rating
3.0
4.0
Summary rating of health plan quality
3
3.8
Staying healthy: screenings, tests, & vaccines
3
3.4
Managing chronic (long term) conditions
3
3.1
Member experience with health plan
3
3.9
Member complaints & changes in the health plan's performance
3
3.3
Health plan customer service
3
4.5
Summary rating of drug plan quality
3
3.5
Drug plan customer service
5
4.0
Member complaints & changes in the drug plan's performance
2
3.1
Member experience with the drug plan
3
4.2
Drug safety & accuracy of drug pricing
3
3.3
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 Medicare (HMO D-SNP) received 3 stars for its health plan quality score which is worse than the North Carolina State average health plan quality score of 3.8 stars.
Wellcare Dual Access Medicare (HMO D-SNP) received 3 stars for its drug plan quality score which is worse than the North Carolina State average drug plan quality score of 3.5 stars.
In this article we rank North Carolina 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 North Carolina 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 North Carolina.