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Wellcare No Premium Essential (HMO-POS)

Ohio Medicare Advantage Plan (2024 Plan)

Select your County to view details for Wellcare No Premium Essential (HMO-POS) specific to your location

Overview of Wellcare No Premium Essential (HMO-POS) in Ohio

by Wellcare

Additional Coverage

HearingVisionDental

Overall Government Star Rating

 2.5
out of 5 stars

Variations of Wellcare No Premium Essential (HMO-POS) Within Ohio

Wellcare No Premium Essential (HMO-POS) is available in 20 Ohio Counties. Pricing and benefit details can vary by location. Each variation of Wellcare No Premium Essential (HMO-POS) has a unique Plan ID and benefits which can differ by monthly premium, deductible, out-of-pocket maximum, and other costs such as copays and coinsurance. Each variation of Wellcare No Premium Essential (HMO-POS) in Ohio is listed below:

Wellcare No Premium Essential (HMO-POS) H5475-011-0
Monthly Premium
$0 per month
Deductible
$0
Out-of-Pocket Max
$4,700 In and Out-of-network
$4,700 In-network
$4,700 Out-of-network
Available in Counties: Butler, Clermont, Fulton, Greene, Hamilton, Henry, Lucas, Miami, Montgomery, Portage, Preble, Stark, Warren, Wood
Wellcare No Premium Essential (HMO-POS) H5475-022-0
Monthly Premium
$0 per month
Deductible
$0
Out-of-Pocket Max
$4,200 In and Out-of-network
$4,200 In-network
$4,200 Out-of-network
Available in Counties: Cuyahoga, Geauga, Lake, Lorain, Medina, Summit

Comparing the Quality Score of Wellcare No Premium Essential (HMO-POS) to Other Plans in Ohio

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 No Premium Essential (HMO-POS) received an overall government quality rating of 2.5 stars out of 5 stars.

Wellcare No Premium Essential (HMO-POS) performed worse than Ohio’s State average overall quality score of 4.1 stars.

This Plan’s 5-star Gov’t Quality Score
Ohio State Average Score
Overall Government 5 Star Quality Rating
 2.5
 4.1
Summary rating of health plan quality
 2.5
 4.1
Staying healthy: screenings, tests, & vaccines
 2
 3.5
Managing chronic (long term) conditions
 2
 3.2
Member experience with health plan
 2
 4.2
Member complaints & changes in the health plan's performance
 3
 4.2
Health plan customer service
 3
 4.5
Summary rating of drug plan quality
 3
 3.9
Drug plan customer service
 5
 3.9
Member complaints & changes in the drug plan's performance
 3
 4.1
Member experience with the drug plan
 4
 3.8
Drug safety & accuracy of drug pricing
 3
 3.4

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 No Premium Essential (HMO-POS) received 2.5 stars for its health plan quality score which is worse than the Ohio State average health plan quality score of 4.1 stars.

Wellcare No Premium Essential (HMO-POS) received 3 stars for its drug plan quality score which is worse than the Ohio State average drug plan quality score of 3.9 stars.

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