Select your County to view details for Wellcare Mutual of Omaha No Premium Open (PPO) specific to your location


Overview of Wellcare Mutual of Omaha No Premium Open (PPO) in Texas

by Wellcare

Additional Coverage

HearingVisionDental

Overall Government Star Rating

 2.5
out of 5 stars

Variations of Wellcare Mutual of Omaha No Premium Open (PPO) Within Texas

Wellcare Mutual of Omaha No Premium Open (PPO) is available in 36 Texas Counties. Pricing and benefit details can vary by location. Each variation of Wellcare Mutual of Omaha No Premium Open (PPO) 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 Mutual of Omaha No Premium Open (PPO) in Texas is listed below:

Monthly Premium
$0 per month
Deductible
$0
Out-of-Pocket Max
$9,550 In and Out-of-network
$5,900 In-network

Available in Counties: Collin, Dallas, Denton, Ellis, Fannin, Hamilton, Hill, Hood, Jack, Johnson, Mills, Parker, Rockwall, Somervell, Tarrant, Wise
Monthly Premium
$0 per month
Deductible
$0
Out-of-Pocket Max
$10,000 In and Out-of-network
$6,700 In-network

Available in Counties: Austin, Brazoria, Chambers, Colorado, Fort Bend, Galveston, Grimes, Hardin, Harris, Jefferson, Liberty, Matagorda, Montgomery, Orange, Polk, San Jacinto, Trinity, Walker, Waller, Wharton

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 Mutual of Omaha No Premium Open (PPO) received an overall government quality rating of 2.5 stars out of 5 stars.

Wellcare Mutual of Omaha No Premium Open (PPO) performed worse than Texas’s State average overall quality score of 3.8 stars.

This Plan’s 5-star Gov’t Quality Score
Texas State Average Score
Overall Government 5 Star Quality Rating
 2.5
 3.8
Summary rating of health plan quality
 2.5
 3.7
Staying healthy: screenings, tests, & vaccines
 3
 4.0
Managing chronic (long term) conditions
 2
 3.3
Member experience with health plan
 2
 3.5
Member complaints & changes in the health plan's performance
 2
 3.7
Health plan customer service
No Rating (new plan)
 4.3
Summary rating of drug plan quality
 3
 3.6
Drug plan customer service
 5
 4.0
Member complaints & changes in the drug plan's performance
 2
 3.7
Member experience with the drug plan
 4
 3.7
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 Mutual of Omaha No Premium Open (PPO) received 2.5 stars for its health plan quality score which is worse than the Texas State average health plan quality score of 3.7 stars.

Wellcare Mutual of Omaha No Premium Open (PPO) received 3 stars for its drug plan quality score which is worse than the Texas State average drug plan quality score of 3.6 stars.


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