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Wellcare Simple (HMO)

Texas Medicare Advantage Plan (2025 Plan)

Select your County to view details for Wellcare Simple (HMO) specific to your location

Overview of Wellcare Simple (HMO) in Texas

by Wellcare

Additional Coverage

HearingVisionDental

Overall Government Star Rating

 3.5
out of 5 stars

Variations of Wellcare Simple (HMO) Within Texas

Wellcare Simple (HMO) is available in 41 Texas Counties. Pricing and benefit details can vary by location. Each variation of Wellcare Simple (HMO) 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 Simple (HMO) in Texas is listed below:

Wellcare Simple (HMO) H0174-014-0
Monthly Premium
$0 per month
Deductible
$0
Out-of-Pocket Max
$3,800 In-network
Available in Counties: Collin, Cooke, Dallas, Denton, Ellis, Hood, Johnson, Parker, Rockwall, Tarrant, Wise
Wellcare Simple (HMO) H0174-015-0
Monthly Premium
$0 per month
Deductible
$0
Out-of-Pocket Max
$3,800 In-network
Available in Counties: Bexar, Comal, Guadalupe
Wellcare Simple (HMO) H0174-010-0
Monthly Premium
$0 per month
Deductible
$0
Out-of-Pocket Max
$3,500 In-network
Available in Counties: Austin, Chambers, Fort Bend, Galveston, Hardin, Harris, Jefferson, Liberty, Matagorda, Montgomery, Newton, Orange, Polk, San Jacinto, Walker, Waller, Wharton
Wellcare Simple (HMO) H0174-002-0
Monthly Premium
$0 per month
Deductible
$0
Out-of-Pocket Max
$5,000 In-network
Available in Counties: Bastrop, Blanco, Burnet, Caldwell, Hays, Lee, Milam, Travis, Williamson
Wellcare Simple (HMO) H0174-016-0
Monthly Premium
$0 per month
Deductible
$0
Out-of-Pocket Max
$3,400 In-network
Available in Counties: El Paso

Comparing the Quality Score of Wellcare Simple (HMO) to Other Plans in Texas

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 2025, Wellcare Simple (HMO) received an overall government quality rating of 3.5 stars out of 5 stars.

Wellcare Simple (HMO) performed worse than Texas’s State average overall quality score of 3.9 stars.

This Plan’s 5-star Gov’t Quality Score
Texas State Average Score
Overall Government 5 Star Quality Rating
 3.5
 3.9
Summary rating of health plan quality
 3.5
 3.8
Staying healthy: screenings, tests, & vaccines
 3
 3.9
Managing chronic (long term) conditions
 3
 3.5
Member experience with health plan
 4
 3.8
Member complaints & changes in the health plan's performance
 3
 3.9
Health plan customer service
 3
 4.2
Summary rating of drug plan quality
 3
 3.8
Drug plan customer service
 4
 4.0
Member complaints & changes in the drug plan's performance
 3
 3.8
Member experience with the drug plan
(coming soon)
 4.0
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 Simple (HMO) received 3.5 stars for its health plan quality score which is worse than the Texas State average health plan quality score of 3.8 stars.

Wellcare Simple (HMO) received 3 stars for its drug plan quality score which is worse than the Texas State average drug plan quality score of 3.8 stars.

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