Wellcare Dual Access (HMO D-SNP)
Washington Medicare-Medicaid Dual Eligible D-SNP Plan (2023 Plan)
Monthly Premium
Additional Coverage
Overall Government Star Rating
2.5Ready to Enroll Online?
Plan Overview
Wellcare Dual Access (HMO D-SNP) is a Medicare-Medicaid Dual Eligible Medicare Advantage Plan (D-SNP), which is available in Washington 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
Wellcare Dual Access (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 $8,300 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 (HMO D-SNP) are defined below.
Additional Benefits and Coverage
Wellcare Dual Access (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 (HMO D-SNP) includes coverage for hearing, vision, dental.
Medicare Advantage health plans can offer even more additional benefits. Wellcare Dual Access (HMO D-SNP) includes coverage for the following additional benefits:
Other benefits
Comparing the Quality Score of Wellcare Dual Access (HMO D-SNP) to Other Plans in Washington
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 2023, Wellcare Dual Access (HMO D-SNP) received an overall government quality rating of 2.5 stars out of 5 stars.
Wellcare Dual Access (HMO D-SNP) performed worse than Washington’s State average overall quality score of 3.2 stars.
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 (HMO D-SNP) received 2.5 stars for its health plan quality score which is worse than the Washington State average health plan quality score of 3.1 stars.
Wellcare Dual Access (HMO D-SNP) received 2.5 stars for its drug plan quality score which is worse than the Washington State average drug plan quality score of 3.0 stars.
Plan Benefits and Coverage Details
Medical Benefits
Doctor Services
Tests, labs, & imaging
Hospital Services
Skilled nursing facility
Preventive services
Ambulance
Therapy services
Mental health services
Opioid treatment services
Other services
Prescription Drug Benefits
Tier drug costs for: Standard retail pharmacy drug cost for 1-month
| Tiers | Initial coverage phase | Gap coverage phase | Catastrophic coverage phase |
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| Preferred Generic |
Brand-name drugs :
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Brand-name drugs :
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| Generic | |||
| Preferred Brand | |||
| Non-Preferred Drug | |||
| Specialty Tier |
Part B Drugs
Extra Benefits
Hearing
Preventive Dental
Comprehensive dental
Vision
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