Wellcare Giveback (HMO-POS)
Washington Medicare Advantage Plan (2026 Plan)
Additional Coverage
HearingVisionDental
Overall Government Star Rating
(coming soon)
Plan Name
Wellcare Giveback (HMO-POS)
Plan Type
Medicare Advantage Plan With Part D Prescription Drug Coverage
Wellcare Giveback (HMO-POS) is a Medicare Advantage Plan With Part D Prescription Drug Coverage, 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.
Annual Deductible
$175 In-network
Primary doctor visit
$0 copay
Specialist visit
$30 copay
Wellcare Giveback (HMO-POS) has a monthly premium cost of $0 per month, with an annual deductible of $175 In-network and a maximum out of pocket cost sharing of $9,250 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 Giveback (HMO-POS) are defined below.
Yes
Part D Prescription Drug Coverage
Wellcare Giveback (HMO-POS) 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 Giveback (HMO-POS) includes coverage for hearing, vision, dental.
Medicare Advantage health plans can offer even more additional benefits. Wellcare Giveback (HMO-POS) includes coverage for the following additional benefits:
Other benefits
Over the counter drug benefits
Home and bathroom safety devices
Health Portion of Premium
Health Plan Max Out-of-Pocket
Nationwide Coverage included
Hearing Coverage included
Doctor Services
Primary doctor visit
In-network: $0 copay
Out-of-network: $0 copay
Specialist visit
In-network: $30 copay
Out-of-network: $30 copay
Tests, labs, & imaging
Diagnostic tests & procedures
In-network: $0-$30 copay
Out-of-network: $0-$30 copay
Lab services
In-network: $0-$50 copay
Out-of-network: $0-$50 copay
Diagnostic radiology services (like MRI)
In-network: $0-$500 copay
Out-of-network: $0-$500 copay
Outpatient x-rays
In-network: $50 copay
Out-of-network: $50 copay
Hospital Services
Inpatient hospital coverage
In-network:
Tier 1
$475 per day for days 1-5
$0 per day for days 6-90
$0 per stay
Outpatient hospital coverage
In-network: $0-$500 copay
Out-of-network: $0-$500 copay
Skilled nursing facility
Skilled nursing facility
In-network:
Tier 1
$0 per day for days 1-20
$218 per day for days 21-70
$0 per day for days 71-100
Out-of-network:
$ per stay
Preventive services
Preventive services
In-network: $0 copay
Out-of-network: $0 copay
Ambulance
Ground ambulance
In-network: $300 copay
Out-of-network: $300 copay
Therapy services
Occupational therapy visit
In-network: $30 copay
Out-of-network: $30 copay
Physical therapy & speech & language therapy visit
In-network: $30 copay
Out-of-network: $30 copay
Mental health services
Outpatient group therapy with a psychiatrist
In-network: $40 copay
Out-of-network: $40 copay
Outpatient individual therapy with a psychiatrist
In-network: $40 copay
Out-of-network: $40 copay
Outpatient group therapy visit
In-network: $40 copay
Out-of-network: $40 copay
Outpatient individual therapy visit
In-network: $40 copay
Out-of-network: $40 copay
Opioid treatment services
Opioid treatment services
Other services
Durable medical equipment (like wheelchairs & oxygen)
In-network: 20% coinsurance
Out-of-network: 20% coinsurance
Prosthetics (like braces, artificial limbs)
In-network: 20% coinsurance
Out-of-network: 20% coinsurance
Diabetes supplies
In-network: $0 copay
Out-of-network: $0 copay
Tier drug costs for: Standard retail pharmacy drug cost for 1-month
| Tiers | Initial coverage phase | Catastrophic coverage phase |
|---|
| Preferred Generic | $5.00 copay | $0 copay |
| Generic | $10.00 copay | $0 copay |
| Preferred Brand | 25% coinsurance | $0 copay |
| Non-Preferred Drug | 44% coinsurance | $0 copay |
| Specialty Tier | 25% coinsurance | $0 copay |
Part B Drugs
Chemotherapy drugs
In-network: 0%-20% coinsurance
Out-of-network: 0%-20% coinsurance
Other Part B drugs
In-network: 0%-20% coinsurance
Out-of-network: 0%-20% coinsurance
Hearing
Hearing exam
In-network: $0 copay
Out-of-network: $0 copay
Fitting/evaluation
In-network: $0 copay
Out-of-network: $0 copay
Hearing aids - prescription
In-network: $0 copay
Out-of-network: $0 copay
Hearing aids - over the counter
Preventive Dental
Oral exam
In-network: $0 copay
Out-of-network: 25% coinsurance
Cleaning
In-network: $0 copay
Out-of-network: 25% coinsurance
Fluoride treatment
In-network: $0 copay
Out-of-network: 25% coinsurance
Dental x-rays
In-network: $0 copay
Out-of-network: 25% coinsurance
Comprehensive dental
Restorative services
In-network: 20% coinsurance
Out-of-network: 30% coinsurance
Endodontics
In-network: 20% coinsurance
Out-of-network: 30% coinsurance
Periodontics
In-network: 20% coinsurance
Out-of-network: 30% coinsurance
Prosthodontics, removable
Maxillofacial prosthetics
Oral and maxillofacial surgery
In-network: 20% coinsurance
Out-of-network: 30% coinsurance
Adjunctive general services
In-network: 20% coinsurance
Out-of-network: 30% coinsurance
Vision
Routine eye exam
In-network: $0 copay
Out-of-network: $0 copay
Contact lenses
In-network: $0 copay
Out-of-network: $0 copay
Eyeglasses (frames & lenses)
In-network: $0 copay
Out-of-network: $0 copay
Eyeglass frames (only)
In-network: $0 copay
Out-of-network: $0 copay
Eyeglass lenses (only)
In-network: $0 copay
Out-of-network: $0 copay
Upgrades
In-network: $0 copay
Out-of-network: $0 copay
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