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Wellcare Giveback (HMO-POS)

Medicare Advantage Health Plan Details

Health insurance company offering plan: Wellcare

Wellcare
$0/mo
monthly premium
Wellcare Giveback (HMO-POS)
Additional Coverage
Overall Star Rating (2027)
  • Rx
  • Dental
  • Vision
  • Hearing
4
out of 5 stars

General Plan Details

Medical Deductible
$0
Out-of-Pocket Maximum
$7200
Rx Drug Coverage
Yes
Rx Deductible
$700
Primary Doctor Office Visit
$0 copay
Specialist Office Visit
$30 copay

Additional Benefits

Dental Coverage
Yes
Vision Coverage
Yes
Mental Health Coverage
Yes
Transportation for non-emergency
No
Fitness Benefits
Yes
Worldwide emergency
Yes
Telehealth
Yes
Part B Premium Reduction
Yes $80 annually

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Doctor & Hospital Coverage

Primary Doctor Office Visit
In-network: $0 copay
Out-of-network: $0 copay
Specialist Office Visit
In-network: $30 copay
Out-of-network: $30 copay
Periodic Exam Coverage
In-network: $0 copay
Out-of-network: $0 copay

Emergency Room

$115 copay

Ambulance Coverage

In-network: $250 copay
Out-of-network: $250 copay

Lab, X-Ray, Radiology Coverage

Diagnostic tests & procedures:
In-network: $0-$40 copay
Out-of-network: $0-$40 copay
Lab services:
In-network: $0-$50 copay
Out-of-network: $0-$50 copay
Diagnostic radiology services (e.g., CT, MRI, etc):
In-network: $0-$250 copay
Out-of-network: $0-$250 copay
Outpatient x-rays:
In-network: $50 copay
Out-of-network: $50 copay

Hospital Services

Inpatient hospital coverage:
In-network:
  Tier 1
  $400 per day for days 1-6
  $0 per day for days 7-90
  $0 per stay
Outpatient hospital coverage:
In-network: $0-$250 copay
Out-of-network: $0-$250 copay

Rehabilitation Coverage

Occupational therapy services:
In-network: $25 copay
Out-of-network: $25 copay

Urgent Care Coverage

$115 copay

Skilled Nursing Facility (SNF)

In-network:
  Tier 1
  $0 per day for days 1-20
  $221 per day for days 21-60
  $0 per day for days 61-100

Mental Health Coverage

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 visits:
In-network: $40 copay
Out-of-network: $40 copay
Outpatient individual therapy visit:
In-network: $40 copay
Out-of-network: $40 copay

Dental, Vision, Hearing Benefits

Dental Services

Oral exams:
In-network: $0 copay
Out-of-network: 25% coinsurance
Prophylaxis (cleaning):
In-network: $0 copay
Out-of-network: 25% coinsurance
Dental x-rays:
In-network: $0 copay
Out-of-network: 25% coinsurance

Vision Benefits

Routine eye exams:
In-network: $0 copay
Out-of-network: $0 copay

Hearing Benefits

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

Additional Added Benefits

Annual physical exams
Yes
Chiropractic Coverage
Yes
Acupuncture
No
Massage Therapy
No
Health Education
No
Counseling Services
No
Support for Caregivers of Enrollees
No
Personal Emergency Response System (PERS)
No
In-home support services
No
Home and bathroom safety devices
No
Meals for short duration
No

Plan Links

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Where This Plan is Available

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Additional Plan Info

Plan Year:
2027
Insurance Company Website:
Wellcare
General Disclaimer   
Low-Income Subsidy   

Health Insurance Companies Offering Plans

Medicare Advantage and Part D plans and benefits offered by the following insurance companies:

  • Aetna Medicare
  • Anthem Blue Cross and Blue Shield
  • Anthem Blue Cross
  • AspireHealth Plan
  • Baylor Scott & White Health Plan
  • Capital Blue Cross
  • Dean Health Plan
  • Devoted Health
  • Florida Blue Medicare
  • Freedom Health
  • GlobalHealth
  • Health Care Service Corporation
  • HealthSpring℠
  • Healthy Blue
  • HealthSun
  • Molina Healthcare
  • Mutual of Omaha
  • Medica Central Health Plan
  • Optimum HealthCare
  • Premera Blue Cross
  • SCAN Health Plan
  • Simply
  • UnitedHealthcare®
  • Wellcare
  • WellPoint