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Wellcare Dual Reserve (HMO D-SNP) — 2026 Special Needs Plan

SNPHMO D-SNPSNP: Dual-Eligible

Wellcare

Plan ID: H0174_022

3.5
100/100

Very Stable

What affects this score:

Plan continues unchanged (renewed)0

Monthly Premium

$4.8

+$4.8 drug premium

Medical Deductible

N/A

Drug Deductible

$615

Max Out-of-Pocket

$3,450

Key Copays

$0

Primary Care

—

Specialist

$150

Emergency Room

$25

Urgent Care

Supplemental Benefits

🦷 Dental
👁️ Vision
👂 Hearing
🏋️ Fitness
💊 OTC Benefit
🚘 Transportation
📱 Telehealth
🍲 Meals

Benefit Details

Preventive Dental$25 copay
Comprehensive Dental
Vision - Eye Exams$0 copay
Vision - Eyewear
Hearing Exams & Aids
OTC Allowance
Meals$0 copay

Drug Coverage Summary

Drug Deductible

$615

Drug Premium

$4.8/mo

This plan includes Part D prescription drug coverage. Drug costs depend on which tier your medications fall under. Use our comparison tool to estimate your specific drug costs.

Medical Benefits

Inpatient Hospital

inpatient

Emergency Room

emergency

In: $150 copay

Urgent Care

urgent_care

In: $25 copay

Primary Care

primary_care

In: $0 copay

Specialist

specialist

Outpatient Hospital

outpatient

Dental - Preventive

dental

In: $25 copay

Dental - Comprehensive

dental

Vision - Eye Exams

vision

In: $0 copay

Hearing - Exams & Aids

hearing

Counties Served (112)

Texas

Andrews CountyArcher CountyAustin CountyBastrop CountyBaylor CountyBell CountyBexar CountyBlanco CountyBrown CountyBurleson CountyBurnet CountyCaldwell CountyCallahan CountyCarson CountyChambers CountyClay CountyColeman CountyCollin CountyComal CountyComanche CountyConcho CountyCooke CountyCoryell CountyCottle CountyCrane CountyCrockett CountyCulberson CountyDallam CountyDallas CountyDawson CountyDeaf Smith CountyDenton CountyEastland CountyEdwards CountyEl Paso CountyEllis CountyFalls CountyFayette CountyFort Bend CountyFreestone CountyFrio CountyGalveston CountyGray CountyGuadalupe CountyHall CountyHansford CountyHardin CountyHarris CountyHartley CountyHaskell CountyHays CountyHoward CountyHunt CountyHutchinson CountyJackson CountyJeff Davis CountyJefferson CountyJohnson CountyJones CountyKaufman CountyKerr CountyKing CountyKinney CountyKnox CountyLampasas CountyLavaca CountyLee CountyLiberty CountyLive Oak CountyLlano CountyLoving CountyMatagorda CountyMcLennan CountyMenard CountyMidland CountyMilam CountyMontgomery CountyMoore CountyMotley CountyNavarro CountyNewton CountyOldham CountyOrange CountyPecos CountyPolk CountyReagan CountyReeves CountyRoberts CountyRockwall CountyRunnels CountySan Jacinto CountySan Patricio CountySchleicher CountySherman CountyStephens CountyStonewall CountySutton CountyTarrant CountyTaylor CountyTom Green CountyTravis CountyUpton CountyWalker CountyWaller CountyWard CountyWashington CountyWharton CountyWheeler CountyWilliamson CountyWinkler CountyYoakum CountyYoung County

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