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Wellcare Simple Open (PPO) — 2026 Medicare Advantage Prescription Drug Plan

MA-PDPPO

Wellcare

Plan ID: H3975_001

2.5-1.0

Declined from 3.5 stars last year

55/100

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What affects this score:

Plan continues unchanged (renewed)0
Rating at or below 2.5 — CMS contract jeopardy-25
Rating dropped to 2.5 — CMS low-performer warning-20

Monthly Premium

$0

Medical Deductible

N/A

Drug Deductible

$615

Max Out-of-Pocket

$7,500

Key Copays

$0

Primary Care

—

Specialist

$115

Emergency Room

$30

Urgent Care

Supplemental Benefits

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

Benefit Details

Preventive Dental$40 copay
Comprehensive Dental
Vision - Eye Exams$0 copay
Vision - Eyewear
Hearing Exams & Aids
OTC Allowance
Meals

Drug Coverage Summary

Drug Deductible

$615

Drug Premium

$0/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: $115 copay

Urgent Care

urgent_care

In: $30 copay

Primary Care

primary_care

In: $0 copay

Specialist

specialist

Outpatient Hospital

outpatient

Dental - Preventive

dental

In: $40 copay

Dental - Comprehensive

dental

Vision - Eye Exams

vision

In: $0 copay

Hearing - Exams & Aids

hearing

Counties Served (120)

Kentucky

Adair CountyAllen CountyAnderson CountyBallard CountyBarren CountyBath CountyBell CountyBoone CountyBourbon CountyBoyd CountyBoyle CountyBracken CountyBreathitt CountyBreckinridge CountyBullitt CountyButler CountyCaldwell CountyCalloway CountyCampbell CountyCarlisle CountyCarroll CountyCarter CountyCasey CountyChristian CountyClark CountyClay CountyClinton CountyCrittenden CountyCumberland CountyDaviess CountyEdmonson CountyElliott CountyEstill CountyFayette CountyFleming CountyFloyd CountyFranklin CountyFulton CountyGallatin CountyGarrard CountyGrant CountyGraves CountyGrayson CountyGreen CountyGreenup CountyHancock CountyHardin CountyHarlan CountyHarrison CountyHart CountyHenderson CountyHenry CountyHickman CountyHopkins CountyJackson CountyJefferson CountyJessamine CountyJohnson CountyKenton CountyKnott CountyKnox CountyLarue CountyLaurel CountyLawrence CountyLee CountyLeslie CountyLetcher CountyLewis CountyLincoln CountyLivingston CountyLogan CountyLyon CountyMadison CountyMagoffin CountyMarion CountyMarshall CountyMartin CountyMason CountyMcCracken CountyMcCreary CountyMcLean CountyMeade CountyMenifee CountyMercer CountyMetcalfe CountyMonroe CountyMontgomery CountyMorgan CountyMuhlenberg CountyNelson CountyNicholas CountyOhio CountyOldham CountyOwen CountyOwsley CountyPendleton CountyPerry CountyPike CountyPowell CountyPulaski CountyRobertson CountyRockcastle CountyRowan CountyRussell CountyScott CountyShelby CountySimpson CountySpencer CountyTaylor CountyTodd CountyTrigg CountyTrimble CountyUnion CountyWarren CountyWashington CountyWayne CountyWebster CountyWhitley CountyWolfe CountyWoodford County

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