Medicare Counseling: Dual Eligible Special Need Plans (D-SNP) Plan – WellCare Dual Access
WellCare Dual Access by Managed Health Services (HMO D-SNP, H8189-001)
For calendar year 2023
Contact information
Phone: 1-877-826-5521
TTY: 711
Website: wellcare.mhswi.com
Eligibility
Who can get this plan
People with:
Service area
- Adams
- Brown
- Calumet
- Clark
- Columbia
- Dane
- Dodge
- Fond du Lac
- Green Lake
- Jefferson
- Kenosha
- Kewaunee
- Langlade
- Lincoln
- Manitowoc
- Marathon
- Marinette
- Marquette
- Menominee
- Milwaukee
- Oconto
- Outagamie
- Ozaukee
- Portage
- Racine
- Shawano
- Sheboygan
- Taylor
- Walworth
- Washington
- Waukesha
- Waupaca
- Waushara
- Winnebago
- Wood
Star rating
3.5 out of 5 stars
Coverage
Check if your doctors are in-network: Find a doctor
Check if your prescription drugs are covered: Formulary
Costs
Doctor visit: No cost
Hospitalization: No cost for the first 90 days
Skilled nursing facility: No cost for the first 100 days
Emergency department: No cost
Extra benefits
Details: Plan benefit materials
Basic dental:
- Two oral exams per year
- Two cleanings per year
- One fluoride treatment per year
- Dental x-rays every one to three years
Prior authorization may be required.
Extra dental: Some surgical and other procedures covered
Vision:
- One eye exam per year
- Up to $600 towards contacts and/or glasses each year
Referral and prior authorization may be required.
Hearing:
- One hearing exam per year
- One hearing aid evaluation / fitting per year
- Up to $2,500 towards hearing aids
Referral and prior authorization may be required.
Wellness programs: Gym membership or fitness tracker and at-home exercise programs
Other:
- Post-hospitalization meals for up to 28 days (three meals/day)
- Personal emergency medical response device
- $1,000 flex card towards out-of-pocket expenses (only $250 can be spent on vision benefits)
- $50/month towards groceries (no carryover)
- $450/quarter towards eligible over-the-counter (OTC) items from participating CVS stores
How to enroll
You can only enroll during a Medicare enrollment period; learn more at Medicare.gov.
Enrollment into this plan will automatically disenroll you from your current Medicare Advantage or Part D plan.
There are multiple ways to enroll:
- Online with the plan at https://wellcare.mhswi.com/new-to-plan/enroll-in-a-plan.html
- Medicare.gov
- 1-800-MEDICARE
- Contact the State Health Insurance Assistance Program (SHIP)