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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

WellCare "About Us" page

  • 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

Plan benefit materials

 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:

Last revised November 7, 2023