Wellcare Dual Select (HMO-POS D-SNP)

CELTIC INSURANCE COMPANY · 2026 plan year

Plan ID H4661-005-000

HMOPOSDual-Eligible SNP
MOOP (in-network)
$3,850
MOOP (combined)
—
Monthly premium
$18.10/mo
Part C $0 + Part D $18.10, before Extra Help
Prescription drugs
Included

This plan in 2027

Plan information

Contract / Plan / Segment
H4661-005-000
Medical deductible
$0 — no deductible
Part D premium
$18.10/mo (part of the monthly premium above)Before Extra Help, which can lower or remove it for people with limited income.
Part D deductible
$615/yr
Also owed
Your Medicare Part B premium, paid separately

More CELTIC INSURANCE COMPANY plans in DE

Benefits & cost sharing

Hospital

BenefitIn-network
Inpatient Hospital — Acute$350/day for days 1–5, $0 after
Inpatient Hospital — Psychiatric$350/day for days 1–5, $0 after
Worldwide Urgent Care Coverage$150

Pharmacy

BenefitIn-network
Part B DrugsSee plan details
Chemotherapy & Radiation Drugs (Part B)0%-20% coinsurance
Other Part B Drugs0%-20% coinsurance

Mental Health

BenefitIn-network
Supplemental Health BenefitsSee plan details
Mental Health — Group Sessions$40
Mental Health Specialty ServicesSee plan details
Mental Health — Individual Sessions$40

Other

BenefitIn-network
Other Health Care Professional Services$0-$15
Psychiatric ServicesSee plan details
Psychiatric Services — Individual Sessions$40
Psychiatric Services — Group Sessions$40
Physical Therapy & Speech-Language Pathology$15
Outpatient Blood ServicesNo charge
Ambulance ServicesSee plan details
Ground Ambulance$275
Air Ambulance$275
Annual Physical ExamNo charge
Dental — Removable Prosthodontics (Dentures)20% coinsurance
Dental — Fixed Prosthodontics (Bridges)20% coinsurance
Dental — Oral & Maxillofacial Surgery20% coinsurance
Dental — Adjunctive General Services20% coinsurance
Vision — Eye Exams$0-$15
Vision — Eye ExamsSee plan details
Vision — Routine Eye ExamsNo charge
Vision — EyewearNo charge
Vision — EyewearSee plan details
Vision — Contact LensesNo charge
Vision — Eyeglasses (Lenses & Frames)No charge
Vision — Eyeglass LensesNo charge
Vision — Eyeglass FramesNo charge
Vision — Eyewear UpgradesNo charge
Hearing — Exams$15
Hearing — ExamsSee plan details
Hearing — Routine ExamsNo charge
Hearing — Fitting & Evaluation for Hearing AidNo charge
Hearing — Prescription Hearing AidsSee plan details
Hearing — Hearing Aids (All Types)No charge
Substance Abuse — Group Sessions$40
Outpatient Substance Abuse ServicesSee plan details
Skilled Nursing Facility (SNF)$0/day for days 1–20, $218/day for days 21–40, $0 after
Cardiac & Pulmonary RehabilitationSee plan details
Cardiac Rehabilitation — Additional Sessions$50
Intensive Cardiac Rehabilitation — Additional Sessions$65
Pulmonary Rehabilitation — Additional Sessions$40
Supervised Exercise Therapy (SET)$30
Emergency Services$150
Podiatry Services$15
Urgently Needed Services$40
Worldwide Emergency & Urgent CoverageSee plan details
Worldwide Emergency Coverage$150
Partial Hospitalization Program$175
Intensive Outpatient Program (IOP)$175
Home Health ServicesNo charge
Primary Care Physician ServicesNo charge
Chiropractic Services$15
Occupational Therapy Services$15
Physician Specialist Services$15
Additional Telehealth Services (Part B)$0-$40
Opioid Treatment Program Services$15
Diagnostic Tests & Lab ServicesSee plan details
Diagnostic Procedures & TestsNo charge
Laboratory Services$0-$50
Radiological ServicesSee plan details
Diagnostic Radiology$0-$275
Therapeutic Radiology20% coinsurance
X-Ray Services$50
Outpatient Hospital Services$0-$275
Hospital Observation Services$150-$275 per stay
Ambulatory Surgical Center (ASC)$225
Substance Abuse — Individual Sessions$40
Non-Emergency Transportation — Health FacilityNo charge
Durable Medical Equipment (DME)20% coinsurance
Prosthetics & OrthoticsSee plan details
Prosthetic Devices20% coinsurance
Medical Supplies20% coinsurance
Diabetic Supplies & ServicesSee plan details
Diabetic Therapeutic Shoes & Inserts20% coinsurance
Dialysis Services20% coinsurance
Over-the-Counter (OTC) ItemsNo charge
Meal BenefitNo charge
Medicare-Covered Preventive ServicesSee plan details
Dental — Medicare-Covered Services$15
Fitness BenefitNo charge
Remote Access TechnologiesNo charge
Alternative TherapiesNo charge
Kidney Disease Education Services20% coinsurance
Diabetic SuppliesNo charge
Glaucoma ScreeningNo charge
Diabetes Self-Management TrainingNo charge
Digital Rectal ExamsNo charge
Welcome to Medicare EKGNo charge
Insulin (Part B)$35
Dental — PreventiveSee plan details
Dental — Oral ExamsNo charge
Dental — X-RaysNo charge
Dental — Diagnostic ServicesNo charge
Dental — Prophylaxis (Cleaning)No charge
Dental — Fluoride TreatmentNo charge
Dental — Other Preventive ServicesNo charge
Dental — ComprehensiveSee plan details
Dental — Restorative Services20% coinsurance
Dental — Endodontics (Root Canal)20% coinsurance
Dental — Periodontics (Gum Care)20% coinsurance

Service area

  • DE: 3 counties

Reviewing your Medicare coverage for 2027?

Plans change every year. Leave your email and we'll let you know when Medicare open enrollment opens.