MedicarePartD.guide

A non-government resource built from CMS public data

Wellcare Assist Open (PPO)

Available to residents of Dawson County, NE for 2026. Contract H1395, plan 003, segment 0.

Plan details

Monthly premium$32.80
Drug deductible$570.00Tier 1 and 6 exempt
Plan typeMedicare Advantage
Contract / planH1395-003-0
Offered byWellcare
Parent organizationCentene Corporation
Formulary drugs3,369

CMS star ratings

Overall
3 out of 5 stars for Overall
Health plan (Part C)
2.5 out of 5 stars for Health plan (Part C)
Drug plan (Part D)
3 out of 5 stars for Drug plan (Part D)

Drug tiers — preferred pharmacy, initial coverage

TierCost-sharing
Tier 1$18.00
Tier 2$19.00
Tier 320%
Tier 432%
Tier 525%
Tier 6$0.00

Also available in 54 other NE counties