Wellcare Simple Open (PPO)
Available to residents of Saratoga County, NY for 2026. Contract H2775, plan 106, segment 0.
Plan details
| Monthly drug premium | $0.00 |
|---|---|
| Drug deductible | $615.00Tier 1, 2 and 6 exempt |
| Plan type | Medicare Advantage |
| Contract / plan | H2775-106-0 |
| Offered by | Wellcare |
| Parent organization | Centene Corporation |
| Formulary drugs | 3,309 |
CMS star ratings
- Overall
- 3 out of 5 stars for Overall
- Health plan (Part C)
- 3 out of 5 stars for Health plan (Part C)
- Drug plan (Part D)
- 3.5 out of 5 stars for Drug plan (Part D)
Published per contract — every plan under contract H2775 shares this rating.
Drug tiers — preferred pharmacy, initial coverage
| Tier | Cost-sharing |
|---|---|
| Tier 1 | $0.00 |
| Tier 2 | $0.00 |
| Tier 3 | 25% |
| Tier 4 | 38% |
| Tier 5 | 25% |
| Tier 6 | $0.00 |
Also available in 51 other NY counties
- Albany
- Allegany
- Bronx
- Broome
- Cattaraugus
- Cayuga
- Chautauqua
- Chemung
- Chenango
- Clinton
- Columbia
- Cortland
- Dutchess
- Erie
- Essex
- Franklin
- Fulton
- Genesee
- Greene
- Hamilton
- Herkimer
- Jefferson
- Kings
- Madison
- Montgomery
- Nassau
- New York
- Niagara
- Oneida
- Onondaga
- Ontario
- Orange
- Oswego
- Putnam
- Queens
- Rensselaer
- Rockland
- St. Lawrence
- Schenectady
- Schoharie
- Seneca
- Steuben
- Suffolk
- Sullivan
- Tioga
- Tompkins
- Ulster
- Warren
- Washington
- Westchester
- Wyoming
Plan facts come from the CMS quarterly prescription drug plan public use files.