Wellcare Magnolia Health Dual Liberty (HMO-POS D-SNP)

Available to residents of Bolivar County, MS for 2027. Contract H1416, plan 044, segment 0.

2027 drug-by-drug coverage is not published by CMS yet. The drug lookup covers 2026, whose formulary is live.

Consolidated into another plan for 2027. CMS crosswalks 2026’s Wellcare Dual Access (HMO-POS D-SNP) (H1416-034-0) into this plan, so its members move here unless they choose otherwise. Every MS plan’s 2026–2027 changes →

Plan details

Monthly premium (Part C + D)	$0.00
— medical (Part C) part	$0.00
— drug (Part D) part	$0.00?
Monthly premium with full Extra Help (LIS)	$0.00?
Part B premium reduction (giveback)	None
In-network out-of-pocket maximum	$9,850.00?
Drug deductible	$700.00Tier 1 and 6 exempt
Drug out-of-pocket threshold	$2,400.00
Plan type	HMO-POS D-SNP?
Special needs plan	Dual-eligible SNP
D-SNP integration status	Coordination Only (CO)
Zero-dollar cost sharing D-SNP	Yes
Contract / plan	H1416-044-0
Offered by	Wellcare
Parent organization	Centene Corporation
Formulary tiers	6
Formulary exception tier	3?
Pharmacy search	go.wellcare.com/Medicare
Member services	(844)480-0680TTY 711

CMS star ratings

Overall: 3 out of 5 stars for Overall
Health plan (Part C): 3.5 out of 5 stars for Health plan (Part C)
Drug plan (Part D): 3 out of 5 stars for Drug plan (Part D)

Published per contract — every plan under contract H1416 shares this rating.

Plan health benefits

Service	In-network
Doctor visits
Primary care doctor	20% coinsurance
Specialist	20% coinsurance(authorization and referral required)
Other health care professional	20% coinsurance(authorization and referral required)
Additional telehealth services	$0–$40 copay; 20% coinsurance(authorization and referral required)
Preventive care
Medicare-covered preventive services	$0 copay
Annual physical exam	$0 copay
Kidney disease education	20% coinsurance(referral required)
Glaucoma screening	20% coinsurance(referral required)
Diabetes self-management training	20% coinsurance(referral required)
Diagnostic tests, labs and imaging
Diagnostic tests and procedures	20% coinsurance(authorization and referral required)
Lab services	20% coinsurance(authorization and referral required)
Diagnostic radiology (e.g. MRI, CT)	20% coinsurance(authorization and referral required)
Therapeutic radiology	20% coinsurance(authorization and referral required)
Outpatient x-rays	20% coinsurance(authorization and referral required)
Emergency and urgent care
Emergency room	$115 copay
Urgent care	$40 copay
Worldwide emergency coverage	$115 copay · $50,000 plan limit
Worldwide urgent care	$115 copay · $50,000 plan limit
Worldwide emergency transportation	Not covered
Hospital care
Inpatient hospital stay	$2,010 per stay(authorization and referral required)
Outpatient hospital services	20% coinsurance(authorization and referral required)
Outpatient observation	20% coinsurance(referral required)
Ambulatory surgical center	20% coinsurance(authorization and referral required)
Outpatient blood services	20% coinsurance(referral required)
Skilled nursing and home health
Skilled nursing facility	$0 per day for days 1–20; $221 per day for days 21–70; $0 per day for days 71–100(authorization and referral required)
Home health care	$0 copay(authorization and referral required)
Kidney dialysis	20% coinsurance(referral required)
Rehabilitation
Occupational therapy	20% coinsurance(authorization and referral required)
Physical therapy and speech-language therapy	20% coinsurance(authorization and referral required)
Cardiac rehabilitation	20% coinsurance(referral required)
Pulmonary rehabilitation	20% coinsurance(referral required)
Mental health and substance use
Inpatient psychiatric hospital stay	$2,010 per stay(authorization and referral required)
Outpatient mental health, individual session	20% coinsurance(authorization and referral required)
Outpatient mental health, group session	20% coinsurance(authorization and referral required)
Psychiatrist, individual session	20% coinsurance(authorization and referral required)
Psychiatrist, group session	20% coinsurance(authorization and referral required)
Partial hospitalization	20% coinsurance(authorization and referral required)
Intensive outpatient program	20% coinsurance(authorization and referral required)
Outpatient substance use, individual session	20% coinsurance(authorization and referral required)
Outpatient substance use, group session	20% coinsurance(authorization and referral required)
Opioid treatment program	20% coinsurance(authorization and referral required)
Ambulance and transportation
Ground ambulance	20% coinsurance(authorization required)
Air ambulance	20% coinsurance(authorization required)
Transportation to plan-approved locations	$0 copay(authorization required, limits apply)
Medical equipment and supplies
Durable medical equipment (e.g. wheelchairs, oxygen)	20% coinsurance(authorization required)
Prosthetics (e.g. braces, artificial limbs)	20% coinsurance(authorization required)
Medical supplies	20% coinsurance(authorization required)
Diabetes supplies	20% coinsurance(authorization required)
Diabetic therapeutic shoes or inserts	20% coinsurance(authorization required)
Chiropractic, acupuncture and foot care
Chiropractic (Medicare-covered)	$0 copay(authorization and referral required)
Routine chiropractic care	$0 copay(authorization and referral required, limits apply)
Acupuncture	Not covered
Foot exams and treatment (Medicare-covered)	$0 copay(authorization and referral required)
Routine foot care	$0 copay(authorization and referral required, limits apply)
Dental?
Medicare-covered dental services	20% coinsurance(authorization required)
Oral exams	$0 copay(authorization required, limits apply)
Cleanings	$0 copay(authorization required, limits apply)
Fluoride treatment	$0 copay(authorization required, limits apply)
Dental x-rays	$0 copay(authorization required, limits apply)
Other diagnostic dental services	$0 copay(authorization required, limits apply)
Other preventive dental services	$0 copay(authorization required, limits apply)
Comprehensive dental plan limit	$5,000 plan limit every year
Restorative services (fillings, crowns)	$0 copay(authorization required, limits apply)
Endodontics (root canals)	$0 copay(authorization required, limits apply)
Periodontics (gum disease)	$0 copay(authorization required, limits apply)
Dentures and other removable prosthodontics	$0 copay(authorization required, limits apply)
Maxillofacial prosthetics	Not covered
Implants	Not covered
Bridges and other fixed prosthodontics	$0 copay(authorization required, limits apply)
Oral and maxillofacial surgery	$0 copay(authorization required, limits apply)
Orthodontics	Not covered
Adjunctive general services	$0 copay(authorization required, limits apply)
Vision?
Eye exam (Medicare-covered)	20% coinsurance(authorization required)
Routine eye exam	$0 copay(authorization required, limits apply)
Eyewear after cataract surgery (Medicare-covered)	20% coinsurance(authorization required, limits apply)
Eyewear plan limit	$300 plan limit every year
Contact lenses	$0 copay(authorization required, limits apply)
Eyeglasses (frames and lenses)	$0 copay(authorization required, limits apply)
Eyeglass lenses	$0 copay(authorization required, limits apply)
Eyeglass frames	$0 copay(authorization required, limits apply)
Eyewear upgrades	$0 copay(authorization required, limits apply)
Hearing?
Hearing exam (Medicare-covered)	20% coinsurance(authorization required)
Routine hearing exam	$0 copay(authorization required, limits apply)
Hearing aid fitting and evaluation	$0 copay(authorization required, limits apply)
Hearing aid plan limit	$750 plan limit every year
Hearing aids (all types)	$0 copay(authorization required, limits apply)
Hearing aids, inner ear	Not covered
Hearing aids, outer ear	Not covered
Hearing aids, over the ear	Not covered
Medicare Part B drugs
Part B insulin	$35 copay(authorization required, step therapy may apply)
Chemotherapy and radiation drugs	0%–20% coinsurance(authorization required, step therapy may apply)
Other Part B drugs	0%–20% coinsurance(authorization required, step therapy may apply)
Other extra benefits?
Over-the-counter (OTC) allowance	$165 allowance every month
Meals after a hospital stay or for a chronic condition	$0 copay(referral required)
Fitness benefit	$0 copay
Health education	Not covered
Nutritional / dietary benefit	Not covered
Extra smoking and tobacco cessation counseling	Not covered
Enhanced disease management	Not covered
Telemonitoring	Not covered
Remote access technologies (web/phone, nurse line)	$0 copay
Home and bathroom safety devices	Not covered
Counseling services	Not covered
In-home safety assessment	Not covered
Personal emergency response system (PERS)	Not covered
Medical nutrition therapy	Not covered
Post-discharge in-home medication reconciliation	Not covered
Re-admission prevention	Not covered
Wigs for hair loss from chemotherapy	Not covered
Weight management programs	Not covered
Alternative therapies	$0 copay
Therapeutic massage	Not covered
Adult day health services	Not covered
Home-based palliative care	Not covered
In-home support services	Not covered
Support for caregivers	Not covered

In-network cost-sharing as the plan filed it with CMS (CMS plan benefit package (PBP) files, CY2027). A range means the cost depends on the service or setting. Rows the filing does not state are left out rather than guessed. Contact the plan for the full Evidence of Coverage.

Drug tiers — preferred pharmacy, initial coverage

Tier	Cost-sharing
Tier 1 · Generic	$0.00
Tier 2 · Preferred Brand	25%
Tier 3 · Non-Preferred Drug	27%
Tier 4 · Injectable Drugs	25%
Tier 5 · Specialty Tier	25%
Tier 6 · Select Care Drugs	$0.00

Rx cost-sharing by coverage phase

Tier	30-day supply			90-day supply
Tier	Preferred	Standard	Mail Order	Preferred	Standard	Mail Order
Initial coverage phase
Tier 1: Generic	$0.00	$0.00	n/a	$0.00	$0.00	$0.00
Tier 2: Preferred Brand	25%	25%	n/a	25%	25%	25%
Tier 3: Non-Preferred Drug	27%	27%	n/a	27%	27%	27%
Tier 4: Injectable Drugs	25%	25%	n/a	25%	25%	25%
Tier 5: Specialty Tier	25%	25%	n/a	n/a	n/a	n/a
Tier 6: Select Care Drugs	$0.00	$0.00	n/a	$0.00	$0.00	$0.00

These are the initial coverage phase amounts, as the plan filed them in its benefit package. The deductible and post-threshold phases are not stated per tier in that filing, so they are not shown here rather than being inferred; the plan's annual out-of-pocket threshold is $2,400.00.

Star rating measures

Measures are paired between the two years by name, not by the C/D number: CMS reuses those numbers, and in 2027 nineteen of them refer to a different measure than they did in 2026. A measure introduced for 2027 has no 2026 score to show. Published per contract — every plan under H1416 shares it.

Benefits in plain text

Wellcare Magnolia Health Dual Liberty (HMO-POS D-SNP) (H1416-044-0) is a 2027 HMO-POS D-SNP Medicare Advantage plan offered by Wellcare, available to residents of Bolivar County, MS.

The monthly premium is $0.00.

With full Extra Help (the Low-Income Subsidy), the total monthly premium is $0.00.

Its in-network out-of-pocket maximum is $9,850.00.

The drug deductible is $700.00. Tier 1 and 6 exempt.

It is a special needs plan (Dual-eligible SNP).

At a preferred pharmacy in the initial coverage phase, a 30-day supply costs tier 1 (Generic): $0.00; tier 2 (Preferred Brand): 25%; tier 3 (Non-Preferred Drug): 27%; tier 4 (Injectable Drugs): 25%; tier 5 (Specialty Tier): 25%; tier 6 (Select Care Drugs): $0.00.

CMS gives the plan's contract (H1416) an overall rating of 3 out of 5 stars.

Email a copy of the plan benefit details

Plan facts come from the CMS plan Landscape file and the CMS plan benefit package (PBP) files.