Medicare Advantage · HMOPOS · 2027
Wellcare Patriot Simple (HMO-POS)
At a glance: $0 monthly premium and $0 primary care visits.
This plan does not include Part D drug coverage. Before enrolling, confirm how your prescriptions will be covered. Read before you enroll
- Monthly premium
- $0
- Part B premium separate
- Yearly limit
- $3,400
- Most you’d pay for in-network care
- Dental
- $5,000/yr
- Comprehensive dental allowance
- Doctor visits
- $0
- Primary care · specialists $0
Check this plan for you
Referral needed to see a specialist
Add your doctors to see if they’re in this plan’s network.
- DentalComprehensive dental allowance
- $5,000/yr
- HearingHearing aid allowance
- $1,000/yr
- VisionEyewear allowance
- $400/yr
- OTC allowanceOTC benefit ($0 copay)
- Included
- Fitness$0 fitness benefit
- Included
- Transportation8 one-way trips/year
- Included
- MealsMeal benefit
- Included
This is a supplemental benefit with plan-specific limits. See plan documents for details.
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Enrollment options depend on where you live. Enter your ZIP code so we can show the right ways to enroll in this plan.
Before you enroll
Prescription coverage and who this plan may fit
This plan does not include Part D drug coverage
Who this type of plan may fit
MA-Only plans are generally considered by people who already have creditable prescription drug coverage, such as coverage from the VA, TRICARE, or a current or former employer or union. Your coverage provider (not this page) must tell you whether your current drug coverage is creditable.
Before you enroll
- Find your current plan's annual Notice of Creditable Coverage or ask its benefits administrator.
- Do not drop existing drug coverage until you understand how the change affects both coverages.
Costs and copays
Deductible, yearly limit, visits, hospital stays and drug coverage
- Medical deductiblePer year
- $0
- Drug coveragePart D
- Not included
- Yearly limitIn-network care, not counting drugs
- $3,400
- Primary doctorPer visit
- $0
- SpecialistPer visit · referral needed
- $0
- Hospital stayPer stay
- Days 1-5: $350/day, Days 6-90: $0/day
- Inpatient mental healthHospital stay
- Days 1-4: $325/day, Days 5-90: $0/day
- Outpatient surgeryPer procedure
- $300
- Emergency roomPer visit
- $150
- Urgent carePer visit
- $35
Our take
Where this plan shines, and what to know
Where this plan shines
- This plan has a $0 monthly premium.
- This plan’s out-of-pocket maximum ($3,400) is among the lowest available.
- See your primary doctor for $0.
- The specialist copay ($0) is among the more affordable options.
- No separate medical deductible.
- Some out-of-network care is covered (HMO-POS).
Things to know before you enroll
- Limited coverage while traveling outside the plan’s service area.
- Does not include prescription drug coverage. You can't add a separate Part D plan to this plan. Joining one would end your Medicare Advantage coverage, so make sure you have other drug coverage, like VA or TRICARE.
- Late enrollment penalty risk if you go without creditable drug coverage for 63+ days.
Similar plans
Other Medicare Advantage plans offered in Georgia
Browse the full 2027 Medicare Advantage without drug coverage directory. This plan is offered in Georgia. Plan availability can vary by county.
More Medicare Advantage without drug coverage options
These plans are offered in at least one of the same states. Check your ZIP or county before choosing a plan.
- Wellcare Patriot Giveback Open (PPO)Wellcare · H0111-007Offered in Georgia
- AARP Medicare Advantage Patriot No Rx GA-MA01 (PPO)UnitedHealthcare · H1889-022Offered in Georgia
- Aetna Medicare Eagle Extra Plus (PPO)Aetna Medicare · H2293-009Offered in Georgia
- Aetna Medicare Eagle Plus (PPO)Aetna Medicare · H3288-034Offered in Georgia
- Anthem Veteran (HMO-POS)Anthem Blue Cross and Blue Shield · H5422-014Offered in Georgia
- Anthem Veteran (PPO)Anthem Blue Cross and Blue Shield · H4036-040Offered in Georgia
Common questions
6 answers about this plan
What does Wellcare Patriot Simple (HMO-POS) (HMOPOS) cover?
Wellcare Patriot Simple (HMO-POS) (HMOPOS) is a Medicare Advantage plan that the current plan record identifies as not including Part D prescription drug coverage. The plan record does not identify Part D prescription drug coverage. Published supplemental benefits include dental ($5,000/yr comprehensive dental allowance), vision ($400/yr eyewear allowance), hearing ($1,000/yr hearing aid allowance), and over-the-counter (OTC) (OTC benefit ($0 copay)). Review the plan documents for covered services, limits, and rules. Coverage can change each plan year.
Learn about Medicare AdvantageHow much does Wellcare Patriot Simple (HMO-POS) (HMOPOS) cost in 2027?
The published 2027 monthly plan premium for Wellcare Patriot Simple (HMO-POS) (HMOPOS) is $0. Any Medicare premiums you owe are separate from the listed plan premium. The listed medical deductible is $0. The in-network medical out-of-pocket maximum is $3,400; it does not include Part D drug spending. Published visit costs include primary care $0 and specialist visits $0. These figures are plan data, not a personal yearly-cost estimate.
Can I use my current doctors with Wellcare Patriot Simple (HMO-POS) (HMOPOS)?
CMS lists Wellcare Patriot Simple (HMO-POS) (HMOPOS) as a HMOPOS plan. The plan record says specialist referrals are required. The record also identifies point-of-service flexibility, but exact out-of-network rules can vary. A network label alone does not confirm that a specific doctor participates. Use the doctor lookup tool, then confirm with the doctor's office and the plan before receiving care. Provider networks and member costs can change. Emergency care and travel coverage can follow different network rules.
Check your doctorsDoes Wellcare Patriot Simple (HMO-POS) (HMOPOS) include prescription drug coverage?
Wellcare Patriot Simple (HMO-POS) (HMOPOS) is listed in the current plan record as a Medicare Advantage plan without Part D prescription drug coverage. You can't add a separate Part D plan to this plan. Joining one would end your Medicare Advantage coverage, so make sure you have other drug coverage, like VA or TRICARE. Confirm how your prescriptions will be covered before enrolling.
What extra benefits does Wellcare Patriot Simple (HMO-POS) (HMOPOS) offer beyond Original Medicare?
The current plan record for Wellcare Patriot Simple (HMO-POS) (HMOPOS) lists dental ($5,000/yr comprehensive dental allowance), vision ($400/yr eyewear allowance), hearing ($1,000/yr hearing aid allowance), over-the-counter (OTC) (OTC benefit ($0 copay)), and fitness ($0 fitness benefit). Benefit allowances, frequency, eligibility, and participating providers can have additional limits, so review the Summary of Benefits or Evidence of Coverage for the complete rules.
When can I enroll in Wellcare Patriot Simple (HMO-POS) (HMOPOS)?
Wellcare Patriot Simple (HMO-POS) (HMOPOS) is a 2027 Medicare Advantage plan. The Annual Enrollment Period runs from October 15 through December 7, with changes taking effect January 1. The Medicare Advantage Open Enrollment Period runs from January 1 through March 31 for people already enrolled in Medicare Advantage. A qualifying circumstance may create a Special Enrollment Period outside those dates. Confirm the enrollment window and effective date that apply to you before changing coverage.
Review Medicare enrollment periodsPlan documents
Summary of Benefits and Evidence of Coverage
- Summary of Benefits (PDF)Download the plan's official Summary of Benefits document
- Evidence of Coverage (PDF)Complete plan details and rules
- Check Your DoctorsSee if your doctors accept this plan
- Documentos en españolLlame a The Pocket Protector al 1-866-764-3312 (TTY: 711) para recibir ayuda con documentos en español
Enter your ZIP code to see how you can enroll
Enrollment options depend on where you live. Enter your ZIP code so we can show the right ways to enroll in this plan.
