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Wellcare Home State Health Dual Reserve (HMO-POS D-SNP) (2027)

Dual Special Needs Plan (Medicare Advantage) from Wellcare, plan ID H1664-012-000. Sold in 49 counties in Missouri.

★★★★★3.0

Who can join

Only for people who have both Medicare and Medicaid.

2027 costs

Monthly premium$18.40
Drug deductible$700
Medical deductible$0
Out-of-pocket maximum (in network)$3,600
Plan typeDual Special Needs Plan (Medicare Advantage), HMO-POS
Referral needed to see a specialistYes
Plan IDH1664-012-000

With a Medicare Advantage plan you also keep paying your Medicare Part B premium, unless Medicaid pays it for you.

What this plan would cost for your prescriptions

Add your prescriptions to see this plan's estimated yearly cost for them, which of them are on its drug list, and how each compares with Cost Plus Drugs prices.

See this plan with my prescriptions

What you pay for medical care

Primary care visit$0
Specialist visit$25
Preventive care$0
Urgent care$35
Emergency room$150
Hospital stay$290/day
Outpatient surgery$0–$500
Lab tests$0–$30
X-rays and scans$0
Mental health visit$25
Physical therapy$25
Medical equipment20%
TelehealthCovered

In-network amounts. A range means it depends on the service or provider.

Extra benefits

DentalNot covered
VisionCovered — up to $300/yr allowance
HearingNot covered
Over-the-counter itemsNot covered
FitnessCovered
Rides to appointmentsNot covered

Drug costs by tier

Tier30 days, standard pharmacy30 days, preferred pharmacy90 days by mail
1 Generic$15$0$0
2 Preferred Brand25%25%25%
3 Non-Preferred Drug29%28%28%
4 Injectable Drugs25%25%25%
5 Specialty Tier25%25%N/A
6 Select Care Drugs$0$0$0

A percentage is coinsurance: your share of the drug's price. The drug deductible may apply first, depending on the tier. Your Part D out-of-pocket costs are capped at $2,400 for 2027.

Where it's sold

Missouri (49 counties)

Other 2027 Wellcare plans in Missouri

Plan costs and benefits are from CMS's 2027 Medicare plan data (data as of October 27, 2026). Star ratings are CMS's 2027 Star Ratings. Every year, Medicare evaluates plans based on a 5-star rating system. Benefits, premiums and copays can change from year to year; check the plan's Evidence of Coverage, call the plan, or use Medicare.gov before you enroll.