Wellcare CalViva Health Dual Align (HMO D-SNP) in Kings County, California — 2026 plan details

Last updated Jul 18, 2026

Reviewed by Jason Burns, Editorial Steward

Published by Senior Direct Answers · Licensed under Citation License 1.0

Wellcare CalViva Health Dual Align (HMO D-SNP) (H3561-007) is a $12-premium Medicare Advantage HMO D-SNP from Centene Corporation available in Kings County, California in 2026, with a 3.5-star overall rating, a $9,250 in-network out-of-pocket maximum, and a $555 annual Part D drug deductible.

Plan facts (CMS CY2026 Landscape file)

OrganizationCentene Corporation
Plan nameWellcare CalViva Health Dual Align (HMO D-SNP)
Contract IDH3561
Plan ID007
Segment ID0
Contract year2026
Contract categorySNP
Plan typeHMO D-SNP
SNPYes — Dual-Eligible
Monthly consolidated premium$12.00
Part C premium$0.00
Part D basic premium$12.00
Part D total premium$12.00
Annual Part D deductible$555.00
Maximum out-of-pocket (in-network)$9250.00
Overall star rating3.5

How this plan is structured

  • $12 consolidated premium. A $0 or near-$0 consolidated premium does not remove the Part B premium — the standard 2026 Part B premium is $202.90 per month and still applies. See the 2026 Medicare Part B premium.
  • HMO D-SNP plan type. In an HMO-style Medicare Advantage plan, in-network care and primary-care referral rules generally apply. See how Medicare Advantage HMO and PPO plans differ.
  • $9,250 in-network out-of-pocket maximum. The MOOP is the annual cap on what a member pays in-network for covered Part A and Part B services. See how the Medicare Advantage MOOP works.
  • Service area = Kings County. Medicare Advantage plans are sold by service area; moving out of the plan's service area triggers a Special Enrollment Period to switch plans. See how moving changes your Medicare options.

How it compares in Kings County

The CMS CY2026 Landscape file lists 25 Medicare Advantage plans in Kings County, California, of which 0 carry a 5.0-star overall rating and 21 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $89.00 per month, and in-network out-of-pocket maximums range from $296.00 to $9250.00.

For the full county plan directory, see all Medicare plans in Kings County, California.

How to verify your doctors take this plan

Network participation changes throughout the year; we hold no provider-network data, so verify directly with these three sources before you decide:

  1. Open the plan's official Medicare.gov page and use its provider-directory link: Medicare.gov Plan Finder — H3561-007.
  2. Call the plan (Centene Corporation) using the member-services number listed on that plan page and ask whether each doctor, hospital, and pharmacy is in-network for 2026.
  3. Get free, unbiased help from your State Health Insurance Assistance Program (SHIP) — see free unbiased Medicare help from SHIP.

What H3561-007 means

CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H3561-007, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 3561 are the contract number issued to the organization, and the three-digit 007 is the plan benefit package under that contract. The segment ID 0 identifies the service-area segment within the plan (0 = the default single segment).

Frequently asked questions

Is Wellcare CalViva Health Dual Align (HMO D-SNP) an HMO or PPO?

Wellcare CalViva Health Dual Align (HMO D-SNP) is an HMO D-SNP — a Health Maintenance Organization-style Medicare Advantage plan, meaning in-network care and referral rules generally apply.

Does Wellcare CalViva Health Dual Align (HMO D-SNP) include prescription drug coverage?

Yes — Wellcare CalViva Health Dual Align (HMO D-SNP) is a Medicare Advantage plan with prescription drug coverage (MA-PD) and a $555.00 annual Part D drug deductible for 2026.

What is the maximum out-of-pocket cost for Wellcare CalViva Health Dual Align (HMO D-SNP)?

The 2026 in-network maximum out-of-pocket limit for Wellcare CalViva Health Dual Align (HMO D-SNP) is $9250.00, per the CMS CY2026 Landscape file.

What counties offer Wellcare CalViva Health Dual Align (HMO D-SNP) (H3561-007)?

Wellcare CalViva Health Dual Align (HMO D-SNP) (H3561-007) is offered in three California counties: Fresno County, Kings County, and Madera County.

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