Wellcare Dual Access (HMO-POS D-SNP) in Kent County, Michigan — 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 Dual Access (HMO-POS D-SNP) (H5475-001) is a $9-premium Medicare Advantage HMO-POS D-SNP from Centene Corporation available in Kent County, Michigan in 2026, with a 3.0-star overall rating, a $9,250 in-network out-of-pocket maximum, and a $615 annual Part D drug deductible.

Plan facts (CMS CY2026 Landscape file)

OrganizationCentene Corporation
Plan nameWellcare Dual Access (HMO-POS D-SNP)
Contract IDH5475
Plan ID001
Segment ID0
Contract year2026
Contract categorySNP
Plan typeHMO-POS D-SNP
SNPYes — Dual-Eligible
Monthly consolidated premium$8.80
Part C premium$0.00
Part D basic premium$8.80
Part D total premium$8.80
Annual Part D deductible$615.00
Maximum out-of-pocket (in-network)$9250.00
Overall star rating3.0

How this plan is structured

  • $9 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-POS 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 = Kent 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 Kent County

The CMS CY2026 Landscape file lists 80 Medicare Advantage plans in Kent County, Michigan, of which 0 carry a 5.0-star overall rating and 40 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $209.50 per month, and in-network out-of-pocket maximums range from $4000.00 to $9250.00.

For the full county plan directory, see all Medicare plans in Kent County, Michigan.

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 — H5475-001.
  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 H5475-001 means

CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H5475-001, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 5475 are the contract number issued to the organization, and the three-digit 001 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 Dual Access (HMO-POS D-SNP) an HMO or PPO?

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

Does Wellcare Dual Access (HMO-POS D-SNP) include prescription drug coverage?

Yes — Wellcare Dual Access (HMO-POS D-SNP) is a Medicare Advantage plan with prescription drug coverage (MA-PD) and a $615.00 annual Part D drug deductible for 2026.

What is the maximum out-of-pocket cost for Wellcare Dual Access (HMO-POS D-SNP)?

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

What counties offer Wellcare Dual Access (HMO-POS D-SNP) (H5475-001)?

Wellcare Dual Access (HMO-POS D-SNP) (H5475-001) is offered in 28 Michigan counties: Allegan County, Arenac County, Bay County, Genesee County, Gladwin County, Gratiot County, Hillsdale County, Huron County, Jackson County, Kent County, Lake County, Lapeer County, Livingston County, Mecosta County, Monroe County, Montcalm County, Muskegon County, Newaygo County, Oakland County, Oceana County, Osceola County, Ottawa County, Saginaw County, Sanilac County, Shiawassee County, St. Clair County, Tuscola County, and Washtenaw County.

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