Wellcare Dual Reserve (HMO-POS D-SNP) in Mecosta 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 Reserve (HMO-POS D-SNP) (H5475-039) is a $9-premium Medicare Advantage HMO-POS D-SNP from Centene Corporation available in Mecosta County, Michigan in 2026, with a 3.0-star overall rating, a $4,200 in-network out-of-pocket maximum, and a $615 annual Part D drug deductible.
Plan facts (CMS CY2026 Landscape file)
| Organization | Centene Corporation |
|---|---|
| Plan name | Wellcare Dual Reserve (HMO-POS D-SNP) |
| Contract ID | H5475 |
| Plan ID | 039 |
| Segment ID | 0 |
| Contract year | 2026 |
| Contract category | SNP |
| Plan type | HMO-POS D-SNP |
| SNP | Yes — 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) | $4200.00 |
| Overall star rating | 3.0 |
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.
- $4,200 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 = Mecosta 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 Mecosta County
The CMS CY2026 Landscape file lists 65 Medicare Advantage plans in Mecosta County, Michigan, of which 0 carry a 5.0-star overall rating and 33 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $225.00 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 Mecosta 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:
- Open the plan's official Medicare.gov page and use its provider-directory link: Medicare.gov Plan Finder — H5475-039.
- 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.
- Get free, unbiased help from your State Health Insurance Assistance Program (SHIP) — see free unbiased Medicare help from SHIP.
What H5475-039 means
CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H5475-039, 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 039 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 Reserve (HMO-POS D-SNP) an HMO or PPO?
Wellcare Dual Reserve (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 Reserve (HMO-POS D-SNP) include prescription drug coverage?
Yes — Wellcare Dual Reserve (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 Reserve (HMO-POS D-SNP)?
The 2026 in-network maximum out-of-pocket limit for Wellcare Dual Reserve (HMO-POS D-SNP) is $4200.00, per the CMS CY2026 Landscape file.
What counties offer Wellcare Dual Reserve (HMO-POS D-SNP) (H5475-039)?
Wellcare Dual Reserve (HMO-POS D-SNP) (H5475-039) 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.
Sources
- CMS, Plan Year 2026 Medicare Advantage & Part D Landscape source file (March 2026) — retrieved 2026-07-18. Overall star rating year: 2026.
- Medicare.gov Plan Finder — compare plans and enroll.