Wellcare Premium Ultra (PFFS) in Allegany County, New York — 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 Premium Ultra (PFFS) (H2816-013) is a $127-premium Medicare Advantage PFFS from Centene Corporation available in Allegany County, New York in 2026, with a 3.5-star overall rating, a $3,400 in-network out-of-pocket maximum, and a $615 annual Part D drug deductible.

Plan facts (CMS CY2026 Landscape file)

OrganizationCentene Corporation
Plan nameWellcare Premium Ultra (PFFS)
Contract IDH2816
Plan ID013
Segment ID0
Contract year2026
Contract categoryMA-PD
Plan typePFFS
SNPNo
Monthly consolidated premium$127.00
Part C premium$127.00
Part D basic premium$0.00
Part D total premium$0.00
Annual Part D deductible$615.00
Maximum out-of-pocket (in-network)$3400.00
Overall star rating3.5

How this plan is structured

How it compares in Allegany County

The CMS CY2026 Landscape file lists 56 Medicare Advantage plans in Allegany County, New York, of which 5 carry a 5.0-star overall rating and 24 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $232.20 per month, and in-network out-of-pocket maximums range from $3000.00 to $9250.00.

Other 5.0-star Medicare Advantage plans in Allegany County (first three alphabetically):

PlanOrganizationPremiumMOOP
Independent Health's Encompass 65 (HMO)Independent Health Association, Inc.$6750.00
Independent Health's Encompass 65 RED 042 (HMO)Independent Health Association, Inc.$40.00$9250.00
Independent Health's Encompass 65 RED 043 (HMO)Independent Health Association, Inc.$190.00$7000.00

For the full county plan directory, see all Medicare plans in Allegany County, New York.

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 — H2816-013.
  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 H2816-013 means

CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H2816-013, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 2816 are the contract number issued to the organization, and the three-digit 013 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 Premium Ultra (PFFS) an HMO or PPO?

Wellcare Premium Ultra (PFFS) is a PFFS Medicare Advantage plan.

Does Wellcare Premium Ultra (PFFS) include prescription drug coverage?

Yes — Wellcare Premium Ultra (PFFS) 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 Premium Ultra (PFFS)?

The 2026 in-network maximum out-of-pocket limit for Wellcare Premium Ultra (PFFS) is $3400.00, per the CMS CY2026 Landscape file.

What counties offer Wellcare Premium Ultra (PFFS) (H2816-013)?

Wellcare Premium Ultra (PFFS) (H2816-013) is offered in 25 New York counties: Albany County, Allegany County, Broome County, Cayuga County, Chemung County, Chenango County, Cortland County, Erie County, Fulton County, Genesee County, Herkimer County, Madison County, Montgomery County, Oneida County, Onondaga County, Ontario County, Oswego County, Rensselaer County, Saratoga County, Schenectady County, Schoharie County, Schuyler County, Tioga County, Warren County, and Washington County.

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