Wellcare Low Premium (HMO-POS) in Coos County, Oregon — 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 Low Premium (HMO-POS) (H6815-038) is a $35-premium Medicare Advantage HMO-POS from Centene Corporation available in Coos County, Oregon in 2026, with a 3.0-star overall rating, a $7,900 in-network out-of-pocket maximum, and a $615 annual Part D drug deductible.

Plan facts (CMS CY2026 Landscape file)

OrganizationCentene Corporation
Plan nameWellcare Low Premium (HMO-POS)
Contract IDH6815
Plan ID038
Segment ID0
Contract year2026
Contract categoryMA-PD
Plan typeHMO-POS
SNPNo
Monthly consolidated premium$35.00
Part C premium$35.00
Part D basic premium$9.60
Part D total premium$0.00
Annual Part D deductible$615.00
Maximum out-of-pocket (in-network)$7900.00
Overall star rating3.0

How this plan is structured

  • $35 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 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.
  • $7,900 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 = Coos 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 Coos County

The CMS CY2026 Landscape file lists 1 Medicare Advantage plans in Coos County, Oregon, of which 0 carry a 5.0-star overall rating and 0 have a $0 consolidated monthly premium. Consolidated premiums range from $35.00 to $35.00 per month, and in-network out-of-pocket maximums range from $7900.00 to $7900.00.

For the full county plan directory, see all Medicare plans in Coos County, Oregon.

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 — H6815-038.
  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 H6815-038 means

CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H6815-038, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 6815 are the contract number issued to the organization, and the three-digit 038 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 Low Premium (HMO-POS) an HMO or PPO?

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

Does Wellcare Low Premium (HMO-POS) include prescription drug coverage?

Yes — Wellcare Low Premium (HMO-POS) 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 Low Premium (HMO-POS)?

The 2026 in-network maximum out-of-pocket limit for Wellcare Low Premium (HMO-POS) is $7900.00, per the CMS CY2026 Landscape file.

What counties offer Wellcare Low Premium (HMO-POS) (H6815-038)?

Wellcare Low Premium (HMO-POS) (H6815-038) is offered in twelve Oregon counties: Benton County, Clackamas County, Columbia County, Coos County, Douglas County, Lane County, Linn County, Marion County, Multnomah County, Polk County, Washington County, and Yamhill County.

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