Wellcare Dual Access (HMO D-SNP) in Briscoe County, Texas — 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 D-SNP) (H5294-015) is a $5-premium Medicare Advantage HMO D-SNP from Centene Corporation available in Briscoe County, Texas in 2026, with a 3.5-star overall rating, a $9,250 in-network out-of-pocket maximum, and a $500 annual Part D drug deductible.
Plan facts (CMS CY2026 Landscape file)
| Organization | Centene Corporation |
|---|---|
| Plan name | Wellcare Dual Access (HMO D-SNP) |
| Contract ID | H5294 |
| Plan ID | 015 |
| Segment ID | 0 |
| Contract year | 2026 |
| Contract category | SNP |
| Plan type | HMO D-SNP |
| SNP | Yes — Dual-Eligible |
| Monthly consolidated premium | $4.80 |
| Part C premium | $0.00 |
| Part D basic premium | $4.80 |
| Part D total premium | $4.80 |
| Annual Part D deductible | $500.00 |
| Maximum out-of-pocket (in-network) | $9250.00 |
| Overall star rating | 3.5 |
How this plan is structured
- $5 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 = Briscoe 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 Briscoe County
The CMS CY2026 Landscape file lists 26 Medicare Advantage plans in Briscoe County, Texas, of which 0 carry a 5.0-star overall rating and 15 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $102.00 per month, and in-network out-of-pocket maximums range from $2900.00 to $9250.00.
For the full county plan directory, see all Medicare plans in Briscoe County, Texas.
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 — H5294-015.
- 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 H5294-015 means
CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H5294-015, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 5294 are the contract number issued to the organization, and the three-digit 015 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 D-SNP) an HMO or PPO?
Wellcare Dual Access (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 Dual Access (HMO D-SNP) include prescription drug coverage?
Yes — Wellcare Dual Access (HMO D-SNP) is a Medicare Advantage plan with prescription drug coverage (MA-PD) and a $500.00 annual Part D drug deductible for 2026.
What is the maximum out-of-pocket cost for Wellcare Dual Access (HMO D-SNP)?
The 2026 in-network maximum out-of-pocket limit for Wellcare Dual Access (HMO D-SNP) is $9250.00, per the CMS CY2026 Landscape file.
What counties offer Wellcare Dual Access (HMO D-SNP) (H5294-015)?
Wellcare Dual Access (HMO D-SNP) (H5294-015) is offered in 98 Texas counties: Aransas County, Armstrong County, Atascosa County, Bailey County, Bandera County, Bee County, Borden County, Bosque County, Briscoe County, Brooks County, Calhoun County, Cameron County, Carson County, Castro County, Cochran County, Coke County, Colorado County, Crosby County, Deaf Smith County, DeWitt County, Dickens County, Dimmit County, Donley County, Duval County, Ector County, Ellis County, Erath County, Fisher County, Floyd County, Garza County, Gillespie County, Glasscock County, Goliad County, Gonzales County, Grayson County, Grimes County, Hale County, Hamilton County, Hidalgo County, Hill County, Hockley County, Hood County, Hunt County, Hutchinson County, Irion County, Jack County, Jim Hogg County, Jim Wells County, Karnes County, Kendall County, Kenedy County, Kent County, Kimble County, Kleberg County, La Salle County, Lamb County, Leon County, Limestone County, Lubbock County, Lynn County, Madison County, Martin County, Mason County, Maverick County, McCulloch County, McMullen County, Medina County, Mills County, Mitchell County, Navarro County, Nolan County, Nueces County, Palo Pinto County, Parker County, Potter County, Randall County, Real County, Refugio County, Robertson County, San Patricio County, San Saba County, Shackelford County, Smith County, Somervell County, Starr County, Sterling County, Swisher County, Terry County, Throckmorton County, Uvalde County, Van Zandt County, Victoria County, Webb County, Willacy County, Wilson County, Wise County, Zapata County, and Zavala 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.