Wellcare Patriot Simple (HMO-POS)
The Wellcare Patriot Simple (HMO-POS) is a 2026 HMO-POS Medicare Advantage plan from Wellcare with a 3.5-star CMS rating. It may include allowances for dental, vision, and hearing. It's available in 141 counties across 1 state.
Reviewed by the Medicare Advocates team · 2026 plan year · sourced from CMS data
Offered in 141 counties across 1 state
- Monthly premiumVaries
- Overall star rating3.5 / 5
- In-network max out-of-pocket$3,400
- Dental$5,000
- Vision$400
- Hearing$1,000
2026 plan-year figures (premium, star rating, MOOP) from the CMS Landscape file; allowance amounts from CMS PBP data. Amounts vary by plan; not all plans offer all benefits.
What the Wellcare Patriot Simple (HMO-POS) plan may include
- Dental: up to $5,000 per year in plan allowance (2026).
- Vision: up to $400 per year in plan allowance (2026).
- Hearing: up to $1,000 per year in plan allowance (2026).
Costs & coverage detail
Doctor visits
- Primary care visit$0
- Specialist visit$0
Emergency & urgent care
- Emergency room$150 copay
- Urgent care$35 copay
Tests, labs & imaging
- Lab services$0–$50 copay
- Diagnostic tests & procedures$0–$20 copay
- X-rays$25 copay
- Diagnostic radiology (CT/MRI/PET)$0–$300 copay
Outpatient hospital & surgery
- Outpatient hospital services$0–$300 copay
- Ambulatory surgical center$250 copay
- Outpatient substance abuse (individual)$0
Home health & equipment
- Home health care$0
Medical equipment & supplies
- Durable medical equipment (DME)20% coinsurance
Ambulance
- Ground ambulance$200 copay
Dental
- Preventive dental (exams, cleanings, X-rays)$0
- Comprehensive dental (restorative)$0
Vision
- Routine eye exam$0
- Eyewear (glasses/contacts)$0
Hearing
- Routine hearing exam$0
- Hearing aids$0
Hospital stays
- Inpatient hospital$350/day, days 1–5; $0/day, days 6–90
- Skilled nursing facility (SNF)$0/day, days 1–20; $218/day, days 21–40; $0/day, days 41–100
In-network, Medicare-covered cost sharing for the 2026 plan year (CMS PBP data). Costs vary by service and setting; see the Summary of Benefits for full detail.
Extra benefit allowances
- Comprehensive dental allowance$5,000 per year
- Eyewear allowance$400 per year
- Hearing aid allowance$1,000 per year
Preventive services
This plan covers $0 for all preventive services covered under Original Medicare when you use an in-network provider — including annual wellness visits, recommended screenings, and vaccines.
Common questions
- What is the Wellcare Patriot Simple (HMO-POS) plan?
- It is a Medicare Advantage plan (CMS plan ID H1112-034-000) offered by Wellcare for the 2026 plan year. Medicare Advantage plans bundle your Part A and Part B coverage, and most include extra benefits Original Medicare does not.
- What extra benefits could this plan include?
- Depending on the plan, supplemental benefits may include allowances toward dental, vision, hearing. Amounts shown are for the 2026 plan year and vary by plan and area. A licensed agent can confirm what is available to you.
- Where is this plan available?
- For 2026, this plan is offered in 141 counties across 1 state. Availability and benefits depend on your specific ZIP code.
- How do I enroll or compare plans?
- Call to speak with a licensed insurance agent who can review this plan alongside the other options in your area at no cost. There is no obligation to enroll, and enrollment may be limited to certain times of year unless you qualify for a Special Enrollment Period.
Counties served
Georgia (141 counties)
Appling, Atkinson, Bacon, Baker, Baldwin, Banks, Barrow, Bartow, Ben Hill, Berrien, Bibb, Bleckley, Brantley, Brooks, Bryan, Burke, Butts, Camden, Candler, Catoosa, Charlton, Chatham, Chattahoochee, Chattooga, Cherokee, Clarke, Clayton, Clinch, Coffee, Colquitt, Columbia, Cook, Coweta, Crawford, Crisp, Dade, Dawson, DeKalb, Decatur, Dodge, Dooly, Douglas, Echols, Elbert, Emanuel, Evans, Fannin, Fayette, Forsyth, Franklin, Fulton, Gilmer, Glascock, Grady, Greene, Gwinnett, Habersham, Hall, Hancock, Haralson, Harris, Hart, Heard, Henry, Houston, Irwin, Jackson, Jasper, Jeff Davis, Jefferson, Jenkins, Johnson, Jones, Lamar, Lanier, Laurens, Liberty, Lincoln, Long, Lowndes, Lumpkin, Macon, Madison, Marion, McDuffie, McIntosh, Meriwether, Miller, Mitchell, Monroe, Montgomery, Morgan, Murray, Muscogee, Newton, Oconee, Oglethorpe, Paulding, Peach, Pickens, Pike, Pulaski, Putnam, Quitman, Rabun, Randolph, Richmond, Rockdale, Schley, Screven, Seminole, Spalding, Stephens, Stewart, Talbot, Taliaferro, Tattnall, Taylor, Telfair, Thomas, Tift, Towns, Treutlen, Troup, Turner, Twiggs, Union, Upson, Walker, Walton, Ware, Warren, Washington, Wayne, Webster, Wheeler, White, Wilcox, Wilkes, Wilkinson, Worth
Ready when you are.
No cost. No pressure. There is no obligation to enroll.One Advocate, for as long as you’re on Medicare.