Wellcare Giveback (HMO) Medicare Advantage Plan H1032-198 • 2026 • Hendry County, FL
This Medicare Advantage HMO plan, identified by CMS Plan ID H1032-198, is offered by Wellcare for the 2026 plan year. The plan uses a Health Maintenance Organization (HMO) provider network and comes with prescription coverage (Part D ).
Wellcare Giveback Overview
Plan Overview for
H1032-198-0
|
|
|---|---|
| CMS Plan ID: |
H1032-198-0
|
| Plan Type: | HMO |
| Plan Year: | 2026 |
| Monthly Premium: |
$0.00
Plus your Medicare Part B premium. |
| Medical Deductible: | $0.00 |
| Maximum Out-of-Pocket: | $7200.00 (In-Network) |
| Part B Give Back: | −$77.00 reduction |
| Prescription Drug Coverage: | Enhanced, $615.00 deductible |
| Additional Benefits: | Dental, Vision, Hearing |
| Service Area: | Hendry County, FL |
| Enrollment (Nationwide): | 769 beneficiaries |
| Enrollment (CMS – Local) | 41 beneficiaries in Hendry County |
| Provided By: | Wellcare |
Coverage Overview for Wellcare Giveback
This Medicare Advantage Prescription Drug (MAPD) HMO plan includes hospital, medical, and prescription drug coverage under Medicare Parts A and B. The monthly premium is $0.00, and services are generally covered when received from in-network providers, except in emergency situations. The annual Part D deductible is $615.00.
Primary care visits have a $0 copay, specialist visits come with a $35 copay, urgent care services carry a $25 copay, and ambulance transportation is $250 copay. These costs apply toward the annual maximum out-of-pocket (MOOP) limit of $7200.00. After this limit is reached, in-network services are fully covered.
This plan is listed by CMS under Plan ID H1032-198. A summary of cost sharing is provided below.
Cost-Sharing Overview
Wellcare Giveback has cost-sharing, meaning there are out-of-pocket costs when receiving covered healthcare services. The table below details the most common in-network out-of-pocket expenses for plan H1032-198.
Certain preventive services are covered 100% by Wellcare Giveback as a Part B benefit.
Prescription Drug Coverage
Wellcare Giveback includes a Medicare Part D prescription drug plan (PDP). Plan type and coverage level are defined by CMS and may vary between basic and enhanced benefit designs.
This plan includes an enhanced benefit Medicare Part D plan (PDP), providing coverage beyond the standard CMS-defined minimum.
Prescription Drug Plan Deductible
This plan has a $615.00 annual Part D deductible. You'll pay this deductible at the pharmacy before Wellcare starts contributing towards your prescription costs.
Prescription Drug Plan Out-of-Pocket Costs
Beyond premiums and deductibles, Wellcare Giveback may have additional costs at pharmacies. The table below outlines out-of-pocket expenses by drug tier.
| Drug Tier | Retail | Mail Order |
|---|---|---|
| Preferred Generic | $0.00 copay | Coming soon |
| Generic | $0.00 copay | Coming soon |
| Preferred Brand | 25% coinsurance | Coming soon |
| Non-Preferred Drug | 50% coinsurance | Coming soon |
| Specialty Tier | 25% coinsurance | Coming soon |
| Select Care Drugs | $0.00 copay | Coming soon |
| *Deductible does not apply. | ||
CMS 5-Star Ratings
CMS evaluates Medicare Advantage (Part C) and Part D plans annually using a 5-star rating system. Ratings reflect performance in preventive care, chronic condition management, and member experience.
| CMS Measure | Star Rating |
|---|---|
| 2026 Overall Rating | |
| Staying Healthy: Screenings, Tests, Vaccines | |
| Managing Chronic (Long Term) Conditions | |
| Member Experience with Health Plan | |
| Complaints and Changes in Plans Performance | |
| Health Plan Customer Service | |
| Drug Plan Customer Service | |
| Complaints and Changes in the Drug Plan | |
| Member Experience with the Drug Plan | Not enough data available |
| Drug Safety and Accuracy of Drug Pricing |
How much does plan H1032-198 cost per month?
For 2026, the monthly premium is $0.00. Medicare Part B premiums apply in addition to this amount.
What is the MOOP for Wellcare Giveback in 2026?
The 2026 in-network MOOP is $7200.00. Once this limit is reached, covered in-network costs are fully covered.
What is the CMS star rating for this plan?
For 2026, plan H1032-198 has a CMS star rating of ★4.0 out of 5 stars.
How many beneficiaries are enrolled in this plan?
The plan has 769 enrolled beneficiaries according to CMS.
Is there a Part D deductible for this plan?
The Part D deductible is $615.00.
Contact Information for Wellcare
| Contact Type | Details |
|---|---|
| Website: | Wellcare Plan Page |
| New Members: | 1-844-480-0680 |
| Existing Members: | 1-833-444-9088 |
| Plan Address: | PO Box 31392 | Tampa, FL 33631 |
Enrollment status and eligibility information are available through the Social Security Administration. Additional information about Medicare Advantage is available at medicare.gov.
| Data Source | Publisher | Last Accessed |
|---|---|---|
| Landscape Source Files | Centers for Medicare & Medicaid Services | September 8, 2026 |
| Medicare Part C & D Performance | Centers for Medicare & Medicaid Services | September 8, 2026 |
| Plan Benefits Package | Centers for Medicare & Medicaid Services | September 8, 2026 |
| Monthly Enrollment by Contract/Plan/State/County | Centers for Medicare & Medicaid Services | September 8, 2026 |
Data sources and methodology documentation.
| Publisher | Reference | Last Accessed |
|---|---|---|
| Wellcare (official source) | http://www.wellcare.com/medicare | October 13, 2025 |
| Medicare.gov | Understanding Medicare Advantage Plans | 25 May, 2025 |
| AARP.org | The Big Choice: Original Medicare vs. Medicare Advantage | 25 May, 2025 |
| Medicare.gov | Your coverage options | 25 May, 2025 |
MedicarePlans.com is an independent informational resource and is not affiliated with or endorsed by the U.S. Government or the federal Medicare program.
Data provenance documentation is maintained in alignment with the U.S. Core Data for Interoperability (USCDI) Provenance standard.
Page content independently curated and maintained by David W. Bynon, Editorial Steward, using a standardized, data-driven methodology for accurate, non-commercial Medicare plan interpretation and resolution.