Wellcare Simple (HMO-POS) Medicare Advantage Plan H6550-003 • 2026 • Cherokee County, KS
CMS Plan ID H6550-003 identifies the Medicare Advantage plan Wellcare Simple, a HMO-POS Part C plan offered by Wellcare By Allwell for the 2026 plan year. This plan uses a Health Maintenance Organization with a Point of Service (HMO-POS) provider network and comes with Part D prescription drug coverage.
Wellcare Simple Overview
Plan Overview for
H6550-003-0
|
|
|---|---|
| CMS Plan ID: |
H6550-003-0
|
| Plan Type: | HMO-POS |
| Plan Year: | 2026 |
| Monthly Premium: |
$0.00
Plus your Medicare Part B premium. |
| Medical Deductible: | $0.00 |
| Maximum Out-of-Pocket: | $5000.00 (In-Network) |
| Part B Give Back: | Not offered |
| Prescription Drug Coverage: | Enhanced, $615.00 deductible |
| Additional Benefits: | Dental, Vision, Hearing |
| Service Area: | Cherokee County, KS |
| Enrollment (Nationwide): | 457 beneficiaries |
| Enrollment (CMS – Local) | 11 beneficiaries in Cherokee County |
| Provided By: | Wellcare By Allwell |
Coverage Overview for Wellcare Simple
This Medicare Advantage MAPD HMO-POS plan includes hospital, medical, and prescription drug coverage under Medicare Parts A and B. The monthly premium is $0.00, and the plan provides coverage through a network of participating providers, with limited access to out-of-network services in certain situations. The annual Part D deductible is $615.00.
Primary care visits have a $0 copay, specialist visits come with a $25 copay, urgent care services carry a $40 copay, and ambulance transportation is $300 copay. These costs apply toward the annual maximum out-of-pocket (MOOP) limit of $5000.00. After this limit is reached, in-network services are fully covered.
This plan is registered with CMS under Plan ID H6550-003. A summary of cost sharing is provided below.
Cost-Sharing Overview
Cost-sharing for Wellcare Simple includes out-of-pocket expenses for covered healthcare services. The table below provides a summary of typical in-network out-of-pocket costs for plan H6550-003.
Certain preventive services are covered 100% by Wellcare Simple as a Part B benefit.
Prescription Drug Coverage
Wellcare Simple 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 By Allwell starts contributing towards your prescription costs.
Prescription Drug Plan Out-of-Pocket Costs
Beyond premiums and deductibles, Wellcare Simple 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 | 36% 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
Medicare Advantage (Part C) and Part D plans are rated each year by CMS on a 5-star scale. Ratings summarize plan performance across clinical care and member experience measures.
| 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 | Not enough data available |
| Drug Plan Customer Service | |
| Complaints and Changes in the Drug Plan | |
| Member Experience with the Drug Plan | |
| Drug Safety and Accuracy of Drug Pricing |
What is the monthly premium for Wellcare Simple (HMO-POS)?
The 2026 monthly premium is $0.00. The Medicare Part B premium is paid separately.
What is the in-network MOOP for plan H6550-003?
For 2026, the in-network maximum out-of-pocket is $5000.00. The plan pays 100% of covered in-network services beyond this amount.
What is the CMS star rating for Wellcare Simple?
CMS rates this plan at ★3.0 out of 5 stars for 2026.
What is the current enrollment for Wellcare Simple?
Total enrollment is 457 beneficiaries based on the latest CMS data.
What is the Part D deductible for plan H6550-003?
For 2026, the prescription drug deductible is $615.00.
Contact Information for Wellcare By Allwell
| Contact Type | Details |
|---|---|
| Website: | Wellcare By Allwell Plan Page |
| New Members: | 1-844-480-0680 |
| Existing Members: | 1-800-977-7522 |
| Plan Address: | PO Box 10420 | Van Nuys, CA 91410 |
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 By Allwell (official source) | http://www.wellcare.com/allwellKS | 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 |
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