Wellcare Patriot Giveback (HMO-POS) Medicare Advantage Plan H2491-030 • 2026 • East Baton Rouge Parish, LA

Wellcare Patriot Giveback Overview

Plan Details for Wellcare Patriot Giveback

Wellcare Patriot Giveback is a Medicare Advantage HMO-POS plan that provides Medicare Part A and Part B coverage through a network of participating providers, with limited coverage available for out-of-network services in certain situations. The monthly premium is $0.00, and costs are generally lower when services are received from in-network providers.

Primary care visits have a $0 copay, specialist visits come with a $35 copay, urgent care services carry a $35 copay, and ambulance transportation is $275 copay. These costs apply toward the maximum out-of-pocket (MOOP) limit of $7000.00. Once this limit is reached, in-network services are fully covered for the remainder of the year.

This plan is listed by CMS under Plan ID H2491-030. Cost-sharing details are provided below.

Cost Sharing Expenses

Wellcare Patriot 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 H2491-030.

Certain preventive services are covered 100% by Wellcare Patriot Giveback as a Part B benefit.

Prescription Drug Coverage

This plan does not include a Medicare Part D plan for prescriptions.

Medicare Plan 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.