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Wellcare Fidelis Patriot Simple (HMO-POS) Medicare Advantage Plan H5599-010 • 2027 • Bronx County, NY

CMS Rating: ☆☆☆☆☆ (3.0 out of 5 stars*)
Monthly Premium
$0.00Plus Part B premium.
Medical Deductible
$0.00
Maximum Out-of-Pocket
$9850.00In-network
Part B Giveback
Not offered
Prescription Coverage
Not Included
Additional Benefits
Dental, Vision, Hearing
Service Area
Bronx County, NY
Local Enrollment
0 beneficiaries in Bronx County
Last update:

Wellcare Fidelis Patriot Simple (HMO-POS) Introduction

This Medicare Advantage HMO-POS plan, Wellcare Fidelis Patriot Simple, is offered by Wellcare By Fidelis Care and uses a Health Maintenance Organization with a Point of Service (HMO-POS) provider network. It comes without prescription drug coverage. For the 2027 plan year, the monthly premium is $0.00, the medical deductible is $0.00, and the in-network maximum out-of-pocket is $9850.00. The plan is identified by CMS Plan ID H5599-010.

Qualifying residents of Bronx County, New York may enroll in this plan. CMS enrollment data reports 0 plan members in Bronx County. New members can call the plan directly at (844)480-0680 (TTY 711) for assistance.

Compare Similar Plans in Bronx County

Compare this plan with the two most-enrolled HMO-POS plans available in Bronx County, New York. Enrollment is based on CMS local enrollment data.

HMO-POS plan comparison for Bronx County, New York
Plan Detail Wellcare Fidelis Patriot Simple AARP Medicare Advantage from UHC NY-0005 Anthem Medicare Advantage
CMS Plan ID H5599-010-0 H3379-001-0 H8432-040-0
Local Enrollment 0 1,561 1,322
Monthly Premium $0.00 $91.00 $44.00
Medical Deductible $0.00 $0.00 $0.00
Maximum Out-of-Pocket $9,850.00 $9,250.00 $9,250.00
Part B Giveback Not offered Not offered Not offered
Primary Care $0 copay $0 copay $0 copay
Specialist $20 copay $0-$60 copay $40 copay
Part D Deductible Not Applicable $685.00 $150.00
CMS Star Rating 3.0 3.5 3.0
Dental $0 copay $0 copay $0 copay
Vision $0 copay $0 copay $0 copay
Hearing $0 copay $0 copay Not covered

Plan Benefits

Cost-sharing for Wellcare Fidelis Patriot Simple includes out-of-pocket expenses for covered healthcare services. The following tables provide a summary of typical in-network out-of-pocket costs for plan H5599-010.

You can also compare 2027 costs and coverage with last year, side-by-side: Plan H5599-010-0 Cost Compare.

Office Visits

Primary care
In-network: $0 copay
Specialist
In-network: $20 copay

Preventive and Wellness Services

Annual wellness exam
In-network: $0 copay
Telehealth benefit
In-network: $0-$25 copay
Routine chiropractic
In-network: $15 copay
Fitness benefits
Coming soon
Health education
Not covered
Counseling services
Not covered
Over-the-counter drug benefits
In-network: $0 copay
Health transportation (non-emergency)
Coming soon

Diagnostic, Lab, and Imaging Services

Diagnostic radiology services
In-network: $0-$75 copay
Lab services
In-network: $0-$50 copay
Outpatient x-rays
In-network: $50 copay
Diagnostic tests and procedures
In-network: $0-$85 copay

Emergency and Urgent Care Services

Emergency room care
$115 copay
Worldwide emergency care
Coming soon
Urgent care
$25 copay
Inpatient hospital care
In-network:
Tier 1
$400 per day for days 1-5
$0 per day for days 6-90
$0 per stay
Skilled Nursing Facility
In-network:
Tier 1
$0 per day for days 1-20
$221 per day for days 21-70
$0 per day for days 71-100
Ground ambulance
In-network: $250 copay

Mental Health Services

Outpatient individual therapy
In-network: $0 copay
Outpatient group therapy
In-network: $0 copay
Inpatient psychiatric hospital care
In-network:
Tier 1
$400 per day for days 1-5
$0 per day for days 6-90
$0 per stay

Rehabilitation Services

Physical therapy and speech and language therapy
In-network: $20 copay
Occupational therapy
In-network: $20 copay

Medical Equipment and Supplies

Diabetes supplies
In-network: $0 copay
Durable medical equipment
In-network: 20% coinsurance
Prosthetics
In-network: 20% coinsurance

Medicare Part B Drugs

Chemotherapy
In-network: 0%-20% coinsurance
Other Part B drugs (Medicare-covered)
In-network: 0%-20% coinsurance

Dental Services

Oral exam
In-network: $0 copay
Out-of-network: 25% coinsurance
Dental x-rays
In-network: $0 copay
Out-of-network: 25% coinsurance
Cleaning
In-network: $0 copay
Out-of-network: 25% coinsurance
Periodontics
In-network: $0 copay
Out-of-network: 25% coinsurance
Endodontics
In-network: $0 copay
Out-of-network: 25% coinsurance
Restorative services
In-network: $0 copay
Out-of-network: 25% coinsurance
Implant services
Not covered
Orthodontics
Not covered
Oral/Maxillofacial surgery
In-network: $0 copay
Out-of-network: 25% coinsurance

Vision Services

Routine eye exam
In-network: $0 copay
Contact lenses
In-network: $0 copay
Eyeglass frames only
In-network: $0 copay
Eyeglass lenses only
In-network: $0 copay
Eyeglasses (frames & lenses)
In-network: $0 copay
Upgrades
In-network: $0 copay

Hearing Services

Hearing exam
In-network: $0 copay
Fitting/evaluation
In-network: $0 copay
Prescription hearing aids
In-network: $0 copay
OTC hearing aids
Not covered

Additional and Special Needs Services

Adult day health services
Not covered
Home-based palliative care
Not covered
Personal emergency response system
Coming soon
Weight management programs
Not covered
Wigs for chemotherapy-related hair loss
Coming soon
Alternative therapies
In-network: $0 copay
Massage therapy
Not covered
Home/bathroom safety devices
Not covered

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

Prescription Drug Coverage

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

CMS 5-Star Performance Ratings (Contract ID: H5599)

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.

2027 Medicare Star Ratings for Contract H5599
CMS Measure Star Rating
2027 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 ☆☆☆☆☆
Medicare Plan Data Sources and Methodology
Primary CMS datasets used for this Medicare Advantage Plan resource.
Data Source Publisher CMS Version
Landscape Source Files Centers for Medicare & Medicaid Services CY2027 Landscape (202609.1)
Medicare Part C & D Performance Centers for Medicare & Medicaid Services 2027 Star Ratings Data Tables
Plan Benefits Package Centers for Medicare & Medicaid Services PBP Benefits-2027
Monthly Enrollment by Contract/Plan/State/County Centers for Medicare & Medicaid Services 2026-09

Data sources and methodology documentation.

Official plan information and secondary Medicare references.
Publisher Reference Last Accessed
Wellcare By Fidelis Care (official source) http://go.wellcare.com/FidelisNY October 4, 2026
CMS.gov Medicare Advantage Plan Fact Sheet 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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Data provenance documentation is maintained in alignment with the U.S. Core Data for Interoperability (USCDI) Provenance standard.