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Wellcare Patriot Giveback Open (PPO) Medicare Advantage Plan H7518-002 • 2027

CMS Rating: ☆☆☆☆☆ (3.0 out of 5 stars*)
Monthly Premium
$0.00Plus Part B premium.
Medical Deductible
Coming soon
Maximum Out-of-Pocket
$4000.00In-network
Part B Giveback
Coming soon
Prescription Coverage
Not Included
Additional Benefits
None
Service Area
See List
Total Enrollment
1,266 beneficiaries
Last update:

Wellcare Patriot Giveback Open (PPO) Introduction

This Medicare Advantage PPO plan, Wellcare Patriot Giveback Open, is offered by Wellcare and uses a Preferred Provider Organization (PPO) provider network. It comes without prescription drug coverage. For the 2027 plan year, the monthly premium is $0.00, the medical deductible is Coming soon, and the in-network maximum out-of-pocket is $4000.00. The plan is identified by CMS Plan ID H7518-002.

Plan Benefits

Cost-sharing for Wellcare Patriot Giveback Open 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 H7518-002.

Compare 2027 plan benefits with 2026.

Office Visits

Office visit costs by plan year.
Covered Service 2027 2026
Primary care Coming soon In-network: $0 copay
Out-of-network: $35 copay
Specialist Coming soon In-network: $10 copay
Out-of-network: $70 copay

Preventive and Wellness Services

Preventive and wellness service costs and benefits by plan year.
Covered Service 2027 2026
Annual wellness exam Coming soon In-network: $0 copay
Telehealth benefit Coming soon In-network: $0-$30 copay
Routine chiropractic Coming soon In-network: $10 copay
Out-of-network: 40% coinsurance
Fitness benefits Coming soon In-network: $0 copay
Out-of-network: $0 copay
Health education Coming soon Not covered
Counseling services Coming soon Not covered
Over-the-counter drug benefits Coming soon In-network: $0 copay
Out-of-network: $0 copay
Health transportation (non-emergency) Coming soon In-network: $0 copay
Out-of-network: 75% coinsurance

Diagnostic, Lab, and Imaging Services

Diagnostic, laboratory, and imaging service costs by plan year.
Covered Service 2027 2026
Diagnostic radiology services Coming soon In-network: $0-$200 copay
Out-of-network: 40% coinsurance
Lab services Coming soon In-network: $0-$50 copay
Out-of-network: 40% coinsurance
Outpatient x-rays Coming soon In-network: $20 copay
Out-of-network: 40% coinsurance
Diagnostic tests and procedures Coming soon In-network: $0-$50 copay
Out-of-network: 40% coinsurance

Emergency and Urgent Care Services

Emergency, urgent care, hospital, ambulance, and skilled nursing costs by plan year.
Covered Service 2027 2026
Emergency room care Coming soon $150 copay
Worldwide emergency care Coming soon $150 copay
Urgent care Coming soon $30 copay
Inpatient hospital care Coming soon In-network:
Tier 1
$325 per day for days 1-5
$0 per day for days 6-90
$0 per stay
Out-of-network:
30% per day for days 1-90
0% per stay
Skilled Nursing Facility Coming soon In-network:
Tier 1
$0 per day for days 1-20
$218 per day for days 21-40
$0 per day for days 41-100
Out-of-network:
30% per day for days 1-100
0% per stay
Ground ambulance Coming soon In-network: $250 copay
Out-of-network: $250 copay

Mental Health Services

Mental health therapy and inpatient psychiatric care costs by plan year.
Covered Service 2027 2026
Outpatient individual therapy Coming soon In-network: $0 copay
Out-of-network: 40% coinsurance
Outpatient group therapy Coming soon In-network: $0 copay
Out-of-network: 40% coinsurance
Inpatient psychiatric hospital care Coming soon In-network:
Tier 1
$325 per day for days 1-5
$0 per day for days 6-90
$0 per stay
Out-of-network:
30% per day for days 1-90
0% per stay

Rehabilitation Services

Physical, speech, and occupational therapy costs by plan year.
Covered Service 2027 2026
Physical therapy and speech and language therapy Coming soon In-network: $25 copay
Out-of-network: 40% coinsurance
Occupational therapy Coming soon In-network: $25 copay
Out-of-network: 40% coinsurance

Medical Equipment and Supplies

Diabetes supplies, durable medical equipment, and prosthetic costs by plan year.
Covered Service 2027 2026
Diabetes supplies Coming soon In-network: $0 copay
Out-of-network: 40% coinsurance
Durable medical equipment Coming soon In-network: 20% coinsurance
Out-of-network: 40% coinsurance
Prosthetics Coming soon In-network: 20% coinsurance
Out-of-network: 40% coinsurance

Medicare Part B Drugs

Chemotherapy and other Medicare Part B-covered drug costs by plan year.
Covered Service 2027 2026
Chemotherapy Coming soon In-network: 0%-20% coinsurance
Out-of-network: 0%-40% coinsurance
Other Part B drugs (Medicare-covered) Coming soon In-network: 0%-20% coinsurance
Out-of-network: 0%-40% coinsurance

Dental Services

Preventive and comprehensive dental service costs by plan year.
Covered Service 2027 2026
Oral exam Coming soon In-network: $0 copay
Out-of-network: 50% coinsurance
Dental x-rays Coming soon In-network: $0 copay
Out-of-network: 50% coinsurance
Cleaning Coming soon In-network: $0 copay
Out-of-network: 50% coinsurance
Periodontics Coming soon In-network: $0 copay
Out-of-network: 50% coinsurance
Endodontics Coming soon In-network: $0 copay
Out-of-network: 50% coinsurance
Restorative services Coming soon In-network: $0 copay
Out-of-network: 50% coinsurance
Implant services Coming soon Not covered
Orthodontics Coming soon Not covered
Oral/Maxillofacial surgery Coming soon In-network: $0 copay
Out-of-network: 50% coinsurance

Vision Services

Routine eye exams, contact lenses, and eyewear costs by plan year.
Covered Service 2027 2026
Routine eye exam Coming soon In-network: $0 copay
Out-of-network: 40% coinsurance
Contact lenses Coming soon In-network: $0 copay
Out-of-network: 40% coinsurance
Eyeglass frames only Coming soon In-network: $0 copay
Out-of-network: 40% coinsurance
Eyeglass lenses only Coming soon In-network: $0 copay
Out-of-network: 40% coinsurance
Eyeglasses (frames & lenses) Coming soon In-network: $0 copay
Out-of-network: 40% coinsurance
Upgrades Coming soon In-network: $0 copay
Out-of-network: 40% coinsurance

Hearing Services

Hearing exams, fittings, and hearing aid costs by plan year.
Covered Service 2027 2026
Hearing exam Coming soon In-network: $0 copay
Out-of-network: 40% coinsurance
Fitting/evaluation Coming soon In-network: $0 copay
Out-of-network: 40% coinsurance
Prescription hearing aids Coming soon In-network: $0 copay
Out-of-network: 40% coinsurance
OTC hearing aids Coming soon Not covered

Additional and Special Needs Services

Additional and special needs service costs and benefits by plan year.
Covered Service 2027 2026
Adult day health services Coming soon Not covered
Home-based palliative care Coming soon Not covered
Personal emergency response system Coming soon In-network: $0 copay
Out-of-network: $0 copay
Weight management programs Coming soon Not covered
Wigs for chemotherapy-related hair loss Coming soon Not covered
Alternative therapies Coming soon In-network: $0 copay
Out-of-network: $0 copay
Massage therapy Coming soon Not covered
Home/bathroom safety devices Coming soon Not covered

Certain preventive services are covered 100% by Wellcare Patriot Giveback Open 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: H7518)

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 H7518
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 Not enough data available
Drug Plan Customer Service Not enough data available
Complaints and Changes in the Drug Plan ☆☆☆☆☆
Member Experience with the Drug Plan Not enough data available
Drug Safety and Accuracy of Drug Pricing ☆☆☆☆☆

Plan Availability

Wellcare Patriot Giveback Open (H7518-002-0) is available in the following locations:

Missouri Counties Served

Frequently Asked Questions

Here are some of the most frequently asked questions about this plan (click to open).

Frequently Asked Questions About Wellcare Patriot Giveback Open (PPO)

What is the monthly premium for Wellcare Patriot Giveback Open (PPO)?

The 2027 monthly premium is $0.00. The Medicare Part B premium is paid separately.

What is the in-network MOOP for plan H7518-002?

For 2027, the in-network maximum out-of-pocket is $4000.00. The plan pays 100% of covered in-network services beyond this amount.

What is the total enrollment for plan H7518-002?

Total enrollment is 1,266 beneficiaries based on the latest CMS data.

What is the Part D deductible for plan H7518-002?

The plan’s Part D deductible is $0.00, applied to covered prescription drug costs.

Medicare Plan Data Sources and Methodology
Primary CMS datasets used for this Medicare Advantage Plan resource.
Data Source Publisher Last Accessed
Landscape Source Files Centers for Medicare & Medicaid Services October 5, 2026
Medicare Part C & D Performance Centers for Medicare & Medicaid Services October 5, 2026
Plan Benefits Package Centers for Medicare & Medicaid Services October 5, 2026
Monthly Enrollment by Contract/Plan/State/County Centers for Medicare & Medicaid Services October 5, 2026

Data sources and methodology documentation.

Official plan information and secondary Medicare references.
Publisher Reference Last Accessed
Wellcare (official source) http://www.wellcare.com/medicare 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.