Wellcare Patriot Giveback (HMO-POS) Medicare Advantage Plan H4847-006 • 2026 • Dorchester County, SC
Wellcare Patriot Giveback is a Medicare Advantage HMO-POS plan offered by Wellcare for the 2026 plan year. It is identified by CMS Plan ID H4847-006 and uses a Health Maintenance Organization with a Point of Service (HMO-POS) provider network. The plan comes without prescription drug coverage.
Wellcare Patriot Giveback Overview
Plan Overview for
H4847-006-0
|
|
|---|---|
| CMS Plan ID: |
H4847-006-0
|
| 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: | $9250.00 (In-Network) |
| Part B Give Back: | −$165.00 reduction |
| Prescription Drug Coverage: | Not Included |
| Additional Benefits: | Dental, Vision, Hearing |
| Service Area: | Dorchester County, SC |
| Enrollment (Nationwide): | 985 beneficiaries |
| Enrollment (CMS – Local) | 27 beneficiaries in Dorchester County |
| Provided By: | Wellcare |
Coverage Overview for Wellcare Patriot Giveback
Wellcare Patriot Giveback is a Medicare Advantage HMO-POS plan that includes Medicare Part A and Part B coverage, with limited access to out-of-network providers 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 $50 copay, urgent care services carry a $35 copay, and ambulance transportation is $290 copay. These costs apply toward the annual maximum out-of-pocket (MOOP) limit of $9250.00. After this limit is reached, in-network services are fully covered.
This plan is listed by CMS under Plan ID H4847-006. A summary of cost sharing is provided below.
Cost-Sharing Overview
Wellcare Patriot Giveback includes cost-sharing, which refers to out-of-pocket expenses for covered healthcare services. The table below outlines the most common in-network out-of-pocket costs associated with plan H4847-006.
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.
CMS 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 |
How much does plan H4847-006 cost per month?
For 2026, the monthly premium is $0.00. Medicare Part B premiums apply in addition to this amount.
What is the in-network MOOP for plan H4847-006?
For 2026, the in-network maximum out-of-pocket is $9250.00. The plan pays 100% of covered in-network services beyond this amount.
How many beneficiaries are enrolled in this plan?
Total enrollment is 985 beneficiaries based on the latest CMS data.
Is there a Part D deductible for this plan?
The Part D deductible is $0.00.
Contact Information for Wellcare
| Contact Type | Details |
|---|---|
| Website: | Wellcare Plan Page |
| New Members: | 1-844-480-0680 |
| Existing Members: | 1-866-892-8340 |
| 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 | Compare types of Medicare Advantage Plans | 25 May, 2025 |
| AARP.org | The Big Choice: Original Medicare vs. Medicare Advantage | 25 May, 2025 |
| Medicare.gov | Compare Original Medicare & Medicare Advantage | 25 May, 2025 |
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