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Wellcare Delaware First Health Dual Select (HMO-POS D-SNP) Medicare Special Need Plan H4661-005 • 2027

CMS Rating: ☆☆☆☆☆ (2.5 out of 5 stars*)
Monthly Premium
$0.00Plus Part B premium.
Medical Deductible
$0.00
Maximum Out-of-Pocket
$3850.00In-network
Part B Giveback
Not offered
Prescription Coverage
Enhanced, $700.00 deductible
Additional Benefits
Dental, Vision, Hearing
Service Area
See List
Total Enrollment
1,432 beneficiaries
Last update:

Introduction

CMS Plan ID H4661-005 identifies Wellcare Delaware First Health Dual Select, a Medicare Advantage Dual-Eligible Special Needs Plan (D-SNP) offered by Wellcare. Its provider network is a Health Maintenance Organization with a Point of Service (HMO-POS), and Medicare Part D prescription drug coverage is included. For 2027, the plan has a $0.00 monthly premium, $0.00 medical deductible, and $3850.00 in-network maximum out-of-pocket. The 2027 Part D prescription drug deductible is $700.00.

Enrollment across the plan's service areas totals 1,432 beneficiaries, according to CMS. Enrollment is limited to beneficiaries who live within the plan's service area: See List.

Eligibility

Wellcare Delaware First Health Dual Select is a Medicare D-SNP plan for people who qualify for both Medicare and Medicaid.

Special Needs Plan Type
Dual-Eligible Special Needs Plan (D-SNP)
Medicare Requirement
Medicare Part A and Part B
Special Needs Requirement
Must qualify for Medicaid
Service Area Requirement
Must live in the plan's service area
Prescription Drug Coverage
Medicare Part D prescription drug coverage is included.

Plan Benefits

Wellcare Delaware First Health Dual Select has cost-sharing, meaning there are out-of-pocket costs when receiving covered healthcare services. The tables below detail the most common in-network out-of-pocket expenses for plan H4661-005.

Compare 2027 plan benefits with 2026.

Office Visits

Office visit costs by plan year.
Covered Service 2027 2026
Primary care In-network: $0 copay In-network: $0 copay
Specialist In-network: $0 or $15 copay In-network: $0 or $15 copay

Preventive and Wellness Services

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

Diagnostic, Lab, and Imaging Services

Diagnostic, laboratory, and imaging service costs by plan year.
Covered Service 2027 2026
Diagnostic radiology services In-network: $0 or $0-$275 copay In-network: $0 or $0-$275 copay
Lab services In-network: $0 or $0-$50 copay In-network: $0 or $0-$50 copay
Outpatient x-rays In-network: $0 or $50 copay In-network: $0 or $50 copay
Diagnostic tests and procedures In-network: $0 copay In-network: $0 copay

Emergency and Urgent Care Services

Emergency, urgent care, hospital, ambulance, and skilled nursing costs by plan year.
Covered Service 2027 2026
Emergency room care $0 or $150 copay $0 or $150 copay
Worldwide emergency care Coming soon $150 copay
Urgent care $0 or $40 copay $0 or $40 copay
Inpatient hospital care In-network:
Tier 1
$0 or $375 per day for days 1-5
$0 per day for days 6-90
$0 per stay		 In-network:
Tier 1
$0 or $350 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
$0 or $221 per day for days 21-40
$0 per day for days 41-100		 In-network:
Tier 1
$0 per day for days 1-20
$0 or $218 per day for days 21-40
$0 per day for days 41-100
Ground ambulance In-network: $0 or $275 copay In-network: $0 or $275 copay

Mental Health Services

Mental health therapy and inpatient psychiatric care costs by plan year.
Covered Service 2027 2026
Outpatient individual therapy In-network: $0 or $40 copay In-network: $0 or $40 copay
Outpatient group therapy In-network: $0 or $40 copay In-network: $0 or $40 copay
Inpatient psychiatric hospital care In-network:
Tier 1
$0 or $375 per day for days 1-5
$0 per day for days 6-90
$0 per stay		 In-network:
Tier 1
$0 or $350 per day for days 1-5
$0 per day for days 6-90
$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 In-network: $0 or $15 copay In-network: $0 or $15 copay
Occupational therapy In-network: $0 or $15 copay In-network: $0 or $15 copay

Medical Equipment and Supplies

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

Medicare Part B Drugs

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

Dental Services

Preventive and comprehensive dental service costs by plan year.
Covered Service 2027 2026
Oral exam In-network: $0 copay
Out-of-network: 25% coinsurance		 In-network: $0 copay
Out-of-network: 25% coinsurance
Dental x-rays In-network: $0 copay
Out-of-network: 25% coinsurance		 In-network: $0 copay
Out-of-network: 25% coinsurance
Cleaning In-network: $0 copay
Out-of-network: 25% coinsurance		 In-network: $0 copay
Out-of-network: 25% coinsurance
Periodontics In-network: $0 copay
Out-of-network: 25% coinsurance		 In-network: 20% coinsurance
Out-of-network: 30% coinsurance
Endodontics In-network: $0 copay
Out-of-network: 25% coinsurance		 In-network: 20% coinsurance
Out-of-network: 30% coinsurance
Restorative services In-network: $0 copay
Out-of-network: 25% coinsurance		 In-network: 20% coinsurance
Out-of-network: 30% coinsurance
Implant services Not covered Not covered
Orthodontics Not covered Not covered
Oral/Maxillofacial surgery In-network: $0 copay
Out-of-network: 25% coinsurance		 In-network: 20% coinsurance
Out-of-network: 30% coinsurance

Vision Services

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

Hearing Services

Hearing exams, fittings, and hearing aid costs by plan year.
Covered Service 2027 2026
Hearing exam In-network: $0 copay In-network: $0 copay
Fitting/evaluation In-network: $0 copay In-network: $0 copay
Prescription hearing aids In-network: $0 copay In-network: $0 copay
OTC hearing aids Not covered 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 Not covered Not covered
Home-based palliative care Not covered Not covered
Personal emergency response system Coming soon Not covered
Weight management programs Not covered Not covered
Wigs for chemotherapy-related hair loss Coming soon Not covered
Alternative therapies In-network: $0 copay In-network: $0 copay
Massage therapy Not covered Not covered
Home/bathroom safety devices Not covered Not covered

Certain preventive services are covered 100% by Wellcare Delaware First Health Dual Select as a Part B benefit.

Prescription Drug Coverage

Wellcare Delaware First Health Dual Select 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.

Prescription Drug Plan Premium

The Part D prescription drug plan premium is included in the overall Medicare Advantage plan cost. Additional adjustments may apply through the Low-Income Subsidy (LIS) program, also known as Extra Help, administered by Social Security. LIS benefits are separate from Medicare Special Needs Plan coverage.

Wellcare Delaware First Health Dual Select (H4661-005-0) Prescription Drug Plan Premium Details
Part D Premium Component Amount
Basic Part D Premium:($0.40)
Supplemental Part D Premium:$0.40
Total Part D Premium:$0.00
Low-Income Premium Subsidy:$7.88
Low-Income Premium Subsidy Paid by CMS:$0.00
Low-Income Subsidy Premium:$0.00

For more details, visit the Social Security Extra Help program .

Prescription Drug Plan Deductible

This plan has a $700.00 annual Part D deductible. You'll pay this deductible at the pharmacy before Wellcare starts contributing towards your prescription costs.

Prescription Drug Plan Out-of-Pocket Costs

Beyond premiums and deductibles, Wellcare Delaware First Health Dual Select may have additional costs at pharmacies. The table below outlines out-of-pocket expenses by drug tier.

Wellcare Delaware First Health Dual Select (H4661-005-0) Pharmacy Out-of-Pocket Costs by Drug Tier
Drug Tier Retail Mail Order
Generic$0.00 copay$19.00 copay
Preferred Brand25% coinsurance25% coinsurance
Non-Preferred Drug29% coinsurance$100.00 copay
Injectable Drugs25% coinsuranceNot available
Specialty Tier25% coinsurance25% coinsurance
Select Care Drugs$0.00 copay$0.00 copay
Preferred GenericNot available$18.00 copay
*Deductible does not apply.

CMS 5-Star Performance Ratings (Contract ID: H4661)

Medicare assigns star ratings to plans based on quality and performance across multiple measures, including customer service, member experience, and health outcomes. Ratings are updated annually by the Centers for Medicare & Medicaid Services (CMS) and are shown on a 1 to 5 star scale, with 5 stars representing the highest quality.

2027 Medicare Star Ratings for Contract H4661
CMS Measure Star Rating
2027 Overall Rating ☆☆☆☆☆
Staying Healthy: Screenings, Tests, Vaccines Plan too new to be measured
Managing Chronic (Long Term) Conditions Plan too new to be measured
Member Experience with Health Plan Plan too new to be measured
Complaints and Changes in Plans Performance Plan too new to be measured
Health Plan Customer Service Plan too new to be measured
Drug Plan Customer Service ☆☆☆☆☆
Complaints and Changes in the Drug Plan Plan too new to be measured
Member Experience with the Drug Plan Plan too new to be measured
Drug Safety and Accuracy of Drug Pricing ☆☆☆☆☆

Plan Availability

Wellcare Delaware First Health Dual Select (H4661-005-0) is available in the following locations (click to open):

Kent
New Castle
Sussex
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 November 10, 2026
Medicare Part C & D Performance Centers for Medicare & Medicaid Services November 10, 2026
Plan Benefits Package Centers for Medicare & Medicaid Services November 10, 2026
Monthly Enrollment by Contract/Plan/State/County Centers for Medicare & Medicaid Services November 10, 2026

Data sources and methodology documentation.

Official plan information and secondary Medicare references.
Publisher Reference Last Accessed
Wellcare (official source) http://www.wellcare.com/DE October 4, 2026
CMS.gov Dual Eligible Special Needs Plans (D-SNPs) April 28, 2026
Medicare.gov Understanding Medicare Advantage Plans April 28, 2026
NCOA.org 5 Steps to Choosing the Right Medicare Plan for You April 28, 2026

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