H1416-009

Wellcare No Premium (HMO-POS) Wellcare No Premium (HMO-POS) is a Medicare Advantage (Part C) Plan by Wellcare. This page features plan details for 2024 Wellcare No Premium (HMO-POS) H1416 – 009 – 0 available in Select counties in IL. IMPORTANT: This page has been updated with plan and premium data for 2024.

H1416-009. Mental health inpatient care. In-Network: Psychiatric Hospital Services: $325.00 per day for days 1 to 4. $0.00 per day for days 5 to 90. Prior Authorization Required for Psychiatric Hospital Services. Mental health outpatient care. POS (Out-of-Network): Outpatient Mental Health Services:

Summary of Benefits - Home | Wellcare

Get 2022 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLC2020 WellCare Value (HMO-POS) - H1416-009-0 in IL Star Rating DetailsH4537-003. Wellcare Low Premium Open (PPO) 2024. H6348-007. Wellcare Mutual of Omaha Low Premium Open (PPO) 2024. H7518-004. Wellcare Mutual of Omaha No Premium Open (PPO) 2024.3 out of 5 stars* for plan year 2024. Wellcare No Premium (HMO-POS) is a HMO-POS Medicare Advantage (Medicare Part C) plan offered by WellCare Health Plans, Inc. Plan ID: H1416-077-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium.Copayment for Worldwide Urgent Coverage $120.00. Maximum Plan Benefit of $50,000. Emergency Room Visit. Copayment for Emergency Care $120.00. Copayment for Medicare Covered Emergency Care waived if you are admitted to the hospital within 24 hours. Worldwide Coverage: Copayment for Worldwide Emergency Coverage $120.00.Harmony Health Plan of Illinois Inc., H1416 Dual (Medicare Subset Zero Cost Sharing) Special Needs Plan Model of Care Score: 98.75% 3-Year Approval January 1, 2012 – December 31, 2014 Target Population The target population for WellCare’s specific product is called Access $0 Cost Share and

Copayment for Urgent Care $35.00. Copayment for Medicare Covered Urgent Care waived if you are admitted to hospital within 24 hours. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $100.00. Maximum Plan Benefit of $50,000. Emergency room visit. Emergency Care: Copayment for Emergency Care $100.00.Get 2020 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health …2020 WellCare Value (HMO-POS) - H1416-009-0 in IL Plan Benefits DetailsDental, Vision & Hearing Plans. More. AA. Log In. Create Account. View the coverage and benefits provided in the Wellcare No Premium (HMO-POS) plan from Wellcare. Alight …Get 2023 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLCGet 2023 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLCCopayment for Medicare Covered Emergency Care waived if you are admitted to the hospital within 24 hours. Worldwide Coverage: Copayment for Worldwide Emergency Coverage $135.00. Maximum Plan Benefit of $50,000. Ambulance transportation. In-Network: Ground Ambulance: Copayment for Ground Ambulance Services $225.00.Get 2024 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLC

View the coverage and benefits provided in the Wellcare No Premium (HMO-POS) plan from Wellcare. Alight Retiree Health Solutions represents Medicare plans from 59 insurers nationwide.H1416, Plan 009 Wellcare No Premium Value (HMO-POS) H1416, Plan 082 Outpatient Hospital coverage Outpatient hospital services In-Network $0 copay for diagnostic colonoscopy. $250 copay for all other outpatient services. * Out-of-Network 40% coinsurance for surgical and non-surgical services (includes diagnostic colonoscopy) * In-NetworkH1416 | Plan 009 WellCare Rx (HMO) ... H1416 | Plan 024 WellCare Advance (HMO-POS) Champaign, Cook, Kane, Kankakee, Knox, Madison, Peoria, St. Clair, Tazewell, … 5 Wellcare No Premium (HMO-POS) Annual Notice of Changes for 2024. OMB Approval 0938-1051 (Expires: February 29, 2024) Cost 2023 (this year) 2024 (next year) Inpatient hospital stays For covered admissions, per admission: In-Network: $275 copay per day, for days 1 to 8 and a $0 copay per day, for days 9 to 90 for each covered hospital stay. H9730:005-0 Wellcare No Premium Essential (HMO-POS) H9730:007-0 Wellcare Giveback (HMO) H9730:009-0 Wellcare No Premium (HMO) H9730:010-0 Wellcare Assist (HMO) Compare the 172 Medicare Advantage plans available from Wellcare through Alight Retiree Health Solutions.Quick pickles are basically condiment sunshine: they’re bright, cheery, and nobody’s ever mad to see them. I think this is especially true for pickled red onions, which improve eve...

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2.5 out of 5 stars. Wellcare Patriot Giveback (HMO-POS) is a HMO-POS Medicare Advantage (Medicare Part C) plan offered by Wellcare Health Plans, Inc. Plan ID: H1416 …An electrocardiogram (EKG) is a test that measures electrical signals in your heart. An abnormal EKG can be a sign of a heart problem. Learn more. An electrocardiogram (EKG) test i...H1416 - 035 - 0 Click to see other plans: Member Services: 1-855-292-0237 TTY users 711 — This plan information is for research purposes only. — Click here to see plans for the current plan year: Medicare Contact Information: Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options.H1416, Plan 065 Wellcare No Premium (HMO) H1416, Plan 071 Wellcare Assist (HMO) H1416, Plan 068 Maximum Out-of-Pocket Responsibility (does not include prescription drugs) $6,700 annually This is the most you will pay in copays and coinsurance for Part A and B services for the year. $5,900 annually This is the most you will pay in copays andGet 2023 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLC 2021 Medicare Advantage Plan Benefit Details for the WellCare Value (HMO-POS) - H1416-009-0. This is archive material for research purposes. Please see PDPFinder.com or MAFinder.com for current plans.

H1416 - 035 - 0 Click to see other plans: Member Services: 1-855-292-0237 TTY users 711 — This plan information is for research purposes only. — Click here to see plans for the current plan year: Medicare Contact Information: Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options.Copayment for Medicare Covered Emergency Care waived if you are admitted to the hospital within 24 hours. Worldwide Coverage: Copayment for Worldwide Emergency Coverage $120.00. Maximum Plan Benefit of $50,000. Ambulance Transportation. In-Network: Ground Ambulance: Copayment for Ground Ambulance Services $300.00.Get 2022 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLC2021 WellCare Value (HMO-POS) - H1416-009-0 in IL Plan Benefits DetailsCopayment for Worldwide Urgent Coverage $120.00. Maximum Plan Benefit of $50,000. Emergency Room Visit. Copayment for Emergency Care $120.00. Copayment for Medicare Covered Emergency Care waived if you are admitted to the hospital within 24 hours. Worldwide Coverage: Copayment for Worldwide Emergency Coverage $120.00.Out-of-Network: 40% per day for days 1 through 90. Outpatient group therapy visit with a psychiatrist. In-Network: $0 copay. Out-of-Network: 40% coinsurance. Outpatient individual therapy visit ...Get 2024 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLCOct 10, 2023 · Our nurses will give you answers to your medical questions and help you decide whether to see your doctor or go to the emergency room. Nurses are available 24 hours a day, seven days a week at 1-800-581-9952. (TTY users dial .) Wellcare No Premium (HMO-POS) is offered exclusively to enrollees eligible for Medicare. Copayment for Medicare Covered Emergency Care waived if you are admitted to the hospital within 24 hours. Worldwide Coverage: Copayment for Worldwide Emergency Coverage $100.00. Maximum Plan Benefit of $50,000. Ambulance Transportation. In-Network: Ground Ambulance: Copayment for Ground Ambulance Services $0.00.Shop for Plans. Find Medicare Plans. Learn About

Plan ID: H1416-034. Have Medicare questions? Talk to a licensed agent today to find a plan that fits your needs. Get Medicare Help. Wellcare Dual Access (HMO D-SNP) H1416-034 Plan Details. 2.5 out of 5 stars. Wellcare Dual Access (HMO D-SNP) is a HMO Medicare Advantage (Medicare Part C) plan offered by Wellcare Health Plans, Inc.

Out-of-Network: 20% per day for days 1 to 90. Urgent Care. Copayment for Urgent Care $35.00. Copayment for Medicare Covered Urgent Care waived if you are admitted to hospital within 24 hours. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $120.00. Maximum Plan Benefit of $50,000. Emergency Room Visit. Copayment for Urgent Care $35.00. Copayment for Medicare Covered Urgent Care waived if you are admitted to hospital within 24 hours. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $100.00. Maximum Plan Benefit of $50,000. Emergency room visit. Emergency Care: Copayment for Emergency Care $100.00.Canadian-based global eCommerce company Shopify said it contributed 5 million jobs and $444 billion in global economic activity in 2021. Canadian-based global eCommerce company Sho... 2.5 out of 5 stars. Wellcare No Premium (HMO-POS) is a HMO-POS Medicare Advantage (Medicare Part C) plan offered by Wellcare Health Plans, Inc. Plan ID: H1416-009. Have Medicare questions? Talk to a licensed agent today to find a plan that fits your needs. Get Medicare Help. $ 0.00. Monthly Premium. Illinois Counties Served. Copayment for Worldwide Urgent Coverage $120.00. Maximum Plan Benefit of $50,000. Emergency Room Visit. Copayment for Emergency Care $120.00. Copayment for Medicare Covered Emergency Care waived if you are admitted to the hospital within 24 hours. Worldwide Coverage: Copayment for Worldwide Emergency Coverage $120.00.H1416 | Plan 009 WellCare Rx (HMO) ... H1416 | Plan 024 WellCare Advance (HMO-POS) Champaign, Cook, Kane, Kankakee, Knox, Madison, Peoria, St. Clair, Tazewell, …H1416_2023_TN_SB_HMAPD_104497E_M ©Wellcare 2023 TN3IMRSOB04497E_R288 2023 Summary of Benefits Tennessee Wellcare Giveback (HMO) H1416 | 080 Wellcare No Premium (HMO-POS) H1416 | 077 . 2 Your Summary of Benefits We know how important it is to have a health plan you can count on.H1416, Plan 009 Wellcare Assist Compass (HMO) H1416, Plan 023 Wellcare Plus (HMO) H1416, Plan 048 Maximum out-of-Pocket Responsibility (does not include prescription drugs) $3,450 in-network annually $3,450 combined in and out-of-network annually This is the most you will pay in copays and coinsurance for Part A and B services for the year. H1416_009_2024_IL_EOC_HMAPD_127141E_C OMB Approval 0938-1051 (Expires: February 29, 2024) IL4IMREOC27141E_0009 REV H1416009000 January 1 – December 31, 2024

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H1416, Plan 079 Wellcare No Premium (HMO-POS) H1416, Plan 077 Wellcare Assist (HMO) H1416, Plan 042 Maximum Out-of-Pocket Responsibility (does not include …Read these CRM statistics to grasp why this tool is so popular and learn about its benefits, challenges, and best-ranked features. Sales | Statistics REVIEWED BY: Jess Pingrey Jess...H1416_009_H1416_048_2023_IL_ANOC_HMAPD_105433E_M. 3 Wellcare No Premium (HMO-POS) Annual Notice of Changes for 2023 OMB Approval 0938-1051 (Expires: February 29, 2024) Annual Notice of Changes for 2023 Table of ContentsH1416_009_2023_IL_EOC_HMAPD_106158E_C OMB Approval 0938-1051 (Expires: February 29, 2024) IL3IMREOC06158E_0009 H1416009000 January 1 – December 31, 2023H1416, Plan 079 Wellcare No Premium (HMO-POS) H1416, Plan 077 Wellcare Assist (HMO) H1416, Plan 042 Maximum Out-of-Pocket Responsibility (does not include …2021 WellCare Value (HMO-POS) - H1416-009-0 in IL Plan Benefits DetailsCopayment for Urgent Care $35.00. Copayment for Medicare Covered Urgent Care waived if you are admitted to hospital within 24 hours. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $100.00. Maximum Plan Benefit of $50,000. Emergency room visit. Emergency Care: Copayment for Emergency Care $100.00. 2.5 out of 5 stars* for plan year 2023. Wellcare No Premium (HMO-POS) is a HMO-POS Medicare Advantage (Medicare Part C) plan offered by WellCare Health Plans, Inc. Plan ID: H1416-076-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium. ….

H1416, Plan 009 Wellcare Assist Compass (HMO) H1416, Plan 023 Wellcare Plus (HMO) H1416, Plan 048 Maximum out-of-Pocket Responsibility (does not include prescription drugs) $3,450 in-network annually $3,450 combined in and out-of-network annually This is the most you will pay in copays and coinsurance for Part A and B services for the year. To write a number in expanded form, break apart a number, and write it as the sum of each place value. For example, 8324 = 8000 + 300 + 20 + 4. Decimals may also be expanded in a s...Initial Coverage Phase. After you pay your deductible, if applicable, up to the initial coverage limit of $5,030. Prescription Drug Tier Name. Standard Retail. Cost-Sharing 30 days. Standard ...9 Wellcare Dual Liberty (HMO D-SNP) Annual Notice of Changes for 2024. OMB Approval 0938-1051 (Expires: February 29, 2024) Cost 2023 (this year) 2024 (next year) Meals - Chronic (limitations and exclusions apply) You pay a $0 copay for chronic meals. There is a maximum of 3 meals per day for up to 28 days, for a maximum of 84 meals per month.Get 2019 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLCPlease go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options. TTY users 1-877-486-2048. or contact your local SHIP for assistance. Email a copy of the Wellcare No Premium (HMO-POS) benefit details. — Medicare Plan Features —. Monthly Premium: $0.00 (see Plan Premium Details below) Annual ...H1416, Plan 009 Wellcare Assist Compass (HMO) H1416, Plan 023 Wellcare Plus (HMO) H1416, Plan 048 Maximum out-of-Pocket Responsibility (does not include prescription drugs) $3,450 in-network annually $3,450 combined in and out-of-network annually This is the most you will pay in copays and coinsurance for Part A and B services for the year.Women of color face major obstacles to being heard, valued, and respected in their jobs. They feel their ideas aren’t heard or recognized, and they express feeling stalled in their...Wellcare No Premium (HMO-POS) Wellcare No Premium (HMO-POS) is a Medicare Advantage (Part C) Plan by Wellcare. This page features plan details for 2024 Wellcare No Premium (HMO-POS) H1416 – 009 – 0 available in Select counties in IL. IMPORTANT: This page has been updated with plan and premium data for 2024. Mental health inpatient care. In-Network: Psychiatric Hospital Services: $325.00 per day for days 1 to 4. $0.00 per day for days 5 to 90. Prior Authorization Required for Psychiatric Hospital Services. Mental health outpatient care. POS (Out-of-Network): Outpatient Mental Health Services: H1416-009, Get 2023 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLC, 2020 WellCare Value (HMO-POS) - H1416-009-0 in IL Star Rating Details, Copayment for Medicare Covered Emergency Care waived if you are admitted to the hospital within 24 hours. Worldwide Coverage: Copayment for Worldwide Emergency Coverage $100.00. Maximum Plan Benefit of $50,000. Ambulance Transportation. In-Network: Ground Ambulance: Copayment for Ground Ambulance Services $0.00., Companies that offer Illinois Insurance Company Medicare Advantage with Part D. Aetna Better Health Premier Plan. Aetna Medicare. Blue Cross Community MMAI. Blue Cross and Blue Shield of IL, NM ..., Out-of-Network: 40% per day for days 1 through 90. Outpatient group therapy visit with a psychiatrist. In-Network: $0 copay. Out-of-Network: 40% coinsurance. Outpatient individual therapy visit ... , Plan ID: H1416-009-000 * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium. Illinois Medicare beneficiaries may want to consider reviewing their Medicare Advantage (Medicare Part …, H1416_009_2023_IL_EOC_HMAPD_106158E_C OMB Approval 0938-1051 (Expires: February 29, 2024) IL3IMREOC06158E_0009 H1416009000 January 1 – December 31, 2023 , Copayment for Worldwide Urgent Coverage $100.00. Maximum Plan Benefit of $50,000. Emergency Room Visit. Copayment for Emergency Care $100.00. Copayment for Medicare Covered Emergency Care waived if you are admitted to the hospital within 24 hours. Worldwide Coverage: Copayment for Worldwide Emergency Coverage $100.00., Read these CRM statistics to grasp why this tool is so popular and learn about its benefits, challenges, and best-ranked features. Sales | Statistics REVIEWED BY: Jess Pingrey Jess..., Get 2022 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLC, 2.5 out of 5 stars* for plan year 2023. Wellcare No Premium (HMO-POS) is a HMO-POS Medicare Advantage (Medicare Part C) plan offered by WellCare Health Plans, Inc. Plan ID: H1416-076-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium., When you stay by July 18, targeted cardholders enjoy $60 off a $300 or more select purchase at Hyatt Regency hotels. Update: Some offers mentioned below are no longer available. Vi..., H1416, Plan 009 Outpatient hospital observation services In-Network $125 copay for outpatient observation services when you enter observation status through an …, H1416, Plan 009 Outpatient hospital observation services In-Network $125 copay for outpatient observation services when you enter observation status through an emergency room. $250 copay for outpatient observation services when you enter observation status through an outpatient facility. * Out-of-Network 40% coinsurance * Ambulatory surgical ..., 2021 WellCare Value (HMO-POS) - H1416-009-0 in IL Plan Benefits Details, Get 2023 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLC, H1416_009_H1416_048_2023_IL_ANOC_HMAPD_105433E_M. 3 Wellcare No Premium (HMO-POS) Annual Notice of Changes for 2023 OMB Approval 0938-1051 (Expires: February 29, 2024) Annual Notice of Changes for 2023 Table of Contents, Get 2022 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLC, Wellcare Dual Access (HMO-POS D-SNP) is a HMO-POS D-SNP Medicare Advantage (Medicare Part C) plan offered by WellCare Health Plans, Inc. Plan ID: H1416-033-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium. Arkansas Medicare beneficiaries may want to ..., Wellcare No Premium (HMO-POS) Wellcare No Premium (HMO-POS) is a Medicare Advantage (Part C) Plan by Wellcare. This page features plan details for 2024 Wellcare No Premium (HMO-POS) H1416 – 009 – 0 available in Select counties in IL. IMPORTANT: This page has been updated with plan and premium data for 2024. , H1416_009_2024_IL_EOC_HMAPD_127141E_C OMB Approval 0938-1051 (Expires: February 29, 2024) IL4IMREOC27141E_0009 REV H1416009000 January 1 – December 31, 2024, 2022 Wellcare No Premium (HMO-POS) - H1416-009-0 in IL Plan Benefits Details, 2.5 out of 5 stars. Wellcare No Premium Preferred (HMO) is a HMO Medicare Advantage (Medicare Part C) plan offered by Wellcare Health Plans, Inc. Plan ID: H1416-055. Have …, Out-of-Network: 20% per day for days 1 to 90. Urgent Care. Copayment for Urgent Care $35.00. Copayment for Medicare Covered Urgent Care waived if you are admitted to hospital within 24 hours. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $120.00. Maximum Plan Benefit of $50,000. Emergency Room Visit. , When two companies merge, the larger company often will issue shares of restricted stock to give key employees and executives of the smaller firm a stake in the newly combined comp..., Services with a square ( ) means a referral may be required. Additional Benefits. Wellcare Dual Access (HMO D-SNP) H1416, Plan 035. Virtual Visits. Our plan offers 24 hours per day, 7 days per week virtual visit access to board certified doctors via Teladoc to help address a wide variety of health concerns/questions., 5 Wellcare No Premium (HMO-POS) Annual Notice of Changes for 2024. OMB Approval 0938-1051 (Expires: February 29, 2024) Cost 2023 (this year) 2024 (next year) Inpatient hospital stays For covered admissions, per admission: In-Network: $275 copay per day, for days 1 to 8 and a $0 copay per day, for days 9 to 90 for each covered hospital stay., 2015 WellCare Value (HMO-POS) - H1416-009-0 in IL Plan Benefits Details, Out-of-Network: 20% per day for days 1 to 90. Urgent Care. Copayment for Urgent Care $35.00. Copayment for Medicare Covered Urgent Care waived if you are admitted to hospital within 24 hours. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $120.00. Maximum Plan Benefit of $50,000. Emergency Room Visit. , 2015 WellCare Value (HMO-POS) - H1416-009-0 in IL Plan Benefits Details, 24-Hour Nurse Advice Line. 1-800-581-9952. Contact Us. Wellcare Dual Liberty (HMO D-SNP) is offered exclusively to enrollees with both Medicare and Medicaid eligibility., H1416, Plan 065 Wellcare No Premium (HMO) H1416, Plan 071 Wellcare Assist (HMO) H1416, Plan 068 Inpatient Hospital coverage For each admission, you pay: • $475 copay …, 2018 WellCare Value (HMO-POS) - H1416-009-0 in IL Plan Benefits Details