Skip to content
The Pocket Protector, home
Medicare Advantage · Local PPO
Wellcare
Plan year 2027

Wellcare Low Premium Value Open (PPO) H5439-023

Monthly premium
$22
+ your Part B premium
Max out-of-pocket
$7,900
in-network annual cap
Primary care
$0
per visit copay
Specialist
$35
per visit

Your costs at a glanceIn-network, for the 2027 plan year

Medical deductible
$150
Max out-of-pocket, in and out of network
$7,900
Rx deductible
$700
Inpatient hospital
Days 1-4: $600/day, Days 5-90: $0/day
Inpatient mental health
Days 1-5: $400/day, Days 6-90: $0/day
Outpatient surgery
$500
Emergency room
$115
Urgent care
$40

What's included, and what it's actually worth3 benefits included. Tap any card for the detail

Hearing

$350/yr hearing aid allowance
Hearing aid allowance$350/yr hearing aid allowance
This is a supplemental benefit with plan-specific limits. See plan documents for details.
See more details about this plan
Doctor Visits: PCP$0 copay
In-network$0 copay per visit
Doctor Visits: Specialist$35 copay
In-network$35 copay per visit
Inpatient Hospital$600/day, days 1–4
In-networkDays 1-4: $600/day, Days 5-90: $0/day
Outpatient Surgery$500 copay
In-network$500 copay per procedure
Mental HealthDays 1-5: $400/day, Days 6-90: $0/day
Inpatient psychiatricDays 1-5: $400/day, Days 6-90: $0/day
VisionRoutine vision benefit
DetailsRoutine vision benefit
This is a supplemental benefit with plan-specific limits. See plan documents for details.
Fitness$0 fitness benefit

Your coverageCheck your coverageFrom the doctors and prescriptions you added

Our take

Where this plan shines

See your primary doctor for $0.

Things to know before you enroll

This plan’s out-of-pocket maximum is above the national median.
Limited coverage while traveling outside the plan’s service area.
Questions? Talk to a licensed agent at1-866-764-3312 (TTY: 711)

Plan documents

Plan questions

Common questions about Wellcare Low Premium Value Open (PPO) (Local PPO)

What does Wellcare Low Premium Value Open (PPO) (Local PPO) cover?

Wellcare Low Premium Value Open (PPO) (Local PPO) is a Medicare Advantage plan that the current plan record identifies as including Part D prescription drug coverage. The plan record also identifies Part D prescription drug coverage. Published supplemental benefits include vision (Routine vision benefit), hearing ($350/yr hearing aid allowance), and fitness ($0 fitness benefit). Review the plan documents for covered services, limits, and rules. Coverage can change each plan year.

Learn about Medicare Advantage

How much does Wellcare Low Premium Value Open (PPO) (Local PPO) cost in 2027?

The published 2027 monthly plan premium for Wellcare Low Premium Value Open (PPO) (Local PPO) is $22. Any Medicare premiums you owe are separate from the listed plan premium. The listed medical deductible is $150. The listed Part D deductible is $700. The in-network medical out-of-pocket maximum is $7,900; it does not include Part D drug spending. Published visit costs include primary care $0 and specialist visits $35. These figures are plan data, not a personal yearly-cost estimate.

Understand Medicare drug-cost limits

Can I use my current doctors with Wellcare Low Premium Value Open (PPO) (Local PPO)?

CMS lists Wellcare Low Premium Value Open (PPO) (Local PPO) as a Local PPO plan. A network label alone does not confirm that a specific doctor participates. Use the doctor lookup tool, then confirm with the doctor's office and the plan before receiving care. Provider networks and member costs can change. Emergency care and travel coverage can follow different network rules.

Check your doctors

Does Wellcare Low Premium Value Open (PPO) (Local PPO) cover my prescriptions?

The current plan record for Wellcare Low Premium Value Open (PPO) (Local PPO) does not include tier-level formulary costs. The listed Part D deductible is $700. A tier listing does not confirm that a specific prescription is covered. Check each medication against the plan's current formulary, restrictions, pharmacy network, and costs before enrolling.

Check your prescriptions

What dental, vision, and hearing benefits does Wellcare Low Premium Value Open (PPO) (Local PPO) include?

The current plan record for Wellcare Low Premium Value Open (PPO) (Local PPO) lists vision (Routine vision benefit) and hearing ($350/yr hearing aid allowance). The current data does not list dental as offered benefits. Benefit allowances, frequency, eligibility, and participating providers can have additional limits, so review the Summary of Benefits or Evidence of Coverage for the complete rules.

When can I enroll in Wellcare Low Premium Value Open (PPO) (Local PPO)?

Wellcare Low Premium Value Open (PPO) (Local PPO) is a 2027 Medicare Advantage plan. The Annual Enrollment Period runs from October 15 through December 7, with changes taking effect January 1. The Medicare Advantage Open Enrollment Period runs from January 1 through March 31 for people already enrolled in Medicare Advantage. A qualifying circumstance may create a Special Enrollment Period outside those dates. Confirm the enrollment window and effective date that apply to you before changing coverage.

Review Medicare enrollment periods

More plan options

Browse the full 2027 Medicare Advantage with drug coverage directory. This plan is offered in Oregon. Plan availability can vary by county.

Helpful next steps