Medicare Plan Lookup Official CMS data · Contract Year 2026
CMS 2026 data

2026 Medicare plan code

H0174-023-000

Wellcare Dual Liberty Sync (HMO D-SNP) · Wellcare · Select counties in TX

Compact plan code: H0174023000

2026

Spaces or dashes work: H5216-435-002 · S2135 802

● CMS 2026 plan record

Wellcare Dual Liberty Sync (HMO D-SNP)

H0174-023-000 Select counties in TX HMO Dual-Eligible
Open in quick lookup
01

In-network

Inpatient hospital

Per admission $2,010 per stay
Plan-listed inpatient copay $2,010
02

Emergency transport

Ambulance

Ground · in-network20% coinsurance
Air · in-network20% coinsurance
03

Emergency services

Emergency room

$115 copay

Waived if admitted within 24 hours

04

Medical maximum

Maximum out-of-pocket

In-network$9,250
Combined in + outNot reported
05

Skilled care at home

Home health

In-network$0 copay
Out-of-networkNot separately reported
06

Monthly cost

Premium & giveback

Part C premium$0 / month
Consolidated C + D$4.80 / month

Source trail

Official CMS, Contract Year 2026

Plan identity and benefits come from CMS PBP data. Premium and MOOP figures are cross-checked against the August 2026 Landscape release. Quick-reference values should be confirmed in current official plan documents.

PBP benefits ↗ Landscape data ↗

Same CMS contract

H0174-004-000 Wellcare Dual Access (HMO D-SNP) Select counties in TX · HMO H0174-006-000 Wellcare Dual Liberty (HMO D-SNP) Select counties in TX · HMO H0174-009-000 Wellcare Assist (HMO) Select counties in TX · HMO H0174-010-000 Wellcare Simple (HMO) Select counties in TX · HMO H0174-014-000 Wellcare Simple (HMO) Select counties in TX · HMO H0174-015-000 Wellcare Simple (HMO) Select counties in TX · HMO H0174-016-000 Wellcare Simple (HMO) Select counties in TX · HMO H0174-017-000 Wellcare Giveback (HMO) Select counties in TX · HMO

About this code

What H0174-023-000 identifies

H0174-023-000 is a Contract Year 2026 Medicare plan segment code. The compact form H0174023000 refers to the same normalized contract, plan, and segment shown on this page.

Medicare Plan Lookup uses official CMS data as a quick reference. Benefit details, eligibility, service-area rules, and cost sharing should be confirmed in the current Summary of Benefits or Evidence of Coverage.