Wellcare Patriot Giveback Open (PPO) (PPO) 2025 Plan Details for Wagoner County, Oklahoma Residents
Wellcare Patriot Giveback Open (PPO) (PPO) 2025 Plan Details for Wagoner County, Oklahoma Residents
Wellcare Patriot Giveback Open (PPO) is a PPO Medicare Advantage plan, from Wellcare, {with_without_pdp} a prescription drug plan. It's CMS Plan ID is: H4537-005-0. It is not available in all areas. The list of locations where this plan is available can be found below.
According to CMS enrollment data (July, 2025), there are approximately 423 members enrolled in this plan.
Wellcare Patriot Giveback Open (PPO) (PPO) Overview
| CMS Fact | Landscape Value |
|---|---|
| Health Plan ID: | H4537-005-0 |
| CMS Overall Rating: | 0.0 out of 5 stars* |
| Medicare Advantage Plan Type: | PPO |
| Coverage Year: | CY2026 |
| Monthly Premium: | $0.00 Plus your Medicare Part B premium. |
| Health Plan Deductible: | $0.00 |
| Annual Out-of-Pocket Maximum: | $4700.00 (In-Network) |
| Part B Give Back: | $0.00/mo |
| Part D Drug Plan Benefit: | Not Included |
| Additional Benefits: | Dental, Vision, Hearing |
| Availability: | Wagoner County, OK |
| Insured By: | Wellcare |
| Last Plan Content Update: |
Plan Availability by Location
Health Plan Out-of-Pocket Costs
Prescription Drug Costs & Benefits
This plan does not include a Medicare Part D plan for prescriptions.
CMS 5-Star Rating Marks
Each year, the Centers for Medicare & Medicaid Services (CMS) evaluates health and drug plans using a comprehensive 5-star rating system. These ratings offer valuable insights into the quality of care, member satisfaction, and overall plan performance.
When selecting a Medicare Advantage plan, looking at the star ratings can help you gauge how well a plan might meet your healthcare needs, making it easier to choose a plan with confidence.
| CMS Measure | Star Rating |
|---|---|
| 2026 Overall Rating | |
| Staying Healthy: Screenings, Tests, Vaccines | Not enough data available |
| Managing Chronic (Long Term) Conditions | Not enough data available |
| Member Experience with Health Plan | Not enough data available |
| Complaints and Changes in Plans Performance | Not enough data available |
| Health Plan Customer Service | Not enough data available |
| Drug Plan Customer Service | |
| Complaints and Changes in the Drug Plan | Not enough data available |
| Member Experience with the Drug Plan | Not enough data available |
| Drug Safety and Accuracy of Drug Pricing |
Need Help Enrolling?
| Website: | Wellcare Plan Page |
|---|---|
| Providers: | Wellcare Providers Page |
| New Member Health Plan Help: | (844)917-0175 |
| New Member Health Plan TTY: | 711 |
Frequently Asked Questions
📘 What does Medicare plan code H4537 005 mean?
Wellcare Patriot Giveback Open (PPO) is a Medicare Advantage plan by Wellcare. The code H4537 is the CMS contract ID, whereas 005 is its plan ID.
- Plan Name: Wellcare Patriot Giveback Open (PPO)
- Plan Type: PPO
- Premium: $0.00/mo + your monthly Part B premium
- Out-of-Pocket Max: $4700.00 (in-network)
- Drug Coverage: {pdp_faq_summary}
- CMS Star Rating: 0.0 out of 5
- Contract Year: 2026
This information is based on official CMS data and is provided for educational purposes. Always review your plan’s official documents or contact the provider directly before making enrollment decisions.
📋 What type of plan is H4537 005?
This plan is a PPO — specifically, it's an PPO plan with a Medicare Advantage contract that's offered by Wellcare. It comes with defined provider network rules you should be aware of.
- Plan Marketing Name: Wellcare Patriot Giveback Open (PPO)
- Network Type: {plan_type_expanded}
- Referral Requirement: {referral_required_expanded}
- Prescription Coverage: {pdp_faq_summary}
Plan types like HMOs and PPOs determine whether you can go out-of-network or need referrals to see specialists.
📦 What benefits are included in H4537 005?
This plan covers all Medicare Part A and Part B services. Depending on the plan, it may also include valuable extras like dental, vision, and hearing benefits.
- Medical Services: Hospital, doctor visits, preventive care
- Prescription Drugs: Not Included
- Dental: {dental_benefit}
- Vision: {vision_benefit}
- Hearing: {hearing_benefit}
Benefit availability may vary by location and plan version. Confirm specific details in your plan's Evidence of Coverage (EOC).