Medicare · Carriers in the Capital Region

Wellcare Medicare plans in the Capital Region

What Wellcare sells to Medicare beneficiaries in New York, what the Capital Region's hospitals say about it in 2026, and how it compares. I'm appointed with Wellcare; I'm also appointed with the carriers it competes with, which is the point.

In short

Wellcare (WellCare of New York, Inc. and WellCare Health Insurance of New York, Inc.; home office Long Island City, New York) sells the following to New York Medicare beneficiaries: Medicare Advantage HMO and PPO plans with Part D; Dual-eligible (D-SNP) plans; Stand-alone Part D plans. For anyone whose doctors admit to Albany Med or Saratoga Hospital, a Wellcare Advantage plan needs a directory check before enrollment; Wellcare's Part D plans have no such issue because drug plans have no hospital network. I'm appointed with Wellcare and with its competitors; the plan is chosen by checking your doctors, your hospital and your prescriptions against each specific plan, not by carrier name, and there's no fee for the comparison.

Who they are

A Centene company and one of the largest stand-alone Part D sponsors nationally. In the Capital Region, Wellcare Medicare Advantage is listed by St. Peter's Health Partners and Ellis Medicine but does not appear on the Albany Med Health System's list, which covers Albany Medical Center, Saratoga Hospital and Glens Falls Hospital.

Plans are issued by WellCare of New York, Inc. and WellCare Health Insurance of New York, Inc., home office Long Island City, New York (25-01 Jackson Avenue, Long Island City, as listed by NY DFS; parent Centene Corporation is in St. Louis, Missouri). Named here because New York Insurance Law §2122(b) requires a licensee who names an insurer to give its full name and home-office city.

What Wellcare sells to Medicare beneficiaries in New York

  • Medicare Advantage HMO and PPO plans with Part D
  • Dual-eligible (D-SNP) plans
  • Stand-alone Part D plans

Not every product is sold in every county, and I don't offer every Wellcare plan. What I can quote for your ZIP code is settled in the first call.

Wellcare Medicare Advantage plans in the counties I cover, 2027

10 Wellcare plans are filed in the 17 counties I cover for 2027 (Albany, Saratoga, Schenectady, Rensselaer, Warren and Washington in person, the others by phone and video), according to the CMS landscape file read October 27, 2026. Premiums, benefits and star ratings are in each plan's own documents; which of these I can enroll you in, and whether one fits, is the comparison against your doctors and prescriptions.

PlanTypeSold in
Wellcare Assist Open (PPO)PPOAlbany, Saratoga, Schenectady, Rensselaer, Warren, Washington, Montgomery, Fulton, Columbia, Greene, Schoharie, Herkimer, Hamilton, Essex, Ulster, Dutchess
Wellcare Dual Access Open (PPO D-SNP)PPO D-SNPAlbany, Saratoga, Schenectady, Rensselaer, Warren, Washington, Montgomery, Fulton, Columbia, Greene, Schoharie, Herkimer, Hamilton, Essex, Ulster, Dutchess
Wellcare Fidelis Assist (HMO-POS)HMO-POSAlbany, Saratoga, Schenectady, Rensselaer, Warren, Washington, Montgomery, Fulton, Columbia, Greene, Schoharie, Otsego, Herkimer, Hamilton, Essex, Ulster, Dutchess
Wellcare Fidelis Dual Access (HMO D-SNP)HMO D-SNPAlbany, Saratoga, Schenectady, Rensselaer, Warren, Washington, Montgomery, Fulton, Columbia, Greene, Schoharie, Otsego, Herkimer, Hamilton, Essex, Ulster, Dutchess
Wellcare Fidelis Dual Align Unity (HMO D-SNP)HMO D-SNPAlbany, Saratoga, Schenectady, Rensselaer, Warren, Washington, Montgomery, Fulton, Columbia, Greene, Schoharie, Otsego, Hamilton, Essex, Ulster, Dutchess
Wellcare Fidelis Dual Liberty Sync (HMO D-SNP)HMO D-SNPAlbany, Saratoga, Schenectady, Rensselaer, Warren, Washington, Montgomery, Fulton, Columbia, Greene, Schoharie, Otsego, Herkimer, Hamilton, Essex, Ulster, Dutchess
Wellcare Fidelis Patriot Simple (HMO-POS)HMO-POSAlbany, Saratoga, Schenectady, Rensselaer, Warren, Washington, Montgomery, Fulton, Columbia, Greene, Schoharie, Otsego, Herkimer, Hamilton, Essex, Ulster, Dutchess
Wellcare Fidelis Simple (HMO-POS)HMO-POSAlbany, Saratoga, Schenectady, Rensselaer, Warren, Washington, Montgomery, Fulton, Columbia, Greene, Schoharie, Otsego, Herkimer, Hamilton, Essex, Ulster, Dutchess
Wellcare Giveback Open (PPO)PPOAlbany, Saratoga, Schenectady, Rensselaer, Warren, Washington, Montgomery, Fulton, Columbia, Greene, Schoharie, Herkimer, Hamilton, Essex, Ulster, Dutchess
Wellcare Simple Open (PPO)PPOAlbany, Saratoga, Schenectady, Rensselaer, Warren, Washington, Montgomery, Fulton, Columbia, Greene, Schoharie, Herkimer, Hamilton, Essex, Ulster, Dutchess

Every carrier's plans, county by county: Albany, Saratoga, Schenectady, Rensselaer, Warren, Washington.

What changed for Wellcare from 2026 to 2027

Across the six Capital Region counties: 1 new plan, 7 plans no longer sold, 2 renamed or moved to a new plan ID. Every other Wellcare plan continues under the same plan ID; its premium, network and benefits can still change, and your Annual Notice of Change lists what did.

ChangePlanPlan IDCounties
New for 2027Wellcare Fidelis Dual Access (HMO D-SNP)H5599-016All six
No longer soldWellcare Advantage Enhanced (PFFS)H2816-037All six
No longer soldWellcare Advantage Simple (PFFS)H2816-038All six
No longer soldWellcare Dual Access (HMO D-SNP)H4868-004Albany, Saratoga, Schenectady, Rensselaer
No longer soldWellcare Patriot Simple (HMO-POS)H4868-003Albany, Saratoga, Schenectady
No longer soldWellcare Premium Enhanced (PFFS)H2816-019All six
No longer soldWellcare Premium Ultra (PFFS)H2816-013All six
No longer soldWellcare Simple (HMO-POS)H4868-019Albany, Saratoga, Schenectady, Rensselaer
RenamedWellcare Fidelis Dual Align (HMO D-SNP) → Wellcare Fidelis Dual Align Unity (HMO D-SNP)H5599-003All six
New plan ID, same planWellcare Fidelis Dual Liberty Sync (HMO D-SNP)H5599-013-1 → H5599-014All six

If your plan is on the "no longer sold" list, you can choose another plan or return to Original Medicare without waiting for the usual window; the enrollment check shows your dates, and in New York you can also apply for a Medigap policy in any month.

From the CMS landscape files for 2026 and 2027, read October 27, 2026. The comparison covers the six Capital Region counties; the other counties on this site have no 2026 list here to compare against. Every carrier's changes, county by county: what changed for 2027.

Capital Region hospitals and Wellcare Medicare Advantage, 2026

Hospital systemOn the hospital's list?Note from the list
Albany Med Health System
Albany Medical Center (Albany), Saratoga Hospital (Saratoga Springs), Glens Falls Hospital, Columbia Memorial (Hudson), Malta Med Emergent Care
Not listed — verifynot on any of the system's lists; confirm with the plan
St. Peter's Health Partners
St. Peter's Hospital (Albany), Samaritan Hospital (Troy), Sunnyview Rehabilitation Hospital (Schenectady), St. Peter's Health Partners Medical Associates
Listed
Ellis Medicine
Ellis Hospital (Schenectady), Bellevue Woman's Center (Niskayuna), Medical Center of Clifton Park, Ellis Health Center
Listed

From the three systems' accepted-insurance pages, read October 15, 2026. "Listed" means the carrier appears on the hospital's list, not that every plan or every physician is in network; "Not accepted" means the hospital states the exclusion; "Not listed" means the carrier is absent from the list, which is unverified rather than excluded. Check the specific plan's directory either way. The full matrix and the hospitals' own wording are on which plans Capital Region hospitals accept; where each Wellcare plan stands, hospital by hospital: Albany Medical Center, St. Peter's Hospital, Ellis Hospital, Saratoga Hospital, Samaritan Hospital, Glens Falls Hospital.

What to watch

For anyone whose doctors admit to Albany Med or Saratoga Hospital, a Wellcare Advantage plan needs a directory check before enrollment; Wellcare's Part D plans have no such issue because drug plans have no hospital network.

How I use this

I'm appointed with Wellcare and with its competitors, and I'm paid by the carrier rather than by you, at commission rates that Medicare caps for Advantage and Part D plans, so the comparison is a fair one. Every recommendation starts with your doctors and your hospital checked against the specific plan's directory, then your prescriptions priced through its formulary, then the total yearly cost. When a Wellcare plan is the right answer I'll say so; when it isn't, I'll say that too. Ask for a comparison, or read how to choose a Medicare plan in New York first. Official plan details: Wellcare's Medicare site.

We do not offer every plan available in your area. Currently we represent 10 organizations which offer 81 products in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options. 1-800-MEDICARE (TTY 1-877-486-2048) is available 24 hours a day, 7 days a week. Insurers' legal names and home offices: carriers page.

Questions

Common questions

Short answers to what people ask before they call.

Still have a question? Call (518) 902-8822 or book a call.

Do you sell Wellcare Medicare plans?

Yes. I'm appointed with Wellcare and with the other carriers active in the Capital Region, and I'm paid by the carrier rather than by you. Not every Wellcare plan is available in every county, and I don't offer every plan; I'll tell you which ones I can quote for your ZIP code.

Does Albany Med accept Wellcare Medicare Advantage?

See the hospital table on this page, taken from the Albany Med Health System's own accepted-insurance list as read October 15, 2026, and remember that a carrier on the list does not guarantee every plan or physician is in network; the specific plan's directory is the final check.

Is Wellcare the right choice for me?

Only your doctors, hospital, prescriptions and budget can answer that. A Wellcare plan is right when those check out against the specific plan, and wrong when they don't, regardless of what the carrier's advertising says. I run that comparison across carriers at no fee.

Ask for a Medicare comparison

Your doctors, your prescriptions and your ZIP code are all I need to start. No fee for plan comparison or enrollment.

Quick replyUsually within 30 minutes during office hours

How should I reach you?

By submitting, you agree that Ibrahim Afyon, a New York–licensed insurance agent and broker, may call or email you about this request, even if your number is on a Do Not Call list. Texts only if you choose Text above; message frequency varies and message and data rates may apply. Reply STOP to opt out, HELP for help. Consent isn't a condition of purchase and you can withdraw it any time. This isn't a Medicare Scope of Appointment. Medicare Advantage and Part D calls are recorded. Privacy policy.