Plan year 2026 · coverage ends Dec. 31, 2026CMS crosswalk of Oct. 1, 2026
Wellcare Dual Access is not offered under this ID in 2027
H2491Contract033Plan
HMO-POS D-SNP · served 48 counties in Louisiana in 2026
Run by Wellcare Health Insurance of Arizona, Inc. (contract H2491), sold as Wellcare, owned by Centene Corporation
CMS crosswalk: members move into one of 4 plans
Wellcare Dual Access (H2491-033) is not offered under this ID in 2027: the CMS plan crosswalk of October 1, 2026 moves its members into 4 2027 plans, each sold in part of its area (listed below), which together serve every county it served. 1,498 people were enrolled in it in September 2026; they can also choose another plan during open enrollment, October 15 to December 7, 2026. The crosswalk also lists part of the plan as terminated without saying which members; your Annual Notice of Change says whether you move to a new plan or your coverage ends.
What changes for its members, plan by plan?
In 2026 the plan cost $19 a month with a $9,250 in-network limit. Each row compares that with one of the 2027 plans its members move into.
Source: CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026); CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS plan benefit package files, 2027 and 2026. Each plan's own page compares every line; your Annual Notice of Change names your 2027 plan; confirm on Medicare Plan Finder.
Which 2027 plans do its members move into?
The crosswalk names the plans but not which member goes to which; the counties show where each is sold, and your Annual Notice of Change names yours.
| 2027 plan | Sold in | Its members there, Sept. 2026 | Premium 2027 | Limit 2027 |
|---|---|---|---|---|
| Wellcare Louisiana Connections Dual LibertyH2491-035 | 22 of its counties | 946 | $0 | $9,850 |
| Wellcare Louisiana Connections Dual LibertyH2491-036 | 26 of its counties | 454 | $0 | $9,850 |
| Wellcare Louisiana Connections Dual AccessH2491-037 | 22 of its counties | 946 | $0 | $9,850 |
| Wellcare Louisiana Connections Dual AccessH2491-038 | 26 of its counties | 454 | $0 | $9,850 |
Source: CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026); CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11).
What can members do, and by when?
If your notice says you move to a new plan
- If you do nothing
- You are moved into one of the 2027 plans above on January 1, 2027. Your Annual Notice of Change names it.
- October 15 to December 7, 2026
- Open enrollment: choose another Medicare Advantage plan, or Original Medicare with a drug plan, instead.
If your notice says your plan is ending
- Your coverage
- Ends December 31, 2026.
- October 15 to December 7, 2026
- Open enrollment: join another Medicare Advantage plan, or Original Medicare with a drug plan. Coverage starts January 1, 2027.
- December 8, 2026 to the end of February 2027
- A special enrollment period because the plan is leaving: you can still join a plan, but coverage starts the first day of the month after you join, so choose by December 31 to have no gap.
- If you do nothing
- You are enrolled in Original Medicare when the plan ends, and because you have Medicaid, Medicare enrolls you in a drug plan.
- If you have Medicaid or Extra Help
- You can switch to a different drug plan, or leave a Medicare Advantage plan for Original Medicare with a drug plan, once a calendar month; the change starts the first day of the next month.
Source: Medicare.gov, “Special enrollment periods” and “Joining a plan” (read Oct. 7, 2026).
Where did its members live?
Where its members lived in September 2026; each county and state page lists the 2027 plans sold there.
| County | Members, Sept. 2026 | For 2027 |
|---|---|---|
| East Baton Rouge, LA | 331 | moves into H2491-035 or H2491-037 |
| Orleans, LA | 203 | moves into H2491-035 or H2491-037 |
| Lafayette, LA | 122 | moves into H2491-036 or H2491-038 |
| Jefferson, LA | 112 | moves into H2491-035 or H2491-037 |
| Rapides, LA | 73 | moves into H2491-036 or H2491-038 |
| Ascension, LA | 50 | moves into H2491-035 or H2491-037 |
| St. Landry, LA | 48 | moves into H2491-036 or H2491-038 |
| Livingston, LA | 41 | moves into H2491-035 or H2491-037 |
| Acadia, LA | 39 | moves into H2491-036 or H2491-038 |
| Iberia, LA | 34 | moves into H2491-036 or H2491-038 |
| St. Tammany, LA | 34 | moves into H2491-035 or H2491-037 |
| Washington, LA | 30 | moves into H2491-035 or H2491-037 |
| St. Martin, LA | 29 | moves into H2491-036 or H2491-038 |
| East Feliciana, LA | 28 | moves into H2491-035 or H2491-037 |
| Tangipahoa, LA | 27 | moves into H2491-036 or H2491-038 |
| Iberville, LA | 26 | moves into H2491-035 or H2491-037 |
| Caddo, LA | 23 | moves into H2491-036 or H2491-038 |
| West Baton Rouge, LA | 23 | moves into H2491-035 or H2491-037 |
| Pointe Coupee, LA | 22 | moves into H2491-035 or H2491-037 |
| Avoyelles, LA | 18 | moves into H2491-036 or H2491-038 |
Show the other 28 counties
| County | Members, Sept. 2026 | For 2027 |
|---|---|---|
| St. Bernard, LA | 18 | moves into H2491-035 or H2491-037 |
| Jefferson Davis, LA | 16 | moves into H2491-036 or H2491-038 |
| West Feliciana, LA | 15 | moves into H2491-035 or H2491-037 |
| Vermilion, LA | 14 | moves into H2491-036 or H2491-038 |
| St. Mary, LA | 13 | moves into H2491-035 or H2491-037 |
| Evangeline, LA | 11 | moves into H2491-036 or H2491-038 |
| Allen, LA | fewer than 11 | moves into H2491-036 or H2491-038 |
| Assumption, LA | fewer than 11 | moves into H2491-035 or H2491-037 |
| Beauregard, LA | fewer than 11 | moves into H2491-036 or H2491-038 |
| Bienville, LA | fewer than 11 | moves into H2491-036 or H2491-038 |
| Bossier, LA | fewer than 11 | moves into H2491-036 or H2491-038 |
| Cameron, LA | fewer than 11 | moves into H2491-036 or H2491-038 |
| De Soto, LA | fewer than 11 | moves into H2491-036 or H2491-038 |
| Grant, LA | fewer than 11 | moves into H2491-036 or H2491-038 |
| Jackson, LA | fewer than 11 | moves into H2491-036 or H2491-038 |
| LaSalle, LA | fewer than 11 | moves into H2491-036 or H2491-038 |
| Lafourche, LA | fewer than 11 | moves into H2491-035 or H2491-037 |
| Natchitoches, LA | fewer than 11 | moves into H2491-036 or H2491-038 |
| Plaquemines, LA | fewer than 11 | moves into H2491-035 or H2491-037 |
| Red River, LA | fewer than 11 | moves into H2491-036 or H2491-038 |
| Sabine, LA | fewer than 11 | moves into H2491-036 or H2491-038 |
| St. Charles, LA | fewer than 11 | moves into H2491-035 or H2491-037 |
| St. Helena, LA | fewer than 11 | moves into H2491-035 or H2491-037 |
| St. James, LA | fewer than 11 | moves into H2491-035 or H2491-037 |
| St. John the Baptist, LA | fewer than 11 | moves into H2491-035 or H2491-037 |
| Terrebonne, LA | fewer than 11 | moves into H2491-035 or H2491-037 |
| Vernon, LA | fewer than 11 | moves into H2491-036 or H2491-038 |
| Winn, LA | fewer than 11 | moves into H2491-036 or H2491-038 |
Source: CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11).
What else should you check?
- 2027 plans in East Baton Rouge, LAThe plans you can join instead
- Wellcare plans for 2027Plans the same company still offers
- Every plan not offered in 2027764 Medicare Advantage and drug plans