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DEVOTED DUAL PLUS 007 MO (HMO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for DEVOTED DUAL PLUS 007 MO (HMO D-SNP). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on DEVOTED DUAL PLUS 007 MO (HMO D-SNP) in 2026, please refer to our full plan details page.
DEVOTED DUAL PLUS 007 MO (HMO D-SNP) is a HMO D-SNP plan offered by Devoted Health, Inc. available for enrollment in 2025 to people living in Missouri. The overall rating for this plan is not yet available for 2026.
It's important to know that DEVOTED DUAL PLUS 007 MO (HMO D-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Important:
DEVOTED DUAL PLUS 007 MO (HMO D-SNP)is a Special Needs Type (SNP) plan. This means you can only enroll in this plan if you meet specific criteria. See our full plan details page for more information.
Key Plan Facts
Below are a few key facts and commonly-asked questions about DEVOTED DUAL PLUS 007 MO (HMO D-SNP).
Plan Costs:
The cost of a Medicare Advantage Plan is made up of four main parts.
- First, the monthly premium — the amount you pay every month.
- Second, the deductible — the amount you pay out of pocket for covered services before the plan starts paying.
- Third, the copayments and coinsurance — the amounts you pay out of pocket for covered services, usually after meeting the deductible (if applicable). Copays are fixed dollar amounts; coinsurance is a percentage of the cost.
- Fourth, the Out-of-Pocket Maximum — the maximum amount you could have to pay out of pocket in a year. This may be different for in-network and out-of-network services.
For DEVOTED DUAL PLUS 007 MO (HMO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $33.50. This is the amount you must pay every month.
This plan does not come with a Part B Premium reduction. You must continue to pay your Part B premium.
Deductibles
This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.
This plan has a $615.00 drug deductible. You will need to pay this amount towards covered prescriptions before your insurance coverage for prescription medications kicks in.
Out-of-Pocket Maximums
This plan has a Maximum Out-Of-Pocket cost of $9250.00 for out-of-network services. You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $0.00 for in-network covered services, the plan will pay 100% of in-network covered costs for the rest of the year.
You can see below for the coinsurance and specific copayments for in the Additional Benefits section below, or refer to our Plan Details page for more details.
Common Services:
Doctor Visits:
Specialist Visits:
Emergency Room:
Urgent Care:
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Drug Coverage
The DEVOTED DUAL PLUS 007 MO (HMO D-SNP) Medicare plan features an annual drug deductible of $615. For prescription drug tiers 1 through 5, which include preferred generic, generic, preferred brand, non-preferred, and specialty drugs, you will pay a 25% coinsurance when using standard pharmacies or standard mail order services. Select Care Drugs in tier 6 are highly accessible, offering no copay for 1-month, 2-month, and 3-month supplies through standard pharmacies and standard mail order. This plan provides structured coverage to help manage your medication costs, particularly through standard network options.
Additional Benefits
The DEVOTED DUAL PLUS 007 MO (HMO D-SNP) plan offers comprehensive medical coverage with no copay for primary care visits, preventive services, and home health care. For specialized care, members pay no copay but will face coinsurance, such as 30% for specialists and up to 45% for outpatient hospital services. Inpatient hospital stays require a flat copay of $2,230 for acute care or $2,080 for psychiatric care with no coinsurance, while skilled nursing facility care features no copay for the first 20 days. Supplemental benefits include dental care covered with no copay or coinsurance up to a $2,000 annual limit, alongside an eyewear benefit of up to $400 annually with no copay or coinsurance. Prescription hearing aids are available with copays ranging from $399 to $699, and routine hearing and vision exams feature no copays but require coinsurance up to 45%. Members also receive a $50 over-the-counter allowance every three months and pay no copays for diagnostic services, though coinsurance applies to most tests.
Inpatient Hospital See details
Inpatient hospital services are partially covered by DEVOTED DUAL PLUS 007 MO (HMO D-SNP) with no coinsurance, requiring a $2,230 copay per stay for acute care and a $2,080 copay per stay for psychiatric care. Prior authorization is required, and upgrades as well as non-Medicare-covered stays are not covered.
Outpatient Services See details
DEVOTED DUAL PLUS 007 MO (HMO D-SNP) covers outpatient services with no copays, though prior authorization is required. Members pay 0% to 45% coinsurance for outpatient hospital and ambulatory surgical center services, and 30% coinsurance for outpatient substance abuse and blood services.
Partial Hospitalization See details
Partial hospitalization services are covered by DEVOTED DUAL PLUS 007 MO (HMO D-SNP) with no copay and a 30% coinsurance. Prior authorization is required to access this benefit.
Ambulance and Transportation Services See details
Ambulance services are covered by DEVOTED DUAL PLUS 007 MO (HMO D-SNP) with prior authorization, featuring no copay and a coinsurance of no coinsurance to 40% for ground services and 40% for air services. Transportation services are not covered.
Emergency Services See details
DEVOTED DUAL PLUS 007 MO (HMO D-SNP) covers emergency services with a $115 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services are covered with no copay and a 0% to 30% coinsurance up to $40 per visit, while worldwide emergency, urgent, and transportation services are covered with no copay or coinsurance up to a $25,000 maximum limit.
Primary Care See details
DEVOTED DUAL PLUS 007 MO (HMO D-SNP) covers primary care physician services with no copay and no coinsurance, while specialists, therapies, psychiatric, and mental health services have no copay and a 30% coinsurance. Podiatry is not covered, and for chiropractic care only some services are covered as routine and other chiropractic services are not covered.
Preventive Services See details
Preventive services are covered by DEVOTED DUAL PLUS 007 MO (HMO D-SNP) with no copay and no coinsurance, including annual physical exams, kidney disease education, and diabetes self-management training. Additional preventive benefits are partially covered with no copay and no coinsurance, excluding sub-services such as in-home support, personal emergency response systems (PERS), medical nutrition therapy, therapeutic massage, and caregiver support.
Hearing Services See details
DEVOTED DUAL PLUS 007 MO (HMO D-SNP) partially covers hearing services, offering routine hearing exams with no copay and 45% coinsurance, and prescription hearing aids with a $399 to $699 copay and no coinsurance. OTC hearing aids, as well as inner ear, outer ear, and over the ear prescription hearing aids, are not covered.
Vision Services See details
DEVOTED DUAL PLUS 007 MO (HMO D-SNP) offers partially covered vision services, as other eye exam services are not covered. Covered routine eye exams require prior authorization and have no deductible, no copay, and 0% to 45% coinsurance, while eyewear is covered with no deductible, no copay, and no coinsurance up to a $400 annual limit.
Dental Services See details
DEVOTED DUAL PLUS 007 MO (HMO D-SNP) offers partially covered dental services with a $2,000 annual limit, featuring no copay and no coinsurance for covered preventive and comprehensive care, while Medicare-covered dental requires a 30% coinsurance and no copay. Specific services including other diagnostic, other preventive, maxillofacial prosthetics, implants, and orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered by DEVOTED DUAL PLUS 007 MO (HMO D-SNP) with no copay, though prior authorization is required. Under this benefit, Medicare Part B chemotherapy, radiation, and other drugs have no copay and no coinsurance to 20% coinsurance, while Part B insulin requires a $35 copay and no coinsurance to 20% coinsurance that counts toward the plan-level deductible.
Dialysis Services See details
Dialysis Services are covered under the DEVOTED DUAL PLUS 007 MO (HMO D-SNP) plan with no copay and a 20% coinsurance, though prior authorization is required.
Medical Equipment See details
DEVOTED DUAL PLUS 007 MO (HMO D-SNP) covers medical equipment with no copay, although prior authorization is required for all categories. Durable medical equipment and diabetic supplies carry a 20% coinsurance, while Medicare-covered prosthetics and medical supplies range from no coinsurance to 20% coinsurance.
Diagnostic and Radiological Services See details
DEVOTED DUAL PLUS 007 MO (HMO D-SNP) covers diagnostic and radiological services with no copayments, though prior authorization is required. Diagnostic procedures and tests have no coinsurance, while other services require coinsurance: 45% for lab services, 20% for therapeutic radiological services, and 30% for diagnostic radiological and outpatient X-ray services.
Home Health Services See details
DEVOTED DUAL PLUS 007 MO (HMO D-SNP) covers Home Health Services with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered by DEVOTED DUAL PLUS 007 MO (HMO D-SNP) with no copay and require prior authorization, though only some services are covered. Standard cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered in practice and require a 30% coinsurance.
Skilled Nursing Facility (SNF) See details
DEVOTED DUAL PLUS 007 MO (HMO D-SNP) covers skilled nursing facility (SNF) care with no coinsurance and does not require a prior three-day hospital stay. There is no copay for days 1 through 20, followed by a $218 daily copay for days 21 through 100, with prior authorization required and no coverage for days beyond the standard Medicare limit.
Other Services See details
Other Services are partially covered by DEVOTED DUAL PLUS 007 MO (HMO D-SNP), offering over-the-counter (OTC) items and additional preventive services with no copay and no coinsurance. While acupuncture, meal benefits, and other integrated services are not covered, eligible members receive a $50 allowance every three months for covered OTC items.
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