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DEVOTED DUAL 008 MO (HMO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for DEVOTED DUAL 008 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 008 MO (HMO D-SNP) in 2026, please refer to our full plan details page.
DEVOTED DUAL 008 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 008 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 008 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 008 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 008 MO (HMO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $37.10. 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 $3600.00 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 008 MO (HMO D-SNP) plan features an annual prescription drug deductible of $615. For medications in Tiers 1 through 5—which cover preferred generic, generic, preferred brand, non-preferred, and specialty drugs—you will pay a 25% coinsurance at standard pharmacies and through standard mail order. This coinsurance rate applies to 1-month, 2-month, and 3-month supplies, with Tier 5 specialty drugs limited to 1-month supplies. For Tier 6 Select Care Drugs, the plan offers no copay for 1-month, 2-month, and 3-month supplies at standard pharmacies and standard mail order. This structure provides clear cost expectations for your prescription needs, combining a standard coinsurance rate for most tiers with no-cost options for select essential medications.
Additional Benefits
The DEVOTED DUAL 008 MO (HMO D-SNP) plan offers comprehensive medical coverage featuring no copay and no coinsurance for primary care visits, preventive services, and home health care. For inpatient hospital stays, members pay a $290 copay for days one through six and no copay for days seven through ninety, with no coinsurance required. Outpatient hospital services range from no copay up to a $390 copay, while emergency room visits carry a $150 copay that is waived if admitted. Additional benefits include dental coverage up to a $2,000 annual limit and eyewear up to a $400 annual maximum, both with no copay and no coinsurance. Routine hearing exams require a $25 copay, while prescription hearing aids have copays ranging from $399 to $699. Members also benefit from a $50 quarterly allowance for over-the-counter items with no copay, though durable medical equipment requires a 20% to 30% coinsurance.
Inpatient Hospital See details
DEVOTED DUAL 008 MO (HMO D-SNP) partially covers inpatient hospital services with no coinsurance, requiring a $290 copayment for days 1 through 6 and no copay for days 7 through 90 for both acute and psychiatric stays. Unlimited additional days are covered for acute care, but additional psychiatric days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
DEVOTED DUAL 008 MO (HMO D-SNP) covers outpatient services with no coinsurance, offering no copays for ambulatory surgical center and outpatient blood services. Outpatient hospital services require a copay between $0 and $390, observation services carry a $290 copay per stay, and outpatient substance abuse sessions have a $25 copay.
Partial Hospitalization See details
Partial hospitalization is covered by DEVOTED DUAL 008 MO (HMO D-SNP) with a $60.00 copay and no coinsurance. Prior authorization is required to receive this benefit.
Ambulance and Transportation Services See details
Ambulance and transportation services are covered by DEVOTED DUAL 008 MO (HMO D-SNP), requiring prior authorization for ambulance services which feature a copay ranging from no copay up to $315 for ground transport and a 20% coinsurance for air transport. Transportation services, including trips to plan-approved or any health-related locations, are not covered.
Emergency Services See details
DEVOTED DUAL 008 MO (HMO D-SNP) covers emergency services with a $150 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services have a copay of $0 to $45 and no coinsurance, while worldwide emergency services are covered up to $25,000 with copays ranging from $150 to $315 and a 20% coinsurance for emergency transportation.
Primary Care See details
DEVOTED DUAL 008 MO (HMO D-SNP) covers primary care provider visits with no copay and no coinsurance, while specialist visits, mental health sessions, and therapy services require copays ranging from $0 to $50 with no coinsurance. Chiropractic and podiatry services are not covered under this plan.
Preventive Services See details
Preventive Services are partially covered by DEVOTED DUAL 008 MO (HMO D-SNP) with no copay and no coinsurance for covered care like annual physicals, fitness benefits, and nutritional counseling. Sub-services that are not covered under this plan include in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge medication reconciliation, readmission prevention, chemotherapy wigs, therapeutic massage, adult day health, home-based palliative care, in-home support, caregiver support, additional smoking cessation, enhanced disease management, telemonitoring, remote access technologies, and counseling.
Hearing Services See details
DEVOTED DUAL 008 MO (HMO D-SNP) provides partially covered hearing services, featuring routine hearing exams for a $25 copay and no coinsurance, plus unlimited fitting evaluations. Up to two prescription hearing aids are covered annually with no coinsurance and a copay between $399 and $699, though over-the-counter, inner ear, outer ear, and over-the-ear hearing aids are not covered.
Vision Services See details
DEVOTED DUAL 008 MO (HMO D-SNP) vision services are partially covered because other eye exam services are not covered. Routine eye exams are covered once per year with no copay to a $25 copay, no coinsurance, and no deductible, while eyewear is covered with no copay, no coinsurance, and no deductible up to a $400 annual maximum.
Dental Services See details
DEVOTED DUAL 008 MO (HMO D-SNP) provides partially covered dental services up to a $2,000 annual maximum with no copay and no coinsurance for covered preventive and comprehensive services, while Medicare-covered dental requires a $25 copay and no coinsurance. Some services require prior authorization, and orthodontics, implants, maxillofacial prosthetics, and other diagnostic or preventive dental services are not covered.
Home Infusion bundled Services See details
DEVOTED DUAL 008 MO (HMO D-SNP) covers home infusion bundled services with no copay and no coinsurance, subject to prior authorization. Under this plan, Medicare Part B chemotherapy, radiation, and other drugs carry no copay and a 0% to 20% coinsurance, while Medicare Part B insulin drugs have a $35 copay and a 0% to 20% coinsurance.
Dialysis Services See details
DEVOTED DUAL 008 MO (HMO D-SNP) covers Dialysis Services with no copay and a 20% coinsurance. Prior authorization is required to receive these services.
Medical Equipment See details
Medical equipment is partially covered by DEVOTED DUAL 008 MO (HMO D-SNP) with no copay, though prior authorization is required for services. Covered durable medical equipment has a 20% to 30% coinsurance, while prosthetics, medical supplies, and diabetic supplies range from no coinsurance up to 20% or 30% coinsurance; diabetic therapeutic shoes and inserts are not covered.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by DEVOTED DUAL 008 MO (HMO D-SNP) with prior authorization required. There is no copay and no coinsurance for lab services, diagnostic procedures range from a $0 to $95 copay with no coinsurance, outpatient X-rays have no copay but require coinsurance, and therapeutic radiological services require a 20% coinsurance.
Home Health Services See details
Home Health Services are covered under the DEVOTED DUAL 008 MO (HMO D-SNP) plan with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
DEVOTED DUAL 008 MO (HMO D-SNP) covers Cardiac Rehabilitation Services with no coinsurance and a $25 copay, requiring prior authorization. While some services are covered, cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) services are not covered.
Skilled Nursing Facility (SNF) See details
DEVOTED DUAL 008 MO (HMO D-SNP) covers Skilled Nursing Facility (SNF) services with no coinsurance, featuring no copay for days 1 to 20 and a $218 daily copay for days 21 to 100. Prior authorization is required, a prior three-day inpatient hospital stay is not required for admission, and additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
DEVOTED DUAL 008 MO (HMO D-SNP) partially covers other services, offering additional preventive services and over-the-counter (OTC) items with no copay and no coinsurance, including a $50 allowance every three months for OTC products. Acupuncture, meal benefits, and highly integrated services are not covered under this plan.
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