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DEVOTED DUAL FULL 011 MO (HMO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for DEVOTED DUAL FULL 011 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 FULL 011 MO (HMO D-SNP) in 2026, please refer to our full plan details page.
DEVOTED DUAL FULL 011 MO (HMO D-SNP) is a HMO D-SNP plan offered by Devoted Health, Inc. available for enrollment in 2026 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 FULL 011 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 FULL 011 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 FULL 011 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 FULL 011 MO (HMO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $35.80. 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 FULL 011 MO (HMO D-SNP) Medicare plan features an annual prescription drug deductible of $615. For Tier 1 preferred generic, Tier 2 generic, Tier 3 preferred brand, and Tier 4 non-preferred drugs, you will pay a 25% coinsurance for one-month, two-month, and three-month supplies filled at standard pharmacies or standard mail order. Tier 5 specialty drugs also carry a 25% coinsurance for a one-month supply through standard pharmacies and standard mail order. For Tier 6 select care drugs, there is no copay for one-month, two-month, or three-month supplies filled at standard pharmacies or standard mail order. This plan provides a structured cost-sharing model that helps beneficiaries understand their exact out-of-pocket prescription costs.
Additional Benefits
The DEVOTED DUAL FULL 011 MO (HMO D-SNP) offers a range of medical benefits, featuring no copay and no coinsurance for primary care visits, preventive services, and home health care. Inpatient hospital stays require a copay of $2,230 for acute admissions and $2,080 for psychiatric admissions, with no coinsurance. For outpatient services and diagnostic tests, you will pay no copay, though coinsurance ranges from 0% to 50% depending on the specific service. Specialist visits and mental health services feature no copay and up to 30% coinsurance, while emergency room visits carry a $115 copay. Dental, vision, and hearing benefits are partially covered, offering no copays for routine services and annual allowances, though coinsurance or flat copays apply to advanced care and hearing aids. Additionally, Medicare Part B drugs and insulin require no copay to a $35 copay, paired with up to 20% coinsurance.
Inpatient Hospital See details
Inpatient hospital services are partially covered by DEVOTED DUAL FULL 011 MO (HMO D-SNP) with no coinsurance, requiring a $2,230 copay per admission for acute stays and a $2,080 copay per admission for psychiatric stays. Prior authorization is required for these services, and upgrades as well as non-Medicare-covered stays are not covered.
Outpatient Services See details
DEVOTED DUAL FULL 011 MO (HMO D-SNP) covers outpatient services with no copays, though coinsurance ranges from 0% to 50% depending on the service. Prior authorization is required for outpatient hospital, ambulatory surgical, substance abuse, and blood services, which carry coinsurance rates up to 50%.
Partial Hospitalization See details
DEVOTED DUAL FULL 011 MO (HMO D-SNP) covers partial hospitalization services with no copay and a 30% coinsurance. Prior authorization is required to access this benefit.
Ambulance and Transportation Services See details
DEVOTED DUAL FULL 011 MO (HMO D-SNP) covers ambulance services with prior authorization, offering no copay alongside a 50% coinsurance for air ambulance and a coinsurance ranging from no coinsurance to 50% for ground ambulance. Transportation services to health-related locations are not covered under this plan.
Emergency Services See details
DEVOTED DUAL FULL 011 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 require no copay and a 0% to 30% coinsurance (up to $40 per visit), while worldwide emergency coverage is provided with no copay or coinsurance up to a $25,000 maximum limit.
Primary Care See details
DEVOTED DUAL FULL 011 MO (HMO D-SNP) covers primary care physician services with no copay and no coinsurance, while specialist, therapy, and mental health services feature no copay and up to 30% coinsurance. This benefit is partially covered, as routine chiropractic care, other chiropractic services, and podiatry services are not covered.
Preventive Services See details
DEVOTED DUAL FULL 011 MO (HMO D-SNP) covers preventive services, including annual physicals, kidney disease education, and fitness benefits, with no copay and no coinsurance. While supplemental benefits like nutritional counseling and alternative therapies are covered, other services such as personal emergency response systems (PERS), in-home support, and therapeutic massages are not covered.
Hearing Services See details
Hearing services are partially covered by DEVOTED DUAL FULL 011 MO (HMO D-SNP), featuring no copay for exams, a 50% coinsurance for routine exams, and no coinsurance with a $399 to $699 copay for up to two prescription hearing aids per year. OTC hearing aids, as well as inner ear, outer ear, and over-the-ear prescription hearing aids, are not covered.
Vision Services See details
Vision Services are partially covered by DEVOTED DUAL FULL 011 MO (HMO D-SNP) with no deductibles, as other eye exam services are not covered. Covered routine eye exams (one per year) require no copay and 0% to 50% coinsurance, while covered eyewear has no copay, no coinsurance, and a $400 annual maximum.
Dental Services See details
Dental services are partially covered by DEVOTED DUAL FULL 011 MO (HMO D-SNP), featuring no copay and a 30% coinsurance for Medicare-covered dental, and no copay or coinsurance for other covered preventive and comprehensive services up to a $2,500 yearly limit. However, other diagnostic dental, other preventive dental, maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
DEVOTED DUAL FULL 011 MO (HMO D-SNP) covers home infusion bundled services with no copay and no coinsurance, though prior authorization is required. Medicare Part B chemotherapy, radiation, and other drugs feature no copay and range from no coinsurance to 20% coinsurance, while Part B insulin drugs require a $35 copay and range from no coinsurance to 20% coinsurance.
Dialysis Services See details
DEVOTED DUAL FULL 011 MO (HMO D-SNP) covers Dialysis Services with no copay and a 20% coinsurance. Prior authorization is required to receive these covered services.
Medical Equipment See details
Medical equipment benefits under the DEVOTED DUAL FULL 011 MO (HMO D-SNP) plan are covered with no copay, though prior authorization is required. Durable medical equipment and diabetic equipment carry a 20% coinsurance, while prosthetic devices and medical supplies range from no coinsurance up to a 20% coinsurance.
Diagnostic and Radiological Services See details
DEVOTED DUAL FULL 011 MO (HMO D-SNP) covers diagnostic and radiological services with prior authorization required and no copays. Diagnostic procedures and tests have no coinsurance, while lab services require a 50% coinsurance, therapeutic radiological services require a 20% coinsurance, and diagnostic radiological and outpatient X-ray services require a 30% coinsurance.
Home Health Services See details
Home Health Services are covered by DEVOTED DUAL FULL 011 MO (HMO D-SNP) with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered under the DEVOTED DUAL FULL 011 MO (HMO D-SNP) plan, as none of the sub-services are covered in practice. For these non-covered services, including intensive cardiac and pulmonary rehabilitation, there is a 30% coinsurance and no copay.
Skilled Nursing Facility (SNF) See details
DEVOTED DUAL FULL 011 MO (HMO D-SNP) covers Skilled Nursing Facility (SNF) services with no coinsurance, requiring prior authorization but no prior three-day inpatient hospital stay. There is no copay for days 1 through 20, a $218 copay for days 21 through 100, and additional days beyond the standard Medicare-covered period are not covered.
Other Services See details
Other services are partially covered by DEVOTED DUAL FULL 011 MO (HMO D-SNP), featuring over-the-counter items up to $50 every three months and additional preventive services, both with no copay and no coinsurance. Acupuncture, meal benefits, and highly integrated services for dual eligible SNPs are not covered under this benefit.
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