DEVOTED C-SNP PREMIUM 015 MO (HMO C-SNP)

DEVOTED C-SNP PREMIUM 015 MO (HMO C-SNP) is a HMO C-SNP plan offered by Devoted Health, Inc. available for enrollment in 2026 to people living in St. Louis/Southeast Missouri. The overall rating for this plan is not yet available for 2026.

It's important to know that DEVOTED C-SNP PREMIUM 015 MO (HMO C-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.

Key Plan Facts

Below are a few key facts and commonly-asked questions about DEVOTED C-SNP PREMIUM 015 MO (HMO C-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.

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:

Drug Coverage

The DEVOTED C-SNP PREMIUM 015 MO (HMO C-SNP) plan features an annual prescription drug deductible of $615. Under this plan, Tier 6 select care drugs are highly affordable with no copay for standard pharmacy and standard mail order services. For other generic medications, standard copays start at $18 for Tier 1 preferred generics and $20 for Tier 2 generics for a one-month supply. Higher-tier medications under this plan are subject to coinsurance rather than flat copayments. Standard pharmacy and standard mail order costs require a 23% coinsurance for Tier 3 preferred brands, 26% coinsurance for Tier 4 non-preferred drugs, and 25% coinsurance for Tier 5 specialty drugs. These cost-sharing structures help you anticipate your out-of-pocket prescription expenses with this DEVOTED Medicare plan.

Additional Benefits

The DEVOTED C-SNP PREMIUM 015 MO (HMO C-SNP) plan offers affordable coverage for your core medical needs, featuring no copay for primary care doctor visits and preventive services. Specialist visits and therapy sessions require a $30 copay, while emergency room visits have a $150 copay that is waived if you are admitted. For hospital care, inpatient stays require a $325 daily copay for days 1 through 8 followed by no copay, and outpatient services range from no copay up to a $425 copay. In addition to medical care, the plan provides robust dental, vision, and hearing benefits, including comprehensive dental coverage with no copay up to a $2,000 annual limit. Vision benefits feature a routine exam with no copay to a $30 copay and a $300 annual allowance for eyewear with no copay, while hearing aids require a copay of $399 to $699. Members also receive a $50 over-the-counter allowance every three months with no copay, though routine transportation is not covered by this plan.