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DEVOTED DUAL PLUS 010 OH (HMO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for DEVOTED DUAL PLUS 010 OH (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 010 OH (HMO D-SNP) in 2026, please refer to our full plan details page.
DEVOTED DUAL PLUS 010 OH (HMO D-SNP) is a HMO D-SNP plan offered by Devoted Health, Inc. available for enrollment in 2025 to people living in Ohio. This plan received an overall rating of 4 out of 5 stars in 2026.
It's important to know that DEVOTED DUAL PLUS 010 OH (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 010 OH (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 010 OH (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 010 OH (HMO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $31.40. 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 010 OH (HMO D-SNP) Medicare plan features an annual drug deductible of $615. For prescription drugs in Tiers 1 through 4, which cover preferred generics, generics, preferred brands, and non-preferred drugs, you will pay a 25% coinsurance when using standard pharmacies or standard mail order services. Specialty drugs in Tier 5 carry a 25% coinsurance for a one-month supply at standard pharmacies and standard mail order. Fortunately, Select Care Drugs in Tier 6 are highly affordable, offering no copay for one, two, or three-month supplies filled through standard pharmacies and standard mail order.
Additional Benefits
The DEVOTED DUAL PLUS 010 OH (HMO D-SNP) plan offers robust healthcare coverage with no copay for primary care visits, preventive services, and outpatient hospital care. While inpatient hospital stays require a copay of $2,230 per stay, emergency services carry a $115 copay which is waived if you are admitted. Outpatient and specialist services generally feature no copays, though some specialist visits and diagnostic tests may require a coinsurance ranging from 20% to 50%. This plan also provides valuable supplemental benefits, including comprehensive dental and vision care with no copay and no coinsurance, featuring a $2,000 annual dental maximum and a $400 eyewear allowance. Hearing exams are covered with no copay, and prescription hearing aids require a copay of up to $299. Additionally, members benefit from no copays on home health services and receive a $50 quarterly allowance for over-the-counter items.
Inpatient Hospital See details
DEVOTED DUAL PLUS 010 OH (HMO D-SNP) covers inpatient acute hospital stays with a $2,230 copay per stay and no coinsurance, and inpatient psychiatric stays with a $2,080 copay per stay and no coinsurance. Prior authorization is required for both benefits, and while additional acute care days are unlimited, additional psychiatric days, hospital upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
Outpatient services are covered by DEVOTED DUAL PLUS 010 OH (HMO D-SNP) with no copays for outpatient hospital, ambulatory surgical center, substance abuse, and blood services. Coinsurance ranges from 0% to 50% depending on the specific service, and prior authorization is required for most outpatient benefits.
Partial Hospitalization See details
Partial hospitalization is covered under the DEVOTED DUAL PLUS 010 OH (HMO D-SNP) plan with no copay and a 30% coinsurance. Prior authorization is required for these services.
Ambulance and Transportation Services See details
DEVOTED DUAL PLUS 010 OH (HMO D-SNP) covers ambulance services with no copay, requiring prior authorization alongside a 50% coinsurance for air services and no coinsurance to 50% coinsurance for ground services. Transportation services are not covered in practice, as transportation to plan-approved or any health-related locations is not covered.
Emergency Services See details
DEVOTED DUAL PLUS 010 OH (HMO D-SNP) covers emergency services with a $115 copay (waived if admitted within 24 hours) and no coinsurance, and urgently needed services with no copay and 0% to 30% coinsurance (up to $40 per visit). Worldwide emergency, urgent, and transportation services are also covered up to a $25,000 maximum with no copay and no coinsurance.
Primary Care See details
Primary care benefits under DEVOTED DUAL PLUS 010 OH (HMO D-SNP) feature primary care physician visits with no copay and no coinsurance, though chiropractic services are not covered. Specialist, therapy, mental health, psychiatric, and podiatry services are covered with no copay and a 30% coinsurance, while telehealth benefits range from a 0% to 30% coinsurance with no copay.
Preventive Services See details
DEVOTED DUAL PLUS 010 OH (HMO D-SNP) covers preventive services with no copay and no coinsurance, including annual physical exams, kidney disease education, and select wellness programs. However, these additional preventive benefits are only partially covered, excluding services such as in-home safety assessments, PERS, medical nutrition therapy, post-discharge medication reconciliation, readmission prevention, 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 PLUS 010 OH (HMO D-SNP) hearing services are partially covered, offering hearing exams with no copay, a 50% coinsurance for routine exams, and prescription hearing aids with no coinsurance and a $0 to $299 copay. Prior authorization is required for exams, and over-the-counter (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 010 OH (HMO D-SNP) covers vision services with no copay, no coinsurance, and no deductible. This partially covered benefit includes one routine eye exam per year (prior authorization required; other eye exam services are not covered) and a $400 annual maximum for eyewear, including contact lenses, eyeglasses, and upgrades.
Dental Services See details
DEVOTED DUAL PLUS 010 OH (HMO D-SNP) covers preventive and comprehensive dental services with no copay and no coinsurance up to a $2,000 annual maximum. Medicare-covered dental services are also available with no copay and a 30% coinsurance, though prior authorization is required for these and most comprehensive treatments.
Home Infusion bundled Services See details
DEVOTED DUAL PLUS 010 OH (HMO D-SNP) covers home infusion bundled services with no copay, though prior authorization is required. Covered Part B chemotherapy, radiation, and other drugs have no copay and no coinsurance to 20% coinsurance, while Part B insulin drugs require a $35 copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered by DEVOTED DUAL PLUS 010 OH (HMO D-SNP) with no copay and a 20% coinsurance. Prior authorization is required for these services.
Medical Equipment See details
Medical equipment benefits under DEVOTED DUAL PLUS 010 OH (HMO D-SNP) are covered with no copays, though prior authorization is required. Members will pay a 20% coinsurance for durable medical equipment and diabetic supplies, and between no coinsurance and 20% coinsurance for prosthetics and medical supplies.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by DEVOTED DUAL PLUS 010 OH (HMO D-SNP) with prior authorization required and no copays. Diagnostic procedures and tests have no coinsurance, while lab services carry a 50% coinsurance, and radiological services require a 30% coinsurance for diagnostic and X-ray services and 20% for therapeutic services.
Home Health Services See details
Home health services are covered by DEVOTED DUAL PLUS 010 OH (HMO D-SNP) with no copay and no coinsurance. Prior authorization is required to receive these services.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered by DEVOTED DUAL PLUS 010 OH (HMO D-SNP) with no copay and prior authorization required. While some services are covered, cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and SET for PAD services are not covered in practice and carry a 30% coinsurance.
Skilled Nursing Facility (SNF) See details
DEVOTED DUAL PLUS 010 OH (HMO D-SNP) covers Skilled Nursing Facility (SNF) care with no coinsurance, requiring no copay for days 1 through 20 and a $218 copay for days 21 through 100. Prior authorization is required, a prior three-day hospital stay is not necessary, and additional days beyond the Medicare-covered limit are not covered.
Other Services See details
DEVOTED DUAL PLUS 010 OH (HMO D-SNP) provides partial coverage for other services, offering over-the-counter (OTC) items up to $50 every three months and additional preventive services with no copay and no coinsurance. Acupuncture, meal benefits, and highly integrated dual-eligible SNP services are not covered.
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