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Devoted CORE Oregon (HMO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Devoted CORE Oregon (HMO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Devoted CORE Oregon (HMO) in 2025, please refer to our full plan details page.
Devoted CORE Oregon (HMO) is a HMO plan offered by Devoted Health, Inc. available for enrollment in 2025 to people living in Portland. This plan received an overall rating of 3.5 out of 5 stars in 2025.
It's important to know that Devoted CORE Oregon (HMO) 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 CORE Oregon (HMO).
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 CORE Oregon (HMO), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $0.00. 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 $590.00 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 $5900.00 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 CORE Oregon (HMO) plan has an "Enhanced Alternative" drug benefit type. The plan has a $590 deductible for prescription drugs. During the initial coverage phase, after the deductible is met, you will pay a copay or coinsurance depending on the drug tier and pharmacy type. For example, you will pay a $10 copay for preferred generic drugs at a standard or mail order pharmacy. Once your total drug costs reach $2000, you enter the catastrophic coverage phase where you pay nothing for covered drugs.
Additional Benefits
The Devoted CORE Oregon (HMO) plan offers a wide range of benefits with varying cost-sharing. For inpatient hospital stays, you'll pay a $375 copay for days 1-5, and then no copay for the rest of the stay. Outpatient services have copays that range from $0 to $475, while emergency services have a $125 copay. The plan covers primary care, preventive, hearing, vision, and dental services with copays ranging from $0 to $40. Diagnostic and radiological services, home health services, and skilled nursing facilities are covered with varying copays and coinsurance. The plan also provides coverage for ambulance, partial hospitalization, and other services like home infusion, dialysis, and medical equipment.
Inpatient Hospital See details
Inpatient Hospital benefits, including acute and psychiatric services, are covered, with a $375 copay for days 1-5 and no copay for days 6-90. Additional days for Inpatient Hospital-Acute are covered, but non-Medicare-covered stays and upgrades for inpatient hospital-acute and psychiatric are not covered.
Outpatient Services See details
Outpatient Services include coverage for outpatient hospital services with a copay between $0 and $475, observation services with a $375 copay, ambulatory surgical center (ASC) services with no copay, outpatient substance abuse services with a $40 copay for both individual and group sessions, and outpatient blood services.
Partial Hospitalization See details
Partial Hospitalization is covered by the Devoted CORE Oregon (HMO) plan, requiring prior authorization, with a copay of $70.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered by the Devoted CORE Oregon (HMO) plan. Ground ambulance services have a copay between $0 and $275, while air ambulance services have a 20% coinsurance; transportation services to any health-related location are not covered.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered by the Devoted CORE Oregon (HMO) plan. Emergency Services has a $125 copay, while Urgently Needed Services has a copay between $0 and $45. Worldwide Emergency Transportation has a $275 copay and 20% coinsurance, while Worldwide Emergency Coverage and Worldwide Urgent Coverage each have a $125 copay.
Primary Care See details
Primary Care benefits include coverage for Primary Care Physician Services, Chiropractic Services, Occupational Therapy Services, Physician Specialist Services, Mental Health Specialty Services, Other Health Care Professional, Psychiatric Services, Physical Therapy and Speech-Language Pathology Services, Additional Telehealth Benefits, and Opioid Treatment Program Services. Chiropractic services have a $20 copay, and routine chiropractic care has a $20 copay for up to 12 visits per year. Occupational Therapy Services are covered with a copay between $40 and $45, while Physician Specialist Services and Additional Telehealth Benefits have copays between $0 and $40. Individual and Group Sessions for Mental Health and Psychiatric services have a $40 copay. Physical Therapy and Speech-Language Pathology Services have a copay between $40 and $50, and Opioid Treatment Program Services have a $40 copay. Podiatry Services are not covered.
Preventive Services See details
The Devoted CORE Oregon (HMO) plan covers preventive services, including annual physical exams, health education, Personal Emergency Response System (PERS), weight management programs, alternative therapies, therapeutic massage, nutritional/dietary benefits, fitness benefits, Home and Bathroom Safety Devices and Modifications, kidney disease education services, glaucoma screening, diabetes self-management training, barium enemas, digital rectal exams, and EKG following Welcome Visit. However, in-home safety assessments, medical nutrition therapy, post-discharge in-home medication reconciliation, re-admission prevention, wigs for hair loss related to chemotherapy, adult day health services, home-based palliative care, in-home support services, support for caregivers of enrollees, additional sessions of smoking and tobacco cessation counseling, enhanced disease management, telemonitoring services, remote access technologies, and counseling services are not covered.
Hearing Services See details
Hearing services are covered, including hearing exams with a $35 copay. Prescription hearing aids are covered with a copay between $399 and $699, while OTC hearing aids are not covered, and the plan does not cover prescription hearing aids for the inner, outer, or over-the-ear.
Vision Services See details
Vision Services includes coverage for eye exams with a $35 copay, and routine eye exams once per year. Eyewear is covered with a combined maximum of $1000 per year, while contact lenses, eyeglasses (lenses and frames), eyeglass lenses, eyeglass frames, and upgrades are also covered.
Dental Services See details
The Devoted CORE Oregon (HMO) plan covers dental services, with a $40 copay for Medicare Dental Services. Other Dental Services, including oral exams, dental x-rays, and cleanings, are covered with no copay or coinsurance, while maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered, including Medicare Part B Insulin Drugs with a $35 copay and 20% coinsurance, Medicare Part B Chemotherapy/Radiation Drugs with 0-20% coinsurance, and Other Medicare Part B Drugs with 0-20% coinsurance. Prior authorization is required.
Dialysis Services See details
Dialysis Services are covered under the Devoted CORE Oregon (HMO) plan. The coinsurance for dialysis services is 20%.
Medical Equipment See details
Medical Equipment is covered by the Devoted CORE Oregon (HMO) plan, including Durable Medical Equipment (DME) with a coinsurance between 0% and 35% and no copay, and Prosthetics/Medical Supplies with a coinsurance for Medicare-covered devices and supplies. Some services are covered, but Durable Medical Equipment for use outside the home, Diabetic Supplies, and Diabetic Therapeutic Shoes/Inserts are not covered.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services, including all diagnostic services, diagnostic procedures/tests, and lab services, are covered. Diagnostic procedures/tests have a copay between $0 and $95, while lab services have no copay. Radiological services are covered, with a copay up to $300 for diagnostic radiological services, and coinsurance of at least 20% for therapeutic radiological services.
Home Health Services See details
Home Health Services are covered by the Devoted CORE Oregon (HMO) plan with no copay and no coinsurance, but additional hours of care and personal care services are not covered. Prior authorization is required for this benefit.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered by Devoted CORE Oregon (HMO), but no specific services are covered. The plan states that there is a copay for these services, but does not specify the amount.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by the Devoted CORE Oregon (HMO) plan, but require prior authorization. For days 1-20, there is no copay, and for days 21-100, the copay is $214. Additional days beyond Medicare-covered and non-Medicare-covered stays for SNF are not covered.
Other Services See details
Other Services includes coverage for acupuncture, with no copay or coinsurance, and other services, including $0 preventive services. Over-the-counter (OTC) items, meal benefits, dual eligible SNPs with highly integrated services, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services, Private Duty Nursing Services, Case Management (Long Term Care), Institution for Mental Disease Services for Individuals 65 or Older, Services in an Intermediate Care Facility for Individuals with Intellectual Disabilities, Case Management, Tobacco Cessation Counseling for Pregnant Women, Freestanding Birth Center Services, Respiratory Care Services, Family Planning Services, Nursing Home Services, Home and Community Based Services, Personal Care Services, and Self-Directed Personal Assistance Services are not covered.
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