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DEVOTED CORE 001 AL (HMO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for DEVOTED CORE 001 AL (HMO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on DEVOTED CORE 001 AL (HMO) in 2026, please refer to our full plan details page.
DEVOTED CORE 001 AL (HMO) is a HMO plan offered by Devoted Health, Inc. available for enrollment in 2025 to people living in Central and South Alabama. This plan received an overall rating of 3.5 out of 5 stars in 2026.
It's important to know that DEVOTED CORE 001 AL (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 001 AL (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 001 AL (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 $375.00 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 $5500.00 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 001 AL (HMO) plan features an Enhanced Alternative drug benefit with an annual prescription drug deductible of $375.00. During the initial coverage phase, you will enjoy no copay for Tier 1 preferred generic drugs filled at standard pharmacies or through standard mail order. For other tiers, you will pay a coinsurance of 24% for Tier 2 standard generic drugs, 43% for Tier 3 preferred brand drugs, and 28% for Tier 4 non-preferred drugs. Once your yearly out-of-pocket drug costs reach $2,100.00, you enter the catastrophic coverage phase where you pay nothing for covered Medicare Part D prescription drugs. Additionally, individuals who qualify for the low-income subsidy or Extra Help will see their Part D costs reduced to $0.00. This plan offers a structured way to manage your healthcare expenses with clear cost-sharing tiers and robust catastrophic protections.
Additional Benefits
The DEVOTED CORE 001 AL (HMO) plan offers robust coverage for essential medical services with predictable cost-sharing. Inpatient hospital stays require a $335 daily copay for the first six days and no copay thereafter, while primary care visits range from no copay to a $50 copay. Emergency room care has a $130 copay, which is waived if you are admitted, and skilled nursing facility stays feature no copay for the first 20 days. Members also benefit from comprehensive dental coverage up to a $3,500 annual limit with no copay for preventive care, alongside a $350 yearly eyewear allowance and routine hearing exams for a $25 copay. Diagnostic services like lab tests and X-rays are available with no copay, and the plan includes a $75 quarterly allowance for over-the-counter items.
Inpatient Hospital See details
DEVOTED CORE 001 AL (HMO) partially covers inpatient hospital services with a $335 daily copay for days 1 through 6, no copay for days 7 through 90, and no coinsurance. Upgrades, non-Medicare-covered stays, and additional days for psychiatric stays are not covered under this benefit.
Outpatient Services See details
Outpatient services are covered by DEVOTED CORE 001 AL (HMO) with no coinsurance. Copays range from no copay for ambulatory surgical center services up to $435 for outpatient hospital services, while observation services require a $335 copay per stay and outpatient substance abuse sessions cost $25.
Partial Hospitalization See details
Partial hospitalization is covered by DEVOTED CORE 001 AL (HMO) with a $60.00 copay and no coinsurance. Prior authorization is required for these services.
Ambulance and Transportation Services See details
DEVOTED CORE 001 AL (HMO) partially covers ambulance and transportation services, as transportation services are not covered. Covered ground ambulance services require a copay between no copay and $325 with no coinsurance, while air ambulance services carry a 20% coinsurance and no copay.
Emergency Services See details
DEVOTED CORE 001 AL (HMO) covers emergency services with a $130 copay and no coinsurance, with the copay waived if you are admitted to the hospital within 24 hours. Urgently needed services require no copay to a $45 copay and no coinsurance, while worldwide emergency services and transportation are covered up to $25,000 with copays ranging from $130 to $325 and up to 20% coinsurance.
Primary Care See details
Primary Care benefits are partially covered by DEVOTED CORE 001 AL (HMO), with copays ranging from $0 to $50 and no coinsurance for covered services. Podiatry services and routine chiropractic care are not covered under this plan.
Preventive Services See details
Preventive services are partially covered by DEVOTED CORE 001 AL (HMO) with no copay or coinsurance for Medicare-covered zero-dollar services, annual physical exams, and fitness benefits. The plan does not cover in-home safety assessments, personal emergency response systems, 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 counseling, enhanced disease management, telemonitoring, remote access technologies, and counseling services.
Hearing Services See details
Hearing services are partially covered by DEVOTED CORE 001 AL (HMO), which offers routine hearing exams for a $25 copay and no coinsurance. Prescription hearing aids are covered with a $399 to $699 copay and no coinsurance, but OTC hearing aids and inner ear, outer ear, and over the ear prescription hearing aids are not covered.
Vision Services See details
DEVOTED CORE 001 AL (HMO) covers vision services, including one annual routine eye exam with a copay of $0 to $25 and no coinsurance. Members also receive a $350 annual allowance for eyewear, contacts, frames, lenses, and upgrades with no copay or coinsurance.
Dental Services See details
DEVOTED CORE 001 AL (HMO) partially covers dental services up to a $3,500 annual limit, excluding maxillofacial prosthetics, implant services, and orthodontics. Medicare-covered dental services require a $25 copay and no coinsurance, preventive services have no copay or coinsurance, and restorative, endodontic, and prosthodontic services require no copay and a 0% to 50% coinsurance.
Home Infusion bundled Services See details
DEVOTED CORE 001 AL (HMO) covers Home Infusion bundled Services, which require prior authorization, though Part D home infusion drugs are not covered. Chemotherapy, radiation, and other Part B drugs feature no copay and coinsurance ranging from 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 CORE 001 AL (HMO) with no copay and a 20% coinsurance. Prior authorization is required before you can receive these services.
Medical Equipment See details
Medical Equipment is partially covered by DEVOTED CORE 001 AL (HMO), as diabetic therapeutic shoes or inserts are not covered. Covered services require no copay, with coinsurance ranging from 20% to 50% for durable medical equipment, no coinsurance to 20% for prosthetics and medical supplies, and no coinsurance to 50% for diabetic supplies.
Diagnostic and Radiological Services See details
DEVOTED CORE 001 AL (HMO) covers diagnostic and radiological services with prior authorization, offering no copay for lab services and outpatient X-rays. Diagnostic procedures and tests carry a copay of $0 to $95, diagnostic radiological services have a copay of $0 to $300, and therapeutic radiological services require a 20% coinsurance.
Home Health Services See details
Home health services are covered under the DEVOTED CORE 001 AL (HMO) plan, though prior authorization is required to receive these benefits.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered under the DEVOTED CORE 001 AL (HMO) plan, meaning there is no coverage, copay, or coinsurance for cardiac, intensive cardiac, pulmonary, or supervised exercise therapy (SET) services.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) care is covered by DEVOTED CORE 001 AL (HMO) with no copay for days 1 to 20 and a $218 daily copay for days 21 to 100, with no coinsurance required. This prior-authorization benefit is partially covered, as additional days beyond the Medicare-covered limit are not covered.
Other Services See details
Other Services are partially covered by DEVOTED CORE 001 AL (HMO), featuring a $75 quarterly allowance for over-the-counter items and coverage for additional preventive services with no copays or coinsurance specified. Acupuncture, meal benefits, and highly integrated services for dual-eligible SNPs are not covered under this benefit.
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