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Devoted CORE Alabama (HMO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Devoted CORE Alabama (HMO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Devoted CORE Alabama (HMO) in 2025, please refer to our full plan details page.
Devoted CORE Alabama (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 2025.
It's important to know that Devoted CORE Alabama (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 Alabama (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 Alabama (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 $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 Alabama (HMO) plan has an "Enhanced Alternative" drug benefit type. The plan has a deductible of $590.00. In the initial coverage phase, after you meet your deductible, you will pay either a $0 copay or 25% coinsurance depending on the drug tier and pharmacy. After your total drug costs reach $2,000, you enter the catastrophic coverage phase where you pay nothing for covered drugs.
Additional Benefits
The Devoted CORE Alabama (HMO) plan offers a range of benefits with varying costs. Inpatient hospital stays have a $335 copay for the first six days, with no copay for subsequent days, while outpatient services can have copays between $0 and $375. Primary care and specialist visits have copays, and emergency services have a $125 copay. The plan also covers preventive, hearing, vision, and dental services, with specific copays or coinsurance amounts. Additional benefits include home health, skilled nursing, and cardiac rehabilitation services. However, some services, like certain types of hearing aids, specific dental and vision services, and many "other services" are not covered.
Inpatient Hospital See details
Inpatient Hospital benefits are covered, with a copay of $335 for days 1-6, and no copay for days 7-90. Additional days for Inpatient Hospital-Acute are covered, while Non-Medicare-covered Stay and Upgrades for Inpatient Hospital-Acute are not covered. Inpatient Hospital Psychiatric benefits are covered, with a copay of $335 for days 1-6, and no copay for days 7-90; however, additional days and Non-Medicare-covered Stay for Inpatient Hospital Psychiatric are not covered.
Outpatient Services See details
Outpatient Services are covered, including outpatient hospital services with a copay between $0 and $375, observation services with a $275 copay, ambulatory surgical center services with no copay, and outpatient substance abuse services with a $25 copay for individual and group sessions. Outpatient blood services are also covered.
Partial Hospitalization See details
Partial Hospitalization is covered with a $60 copay. Prior authorization is required.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered by the Devoted CORE Alabama (HMO) plan. Ground ambulance services have a copay between $0 and $325, while air ambulance services have a 20% coinsurance, and 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 Alabama (HMO) plan. Emergency Services have a $125 copay, and Urgently Needed Services have a copay between $0 and $45. Worldwide Emergency Coverage and Worldwide Urgent Coverage have a $125 copay, while Worldwide Emergency Transportation has a $325 copay and 20% coinsurance.
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, Occupational Therapy Services have a copay between $25 and $45, Physician Specialist Services have a $25 copay, Mental Health Specialty Services have a $25 copay for individual and group sessions, Other Health Care Professional services have a copay between $0 and $25, Psychiatric Services have a $25 copay for individual and group sessions, Physical Therapy and Speech-Language Pathology Services have a copay between $25 and $50, Additional Telehealth Benefits have a copay between $0 and $25, and Opioid Treatment Program Services have a $25 copay.
Preventive Services See details
The Devoted CORE Alabama (HMO) plan covers preventive services, including annual physical exams, health education, personal emergency response systems, weight management programs, alternative therapies, nutritional/dietary benefits, fitness benefits, home and bathroom safety devices, kidney disease education services, glaucoma screenings, diabetes self-management training, barium enemas, digital rectal exams, and EKGs following a welcome visit. In-home safety assessments, medical nutrition therapy, post-discharge in-home medication reconciliation, re-admission prevention, wigs for hair loss related to chemotherapy, therapeutic massage, adult day health services, home-based palliative care, in-home support services, support for caregivers, 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 include routine hearing exams with a $25 copay, fitting/evaluation for hearing aids with no copay, and prescription hearing aids with a copay between $399 and $699. Prescription hearing aids for the inner ear, outer ear, and over the ear are not covered, and OTC hearing aids are also not covered.
Vision Services See details
The Devoted CORE Alabama (HMO) plan covers vision services, including eye exams with a $25 copay. Eyewear is covered, with a combined maximum benefit of $1900 every year, and contact lenses, eyeglasses (lenses and frames), eyeglass lenses, eyeglass frames, and upgrades are also covered.
Dental Services See details
Dental services are covered, with a $25 copay for Medicare Dental Services. Other services like Oral Exams, Dental X-Rays, Other Diagnostic Dental Services, Fluoride Treatment, Other Preventive Dental Services, Restorative Services, Adjunctive General Services, Endodontics, Periodontics, Prosthodontics (removable and fixed), and Oral and Maxillofacial Surgery are covered. Prophylaxis (Cleaning) is covered for 2 visits every year. Orthodontic Services are covered up to $1900 per year, 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 Alabama (HMO) plan. The coinsurance for dialysis services is between 20% and 20%.
Medical Equipment See details
Medical Equipment is covered by the Devoted CORE Alabama (HMO) plan, including Durable Medical Equipment (DME) with 0-35% coinsurance and Prosthetic Devices with 0-20% coinsurance, while Durable Medical Equipment for use outside the home, Diabetic Supplies, and Diabetic Therapeutic Shoes/Inserts are not covered. Medical Supplies have a 20% coinsurance.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered, including diagnostic procedures and tests with a copay between $0 and $95, and lab services with no copay. Therapeutic Radiological Services have a coinsurance of at least 20%, and diagnostic radiological services have a copay up to $300.
Home Health Services See details
Home Health Services are covered by the Devoted CORE Alabama (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 the Devoted CORE Alabama (HMO) plan. However, Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, and SET for PAD Services are not covered.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by the Devoted CORE Alabama (HMO) plan, but require prior authorization. For days 1-20, there is no copay, and for days 21-100, the copay is $214.
Other Services See details
Other Services are not covered, including acupuncture, over-the-counter 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. Other 2 benefits include $0 preventive services.
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