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DEVOTED DUAL PLUS 003 AL (HMO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for DEVOTED DUAL PLUS 003 AL (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 003 AL (HMO D-SNP) in 2026, please refer to our full plan details page.
DEVOTED DUAL PLUS 003 AL (HMO D-SNP) is a HMO D-SNP 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 DUAL PLUS 003 AL (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 003 AL (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 003 AL (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 003 AL (HMO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $20.30. 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 003 AL (HMO D-SNP) plan offers an Enhanced Alternative drug benefit with an annual prescription drug deductible of $615.00. During the initial coverage phase, you will pay a 25% coinsurance for Tier 1 through Tier 4 medications, which includes preferred generics, standard generics, preferred brands, and non-preferred drugs at standard pharmacies or through standard mail. This cost-sharing structure remains in place until your total combined drug costs reach $2,100.00. For Tier 5 specialty drugs, this plan offers no copay at standard pharmacies and through standard mail. After your yearly out-of-pocket drug costs reach $2,100.00, you enter the catastrophic coverage phase and will pay nothing for covered Medicare Part D prescriptions. Additionally, individuals who qualify for the low-income subsidy, or Extra Help, may have their Part D premium reduced to $20.30.
Additional Benefits
The DEVOTED DUAL PLUS 003 AL (HMO D-SNP) plan offers robust medical coverage with no copays for primary care, specialist visits, and outpatient services, though coinsurance up to 20% may apply. Inpatient hospital stays require a copay of $2,230 for acute care and $2,080 for psychiatric care per stay, with no coinsurance. Emergency services are covered with a $115 copay that is waived upon hospital admission, while urgent care features no copay. For extra wellness benefits, the plan provides preventive services, annual physicals, and routine eye exams with no copays. Members also benefit from a $200 annual eyewear allowance and up to $1,000 yearly for dental services with no copay or coinsurance. Additionally, the plan covers prescription hearing aids with copays ranging from $399 to $699 and offers a $50 quarterly allowance for over-the-counter items.
Inpatient Hospital See details
DEVOTED DUAL PLUS 003 AL (HMO D-SNP) partially covers inpatient hospital benefits, requiring a $2,230 copay and no coinsurance per stay for acute care, and a $2,080 copay and no coinsurance per stay for psychiatric care. Prior authorization is required, and upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
DEVOTED DUAL PLUS 003 AL (HMO D-SNP) covers outpatient services, including outpatient hospital, observation, ambulatory surgical center, substance abuse, and blood services, with no copays and coinsurance ranging from 0% to 20%. Prior authorization is required for these services.
Partial Hospitalization See details
DEVOTED DUAL PLUS 003 AL (HMO D-SNP) covers partial hospitalization benefits with no copay and a 20% coinsurance. Prior authorization is required for these services.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are partially covered by DEVOTED DUAL PLUS 003 AL (HMO D-SNP), as transportation services to plan-approved or any health-related locations are not covered. Covered ground ambulance services require no copay and no coinsurance to 20% coinsurance, while air ambulance services have no copay and 20% coinsurance.
Emergency Services See details
DEVOTED DUAL PLUS 003 AL (HMO D-SNP) covers emergency services with a $115 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services feature no copay with a 0% to 20% coinsurance, and worldwide emergency coverage is included up to a $25,000 maximum benefit limit.
Primary Care See details
Primary Care benefits are covered by DEVOTED DUAL PLUS 003 AL (HMO D-SNP) with no copays and up to 20% coinsurance for services like specialist visits, occupational therapy, and psychiatric care. Chiropractic services are partially covered by the plan, as routine chiropractic care is not covered.
Preventive Services See details
Preventive services are covered by DEVOTED DUAL PLUS 003 AL (HMO D-SNP) with no copay or coinsurance, including annual physical exams, kidney disease education, and glaucoma screenings. While additional benefits like fitness programs, health education, and weight management are covered, other sub-services such as in-home safety assessments, therapeutic massages, and caregiver support are not covered.
Hearing Services See details
Hearing services under DEVOTED DUAL PLUS 003 AL (HMO D-SNP) are partially covered, offering annual routine hearing exams with a 20% coinsurance and no copay, and up to two prescription hearing aids per year with a copay ranging from $399 to $699 and no coinsurance. Over-the-counter 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 003 AL (HMO D-SNP) covers annual routine eye exams with no copay and a 0% to 20% coinsurance. The plan also provides up to $200 per year for eyewear, including contacts and eyeglasses, with no copay or coinsurance.
Dental Services See details
Dental services are partially covered by DEVOTED DUAL PLUS 003 AL (HMO D-SNP), though maxillofacial prosthetics, implant services, and orthodontics are not covered. Medicare-covered dental services require a 20% coinsurance and no copay, while other covered dental services are available with no copay and no coinsurance up to a $1,000 annual maximum.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered by DEVOTED DUAL PLUS 003 AL (HMO D-SNP) with prior authorization, requiring no coinsurance to 20% coinsurance for chemotherapy, radiation, and other Part B drugs. Covered Medicare 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 003 AL (HMO D-SNP) with no copay and a 20% coinsurance. Prior authorization is required to receive these covered services.
Medical Equipment See details
Medical equipment is covered by DEVOTED DUAL PLUS 003 AL (HMO D-SNP) with no copays, though prior authorization is required for most services. Members will pay a 20% coinsurance for durable medical equipment, diabetic supplies, and therapeutic shoes, and between no coinsurance and 20% coinsurance for prosthetic devices and medical supplies.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by DEVOTED DUAL PLUS 003 AL (HMO D-SNP) with no copay, though prior authorization is required. Diagnostic procedures range from no coinsurance to 20% coinsurance, while lab, radiological, and outpatient X-ray services require a 20% coinsurance.
Home Health Services See details
Home health services are covered under the DEVOTED DUAL PLUS 003 AL (HMO D-SNP) plan, with prior authorization required to receive these benefits.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered under the DEVOTED DUAL PLUS 003 AL (HMO D-SNP) plan, which includes cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) benefits are partially covered by DEVOTED DUAL PLUS 003 AL (HMO D-SNP), requiring prior authorization but no prior three-day inpatient hospital stay. There is no copay for days 1 through 20, a $218 daily copay for days 21 through 100, and no coinsurance, but additional days beyond the Medicare-covered limit are not covered.
Other Services See details
Other Services are partially covered by DEVOTED DUAL PLUS 003 AL (HMO D-SNP), featuring a $50 quarterly allowance for over-the-counter items and coverage for additional preventive services with no copay and no coinsurance. Acupuncture, meal benefits, and dual-eligible SNPs with highly integrated services are not covered.
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