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DEVOTED DUAL PLUS 006 AL (HMO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for DEVOTED DUAL PLUS 006 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 006 AL (HMO D-SNP) in 2026, please refer to our full plan details page.
DEVOTED DUAL PLUS 006 AL (HMO D-SNP) is a HMO D-SNP plan offered by Devoted Health, Inc. available for enrollment in 2025 to people living in North 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 006 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 006 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 006 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 006 AL (HMO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $18.60. 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 006 AL (HMO D-SNP) Medicare plan features an annual prescription drug deductible of $615.00 and offers an enhanced alternative benefit design. Under the initial coverage phase, members pay a 25% coinsurance for preferred generic, standard generic, preferred brand, and non-preferred drugs at standard pharmacies or through standard mail. Notably, there is no copay for Tier 5 specialty drugs during this initial phase. For individuals who qualify for the low-income subsidy or Extra Help, the Part D premium is reduced to $18.60. Once your yearly out-of-pocket drug costs reach $2,100.00, you enter the catastrophic coverage phase and pay nothing for Medicare Part D covered drugs.
Additional Benefits
The DEVOTED DUAL PLUS 006 AL (HMO D-SNP) plan offers comprehensive medical coverage featuring no copays for primary care, specialist visits, outpatient services, and home health care. For inpatient hospital stays, members pay a $2,000 copay per admission with no coinsurance, while emergency services carry a $115 copay that is waived upon admission. Preventive care, including annual physicals and fitness programs, is fully covered with no copays or coinsurance. Additionally, the plan provides extra benefits like vision exams with no copay and a $100 annual eyewear allowance, alongside dental care covered with no copay up to a $750 yearly limit. Hearing exams are available with no copay, while prescription hearing aids require a copay between $399 and $699. Members also benefit from a $50 quarterly over-the-counter allowance with no copay or coinsurance.
Inpatient Hospital See details
DEVOTED DUAL PLUS 006 AL (HMO D-SNP) covers inpatient hospital services with a $2,000 copay per admission and no coinsurance, though prior authorization is required. This benefit is partially covered because upgrades, non-Medicare-covered stays, and additional days for psychiatric stays are not covered.
Outpatient Services See details
DEVOTED DUAL PLUS 006 AL (HMO D-SNP) covers outpatient services with no copays and coinsurance ranging from no coinsurance to 20% depending on the service. Covered care includes outpatient hospital, observation, ambulatory surgical center, substance abuse, and blood services, most of which require prior authorization.
Partial Hospitalization See details
Partial hospitalization benefits are covered by DEVOTED DUAL PLUS 006 AL (HMO D-SNP) with no copay and a 20% coinsurance. Prior authorization is required for these services.
Ambulance and Transportation Services See details
DEVOTED DUAL PLUS 006 AL (HMO D-SNP) partially covers ambulance and transportation services, offering ambulance coverage with no copay and a coinsurance of 0% to 20% for ground transport and 20% for air transport. Transportation services to plan-approved or any health-related locations are not covered under this plan.
Emergency Services See details
DEVOTED DUAL PLUS 006 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 are covered with no copay and a 0% to 20% coinsurance up to a $40 maximum per visit, and worldwide emergency coverage is provided up to a $25,000 maximum.
Primary Care See details
DEVOTED DUAL PLUS 006 AL (HMO D-SNP) covers primary care, specialist, and therapy services with no copays and a 20% coinsurance, though telehealth and select professional services range from no coinsurance to 20% coinsurance. Chiropractic services are only partially covered, as routine chiropractic care is not covered under this plan.
Preventive Services See details
Preventive Services are partially covered by DEVOTED DUAL PLUS 006 AL (HMO D-SNP) with no copay and no coinsurance for covered benefits like annual physical exams and fitness programs. Uncovered sub-services include in-home safety assessments, personal emergency response systems (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 counseling, enhanced disease management, telemonitoring, remote access technologies, and counseling services.
Hearing Services See details
DEVOTED DUAL PLUS 006 AL (HMO D-SNP) partially covers hearing services, including routine hearing exams with no copay and up to 20% coinsurance, and unlimited fitting evaluations with no copay or coinsurance. Prescription hearing aids (all types) are covered up to twice a year with a $399 to $699 copay and no coinsurance, though OTC hearing aids and inner ear, outer ear, and over the ear prescription hearing aids are not covered.
Vision Services See details
Vision services are covered by DEVOTED DUAL PLUS 006 AL (HMO D-SNP) with no copay, no deductible, and a 0% to 20% coinsurance for eye exams. The plan also includes up to $100 of annual coverage for eyewear, including contacts and eyeglasses, with no copay.
Dental Services See details
Dental services are partially covered by DEVOTED DUAL PLUS 006 AL (HMO D-SNP), with Medicare-covered dental requiring a 20% coinsurance and no copay. Other covered dental services have no copay or coinsurance up to a $750 annual maximum, though maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
Home infusion bundled services are covered by DEVOTED DUAL PLUS 006 AL (HMO D-SNP) and require prior authorization. Chemotherapy, radiation, and other Part B drugs have no copay and coinsurance ranging from no coinsurance to 20%, while Part B insulin drugs have a $35 copay and coinsurance ranging from no coinsurance to 20%.
Dialysis Services See details
DEVOTED DUAL PLUS 006 AL (HMO D-SNP) covers dialysis services with a 20% coinsurance and no copay. Prior authorization is required to access this benefit.
Medical Equipment See details
DEVOTED DUAL PLUS 006 AL (HMO D-SNP) covers medical equipment, including durable medical equipment, prosthetics, and diabetic supplies, with no copays. Coinsurance ranges from no coinsurance up to 20% depending on the item, and prior authorization is required.
Diagnostic and Radiological Services See details
DEVOTED DUAL PLUS 006 AL (HMO D-SNP) covers diagnostic and radiological services with no copays, though prior authorization is required. Members pay no coinsurance to 20% coinsurance for diagnostic procedures, and 20% coinsurance for lab services, X-rays, and radiological treatments.
Home Health Services See details
Home Health Services are covered by the DEVOTED DUAL PLUS 006 AL (HMO D-SNP) plan with no copay and no coinsurance. Prior authorization is required before you can receive these services.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered under the DEVOTED DUAL PLUS 006 AL (HMO D-SNP) plan, meaning there is no coverage, copay, or coinsurance for these services. This lack of coverage applies to all sub-services, including cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) services.
Skilled Nursing Facility (SNF) See details
DEVOTED DUAL PLUS 006 AL (HMO D-SNP) partially covers Skilled Nursing Facility (SNF) services with prior authorization, featuring no copay for days 1 through 20, a $218 daily copay for days 21 through 100, and no coinsurance. Additional days beyond the Medicare-covered limit are not covered.
Other Services See details
Other Services are partially covered by DEVOTED DUAL PLUS 006 AL (HMO D-SNP), as acupuncture, meal benefits, and dual eligible SNPs with highly integrated services are not covered. Covered benefits include additional preventive services and a $50 quarterly over-the-counter allowance with no copay or coinsurance.
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