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DEVOTED DUAL 007 AL (HMO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for DEVOTED DUAL 007 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 007 AL (HMO D-SNP) in 2026, please refer to our full plan details page.
DEVOTED DUAL 007 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 007 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 007 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 007 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 007 AL (HMO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $17.90. 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 $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 DUAL 007 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 drugs at standard retail pharmacies and standard mail-order services. Tier 5 specialty drugs are covered with no copay. If you qualify for Extra Help, your Part D premium can be reduced to $17.90. After your yearly out-of-pocket drug costs reach $2,100.00, you enter the catastrophic coverage phase and pay nothing for covered Part D prescription drugs.
Additional Benefits
The DEVOTED DUAL 007 AL (HMO D-SNP) offers robust medical coverage with affordable out-of-pocket costs, featuring no copay for preventive services, annual physicals, and home health care. For inpatient hospital stays, members pay a $275 daily copay for days 1 through 6, followed by no copay for days 7 through 90. Specialist visits require a $25 copay, while emergency room visits carry a $130 copay. This plan also provides strong everyday health benefits, including routine dental care with no copay up to a $1,000 annual limit and routine vision exams with no copay. Additionally, members receive a $200 yearly allowance for eyewear, a $50 quarterly allowance for over-the-counter items, and hearing aid coverage with copays ranging from $399 to $699. Skilled nursing facility stays are covered with no copay for the first 20 days.
Inpatient Hospital See details
DEVOTED DUAL 007 AL (HMO D-SNP) partially covers inpatient hospital services, as upgrades, non-Medicare-covered stays, and additional days for psychiatric care are not covered. Covered acute and psychiatric inpatient stays require a $275 copay for days 1 through 6, no copay for days 7 through 90, and no coinsurance.
Outpatient Services See details
DEVOTED DUAL 007 AL (HMO D-SNP) covers outpatient services with no coinsurance, offering ambulatory surgical center services with no copay. Outpatient hospital services require a copay of $0 to $375, observation services have a $275 copay per stay, and outpatient substance abuse sessions have a $25 copay.
Partial Hospitalization See details
Partial hospitalization benefits are covered under the DEVOTED DUAL 007 AL (HMO D-SNP) plan with a $60.00 copay and no coinsurance. Prior authorization is required to receive these services.
Ambulance and Transportation Services See details
Ambulance and transportation services are partially covered under DEVOTED DUAL 007 AL (HMO D-SNP), as transportation services to health-related locations are not covered. Ground ambulance services feature a copay ranging from no copay to $325 with no coinsurance, while air ambulance services require a 20% coinsurance and no copay.
Emergency Services See details
DEVOTED DUAL 007 AL (HMO D-SNP) covers emergency services with a $130 copay and no coinsurance, and urgently needed services with no copay to a $45 copay and no coinsurance. Worldwide emergency services are covered up to a $25,000 limit, with a $130 copay for emergency and urgent care, and a $325 copay with 20% coinsurance for emergency transportation.
Primary Care See details
DEVOTED DUAL 007 AL (HMO D-SNP) partially covers primary care services with no coinsurance, as routine chiropractic care is not covered. Covered options include specialist and psychiatric visits for a $25 copay, therapy services for a $25 to $50 copay, and other health services with copays ranging from $0 to $45.
Preventive Services See details
Preventive services are partially covered by DEVOTED DUAL 007 AL (HMO D-SNP) with no copay and no coinsurance for covered benefits such as annual physicals, fitness programs, and health education. Uncovered sub-services include in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge medication reconciliation, re-admission prevention, wigs, therapeutic massage, adult day health, home-based palliative care, in-home support, caregiver support, additional tobacco cessation counseling, enhanced disease management, telemonitoring, remote access technologies, and counseling.
Hearing Services See details
Hearing services are partially covered by DEVOTED DUAL 007 AL (HMO D-SNP), featuring a $25 copay and no coinsurance for routine exams, and a $399 to $699 copay with no coinsurance for up to two prescription hearing aids per year. However, OTC hearing aids, along with inner ear, outer ear, and over-the-ear prescription hearing aids, are not covered.
Vision Services See details
DEVOTED DUAL 007 AL (HMO D-SNP) covers vision services, including one annual routine eye exam with a copay ranging from no copay to $25 and no coinsurance. Additionally, the plan provides a $200 yearly allowance for eyewear, contacts, and upgrades with no copay or coinsurance.
Dental Services See details
Dental services are partially covered by DEVOTED DUAL 007 AL (HMO D-SNP), with Medicare-covered dental services requiring a $25 copay and no coinsurance. Other covered dental services have no copay or coinsurance up to a $1,000 annual limit, 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 007 AL (HMO D-SNP) with prior authorization and require no coinsurance to 20% coinsurance. Covered Part B insulin drugs carry a $35 copay, while chemotherapy, radiation, and other Part B drugs require no copay.
Dialysis Services See details
Dialysis Services are covered by DEVOTED DUAL 007 AL (HMO D-SNP) with a 20% coinsurance and no copay. Prior authorization is required to access these services.
Medical Equipment See details
DEVOTED DUAL 007 AL (HMO D-SNP) partially covers medical equipment with no copay, though diabetic therapeutic shoes and inserts are not covered. Covered services require prior authorization, with coinsurance ranging from 20% to 30% for durable medical equipment, no coinsurance to 20% for prosthetics and medical supplies, and no coinsurance to 30% for diabetic supplies.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by DEVOTED DUAL 007 AL (HMO D-SNP) with prior authorization. There is no copay and no coinsurance for lab services and outpatient X-rays, while diagnostic procedures require a $0 to $95 copay and no coinsurance, diagnostic radiology costs up to a $300 copay and no coinsurance, and therapeutic radiology requires a 20% coinsurance and no copay.
Home Health Services See details
Home Health Services are covered by DEVOTED DUAL 007 AL (HMO D-SNP) with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
DEVOTED DUAL 007 AL (HMO D-SNP) technically covers Cardiac Rehabilitation Services, but in practice, some services are covered while cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered. There is no copay or coinsurance for these non-covered services, though prior authorization is required for coverage.
Skilled Nursing Facility (SNF) See details
DEVOTED DUAL 007 AL (HMO D-SNP) partially covers Skilled Nursing Facility (SNF) services with prior authorization, though additional days beyond the Medicare-covered limit are not covered. Stays feature no copay or coinsurance for days 1 through 20, and a $218 daily copay with no coinsurance for days 21 through 100.
Other Services See details
Other Services are partially covered by DEVOTED DUAL 007 AL (HMO D-SNP), offering 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 highly integrated services for dual eligible SNPs are not covered under this plan.
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