A non-government entity
Devoted CHOICE Colorado (PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Devoted CHOICE Colorado (PPO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Devoted CHOICE Colorado (PPO) in 2025, please refer to our full plan details page.
Devoted CHOICE Colorado (PPO) is a PPO plan offered by Devoted Health, Inc. available for enrollment in 2025 to people living in Denver Metro. This plan received an overall rating of 3 out of 5 stars in 2025.
It's important to know that Devoted CHOICE Colorado (PPO) 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 CHOICE Colorado (PPO).
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 CHOICE Colorado (PPO), 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 combined Maximum Out-Of-Pocket cost of $9550.00 (in-network or out-of-network combined). You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $9550.00 for covered services, the plan will pay 100% of covered costs for the rest of the year.
The plan may have separate out-pocket-maximums for in-network and out-of-network services. See our full plan details page for more information.
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 CHOICE Colorado (PPO) plan has a $590 deductible for prescription drugs. Once you meet your deductible, you will pay the following costs for your prescriptions. For Tier 1 preferred generic drugs, there is no copay at standard or mail order pharmacies. For all other tiers, you will pay 25% coinsurance. After your total drug costs reach $2,000, you enter the catastrophic coverage phase where you pay nothing for your Part D covered drugs. If you qualify for the low-income subsidy, you will pay no cost for your Part D drugs.
Additional Benefits
The Devoted CHOICE Colorado (PPO) plan offers a range of benefits with varying costs. Inpatient hospital stays have a copay, while outpatient services can have copays up to $395. Emergency services have a $125 copay, and primary care visits have no copay. The plan covers preventive services, hearing exams with a $30 copay, and vision services, including eyewear with a $1,000 annual benefit. Dental services have a $30 copay for Medicare-covered services, and a $1,000 maximum benefit for other services. Home health services have no copay, and skilled nursing facility stays have a copay after 20 days.
Inpatient Hospital See details
Inpatient Hospital services, including Acute and Psychiatric, are covered by the Devoted CHOICE Colorado (PPO) plan. For Inpatient Hospital-Acute, you will pay a $295 copay for days 1-6, and no copay for days 7-90; Inpatient Hospital-Psychiatric has a $295 copay for days 1-5, and no copay for days 6-90.
Outpatient Services See details
Outpatient Services include coverage for all outpatient hospital services with a copay between $0 and $395, observation services with a $295 copay, and ambulatory surgical center services with no copay. Outpatient substance abuse services and outpatient blood services are also covered, with individual and group outpatient substance abuse sessions having a $30 copay.
Partial Hospitalization See details
Partial Hospitalization is covered under the Devoted CHOICE Colorado (PPO) plan, with a $70 copay. Prior authorization is required.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered by the Devoted CHOICE Colorado (PPO) plan, with a copay of $0 - $275 for ground ambulance services, and a 20% coinsurance for air ambulance services. Transportation services to health-related locations are not covered.
Emergency Services See details
Emergency Services, including Worldwide Emergency Services, are covered by the Devoted CHOICE Colorado (PPO) plan. Emergency Services have a $125 copay, while Urgently Needed Services have a copay of $0-$45; Worldwide Emergency Transportation has a $275 copay and 20% coinsurance, and Worldwide Emergency Coverage and Worldwide Urgent Coverage have a $125 copay.
Primary Care See details
The Devoted CHOICE Colorado (PPO) plan covers primary care physician services with no copay, chiropractic services with a $20 copay, occupational therapy with a copay between $0 and $45, and physician specialist services with a $30 copay. Mental health and psychiatric services, and opioid treatment program services have a $30 copay for individual and group sessions. Physical therapy and speech-language pathology services have a copay between $0 and $50. Other health care professional services have a copay between $0 and $30.
Preventive Services See details
Preventive services include coverage for Medicare-covered preventive services, annual physical exams, health education, personal emergency response systems, weight management programs, alternative therapies, therapeutic massage, nutritional/dietary benefits, fitness benefits, home and bathroom safety devices, kidney disease education services, glaucoma screening, diabetes self-management training, barium enemas, digital rectal exams, and EKGs following a welcome visit. However, in-home safety assessments, medical nutrition therapy, post-discharge in-home medication reconciliation, readmission prevention, wigs for hair loss related to chemotherapy, adult day health services, home-based palliative care, in-home support services, support for caregivers of enrollees, 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 coverage for hearing exams with a $30 copay, routine hearing exams (1 per year), and fitting/evaluation for hearing aids. Prescription hearing aids are covered with a copay between $399 and $699 for all types, but prescription hearing aids for the inner ear, outer ear, and over the ear are not covered, and OTC hearing aids are not covered.
Vision Services See details
Vision Services include coverage for eye exams with a $30 copay, and eyewear with a combined maximum plan benefit of $1000 every year for both in-network and out-of-network services. Contact lenses, eyeglasses (lenses and frames), eyeglass lenses, eyeglass frames, and upgrades are also covered.
Dental Services See details
The Devoted CHOICE Colorado (PPO) plan covers a range of dental services, including oral exams, dental x-rays, and other diagnostic, preventive, restorative, and general services. There is a $30 copay for Medicare Dental Services and a $1,000 maximum benefit per year for other dental services. Maxillofacial Prosthetics, Implant Services, and Orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered, with prior authorization required. Medicare Part B Insulin Drugs have a $35 copay and 20% coinsurance, while Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs have 0-20% coinsurance.
Dialysis Services See details
Dialysis Services are covered by the Devoted CHOICE Colorado (PPO) plan. You will pay 20% coinsurance for this benefit.
Medical Equipment See details
Medical Equipment benefits are covered, including Durable Medical Equipment (DME) with a coinsurance between 0% and 20%, Prosthetic Devices with a coinsurance between 0% and 20%, and Medical Supplies with a 20% coinsurance. Durable Medical Equipment for use outside the home, Diabetic Supplies, and Diabetic Therapeutic Shoes/Inserts are not covered.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services include coverage for all diagnostic services, diagnostic procedures/tests with a copay ranging from $0 to $95, and lab services with no copay. Radiological services are covered, with a copay for diagnostic and therapeutic services and a coinsurance of at least 20% for therapeutic radiological services. Outpatient X-ray services have no copay.
Home Health Services See details
Home Health Services are covered by the Devoted CHOICE Colorado (PPO) plan with no copay and no coinsurance, but authorization is required. Additional hours of care and personal care services are not covered.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered by the Devoted CHOICE Colorado (PPO) plan. The plan does not cover any of the sub-services: Cardiac Rehabilitation Services, Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, and SET for PAD Services.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by the Devoted CHOICE Colorado (PPO) 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 includes acupuncture, which is covered with no copay, and Other 2 which covers $0 preventive services. Over-the-Counter (OTC) Items, Meal Benefit, 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 are not covered.
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