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DEVOTED DUAL PLUS 006 NC (HMO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for DEVOTED DUAL PLUS 006 NC (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 NC (HMO D-SNP) in 2026, please refer to our full plan details page.
DEVOTED DUAL PLUS 006 NC (HMO D-SNP) is a HMO D-SNP plan offered by Devoted Health, Inc. available for enrollment in 2025 to people living in North Carolina. This plan received an overall rating of 5 out of 5 stars in 2026.
It's important to know that DEVOTED DUAL PLUS 006 NC (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 NC (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 NC (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 NC (HMO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $35.00. 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 $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 NC (HMO D-SNP) Medicare plan has a drug deductible of $615. Under this plan, you will pay a 25% coinsurance for prescription drugs in Tiers 1 through 5 when using standard pharmacies or standard mail order. This 25% coinsurance applies to one-month, two-month, and three-month supplies, with Tier 5 specialty drugs limited to one-month supplies. For Tier 6 select care drugs, the plan offers no copay for one-month, two-month, and three-month supplies filled at standard pharmacies or through standard mail order. This structure helps beneficiaries easily understand their out-of-pocket costs for both common and specialized medications.
Additional Benefits
The DEVOTED DUAL PLUS 006 NC (HMO D-SNP) plan offers comprehensive medical coverage featuring no copays and no coinsurance for primary care visits, preventive services, and home health care. For inpatient stays, members pay no coinsurance but are responsible for a copay of $2,230 per stay for acute care and $2,080 per stay for psychiatric care. Outpatient services, diagnostic tests, and specialist visits generally feature no copays, though coinsurance rates range from 0% to 50% depending on the specific service. Members also benefit from dental coverage with no copays and no coinsurance up to a $2,000 annual maximum, alongside a $400 annual eyewear allowance and a $50 quarterly over-the-counter item allowance. Specialized care, such as dialysis and medical equipment, requires no copays but carries coinsurance ranging up to 20%. Skilled nursing facility care is covered with no coinsurance, featuring no copay for the first 20 days and a $218 daily copay for days 21 through 100.
Inpatient Hospital See details
Inpatient hospital care is covered under DEVOTED DUAL PLUS 006 NC (HMO D-SNP) with no coinsurance, requiring a $2,230 copay per stay for acute care and a $2,080 copay per stay for psychiatric care. This benefit is partially covered, as room upgrades, non-Medicare-covered stays, and additional days for psychiatric care are not covered.
Outpatient Services See details
DEVOTED DUAL PLUS 006 NC (HMO D-SNP) covers outpatient services with no copays, but coinsurance ranging from 0% to 50% applies depending on the service. Outpatient hospital and ambulatory surgical center services carry 0% to 50% coinsurance, while outpatient substance abuse and blood services require 30% coinsurance.
Partial Hospitalization See details
DEVOTED DUAL PLUS 006 NC (HMO D-SNP) covers partial hospitalization services with no copay and a 30% coinsurance. Prior authorization is required to receive this covered benefit.
Ambulance and Transportation Services See details
DEVOTED DUAL PLUS 006 NC (HMO D-SNP) covers ambulance services with no copay, featuring no coinsurance to 50% coinsurance for ground transport and 50% coinsurance for air transport. Some transportation services are covered, but trips to plan-approved health-related locations and any health-related locations are not covered.
Emergency Services See details
Emergency services are covered by DEVOTED DUAL PLUS 006 NC (HMO D-SNP) with a $115 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services have no copay and a 0% to 30% coinsurance (capped at $40 per visit), while worldwide emergency, urgent, and transportation services are covered up to $25,000 with no copay or coinsurance.
Primary Care See details
Primary care physician services are covered by DEVOTED DUAL PLUS 006 NC (HMO D-SNP) with no copay and no coinsurance. Specialist visits, mental health, and therapy services are covered with no copay and 30% coinsurance, while chiropractic care is partially covered with no copay and 30% coinsurance for routine visits.
Preventive Services See details
Preventive Services are partially covered by DEVOTED DUAL PLUS 006 NC (HMO D-SNP) with no copay and no coinsurance for covered benefits such as annual physical exams and kidney disease education. However, the plan does not cover in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge medication reconciliation, re-admission prevention, wigs for chemotherapy-related hair loss, 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
Hearing services offered by DEVOTED DUAL PLUS 006 NC (HMO D-SNP) include exams with no copay, though routine exams require a 50% coinsurance. Prescription hearing aids are partially covered with no coinsurance and copays ranging from $399 to $699 for up to two devices per year, while inner ear, outer ear, over the ear, and OTC hearing aids are not covered.
Vision Services See details
Vision services are partially covered by DEVOTED DUAL PLUS 006 NC (HMO D-SNP) because other eye exam services are not covered. The plan provides one routine eye exam per year with no copay and 0% to 50% coinsurance, plus eyewear coverage with no copay, no coinsurance, and a $400 annual maximum.
Dental Services See details
DEVOTED DUAL PLUS 006 NC (HMO D-SNP) covers Medicare dental services with no copay and a 30% coinsurance, plus other dental services up to a $2,000 annual maximum with no copay and no coinsurance. While most preventive and comprehensive services like cleanings, fillings, and extractions are covered, implants, orthodontics, maxillofacial prosthetics, other diagnostic, and other preventive dental services are not covered.
Home Infusion bundled Services See details
DEVOTED DUAL PLUS 006 NC (HMO D-SNP) covers Home Infusion bundled Services with no copay, though prior authorization and step therapy are required. Associated Medicare Part B chemotherapy, radiation, and other drugs carry a coinsurance of 0% to 20%, while Part B insulin drugs require a $35 copay and 0% to 20% coinsurance.
Dialysis Services See details
DEVOTED DUAL PLUS 006 NC (HMO D-SNP) covers Dialysis Services with no copay and a 20% coinsurance, although prior authorization is required.
Medical Equipment See details
DEVOTED DUAL PLUS 006 NC (HMO D-SNP) covers medical equipment, including durable medical equipment, prosthetics, medical supplies, and diabetic equipment, with no copay and prior authorization required. Coinsurance for these covered benefits ranges from no coinsurance to 20%, depending on the specific item.
Diagnostic and Radiological Services See details
DEVOTED DUAL PLUS 006 NC (HMO D-SNP) covers diagnostic and radiological services with no copays, subject to prior authorization. There is no coinsurance for diagnostic procedures and tests, but there is a 50% coinsurance for lab services, a 20% coinsurance for therapeutic radiological services, and a 30% coinsurance for diagnostic radiological and outpatient X-ray services.
Home Health Services See details
DEVOTED DUAL PLUS 006 NC (HMO D-SNP) covers Home Health Services with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac rehabilitation services are covered by DEVOTED DUAL PLUS 006 NC (HMO D-SNP) with no copay and no coinsurance, subject to prior authorization. Although some services are covered, standard cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered and require a 30% coinsurance.
Skilled Nursing Facility (SNF) See details
Skilled nursing facility (SNF) care is covered by DEVOTED DUAL PLUS 006 NC (HMO D-SNP) with no coinsurance, requiring no copay for days 1 through 20 and a $218 daily copay for days 21 through 100. Prior authorization is required, a 3-day prior hospital stay is not required, and additional days beyond the standard 100 days are not covered.
Other Services See details
DEVOTED DUAL PLUS 006 NC (HMO D-SNP) partially covers other services with no copay and no coinsurance, including additional preventive services and a $50 quarterly over-the-counter (OTC) item allowance. Acupuncture, meal benefits, and highly integrated dual eligible services are not covered under this benefit.
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