A non-government entity
DEVOTED CORE 008 VA (HMO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for DEVOTED CORE 008 VA (HMO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on DEVOTED CORE 008 VA (HMO) in 2026, please refer to our full plan details page.
DEVOTED CORE 008 VA (HMO) is a HMO plan offered by Devoted Health, Inc. available for enrollment in 2026 to people living in Greater Richmond Area. The overall rating for this plan is not yet available for 2026.
It's important to know that DEVOTED CORE 008 VA (HMO) 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 CORE 008 VA (HMO).
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 CORE 008 VA (HMO), 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 $270.00 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 $5400.00 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:
Sign up for DEVOTED CORE 008 VA (HMO)
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
Drug Coverage
The DEVOTED CORE 008 VA (HMO) Medicare plan features an annual drug deductible of $270. Under this plan, members pay no copay for Tier 1 (Preferred Generic) and Tier 2 (Generic) medications for 1-month, 2-month, or 3-month supplies through standard pharmacies or standard mail order. This coverage provides an affordable option for routine generic prescriptions. For higher-tier medications, costs are based on coinsurance rather than flat copays. Tier 3 (Preferred Brand) drugs require a 19% coinsurance, and Tier 4 (Non-Preferred) drugs carry a 25% coinsurance for 1-month, 2-month, or 3-month supplies. Specialty Tier 5 drugs have a 29% coinsurance for a 1-month supply through standard pharmacies and mail-order services.
Additional Benefits
The DEVOTED CORE 008 VA (HMO) plan offers robust coverage for essential medical services, featuring no copays for primary care visits, preventive care, and home health services. Specialists require a low $25 copay, while inpatient hospital stays have a $325 daily copay for the first six days and no copay thereafter. Emergency care is available with a $130 copay, and skilled nursing facility stays feature no copay for the first 20 days. For ancillary care, members benefit from generous dental coverage up to a $3,500 annual limit with no copays for preventive services and no copay for restorative care, though some coinsurance may apply. Vision and hearing benefits include routine exams with minimal to no copays, a $350 annual eyewear allowance, and prescription hearing aid coverage. Additionally, the plan provides a $100 quarterly over-the-counter item allowance with no copay and no coinsurance.
Inpatient Hospital See details
DEVOTED CORE 008 VA (HMO) covers inpatient acute and psychiatric hospital stays with no coinsurance, requiring a $325 daily copay for days 1 through 6 and no copay for days 7 through 90. Prior authorization is required, and while unlimited additional days are covered for acute stays, additional psychiatric days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
DEVOTED CORE 008 VA (HMO) covers outpatient services with no coinsurance, featuring a $0 to $425 copay for outpatient hospital services and a $325 copay per stay for observation services. Ambulatory surgical center and outpatient blood services are covered with no copay and no coinsurance, while individual and group outpatient substance abuse sessions require a $25 copay.
Partial Hospitalization See details
DEVOTED CORE 008 VA (HMO) covers partial hospitalization services with a $105.00 copay and no coinsurance. Prior authorization is required to access this covered benefit.
Ambulance and Transportation Services See details
DEVOTED CORE 008 VA (HMO) covers ground ambulance services with a copay ranging from no copay to $315 plus coinsurance, and air ambulance services with a 20% coinsurance and a copay, with prior authorization required. Transportation services to health-related locations are not covered under this plan.
Emergency Services See details
DEVOTED CORE 008 VA (HMO) covers emergency services with a $130 copay and no coinsurance, which is waived if admitted to the hospital within 24 hours, and urgently needed services with a copay ranging from no copay to $45 and no coinsurance. Worldwide emergency and urgent care are covered up to a $25,000 maximum with a $130 copay and no coinsurance, while worldwide emergency transportation requires a $315 copay and 20% coinsurance.
Primary Care See details
Primary care services under DEVOTED CORE 008 VA (HMO) feature no copay and no coinsurance for primary care physician visits, alongside a $25 copay and no coinsurance for specialists. Physical, occupational, and speech therapies have copays ranging from $25 to $50 with no coinsurance, while podiatry is not covered, and some chiropractic services are covered but routine and other chiropractic services are not covered.
Preventive Services See details
Preventive services under DEVOTED CORE 008 VA (HMO) are covered with no copay and no coinsurance, including annual physical exams and kidney disease education. Additional preventive benefits are partially covered with no copay or coinsurance, excluding services such as in-home safety assessments, personal emergency response systems, medical nutrition therapy, and therapeutic massages.
Hearing Services See details
Hearing services are partially covered by DEVOTED CORE 008 VA (HMO), which offers routine hearing exams for a $25 copay and no coinsurance, and up to two prescription hearing aids per year with a copay of $399 to $699 and no coinsurance. OTC hearing aids, along with inner ear, outer ear, and over-the-ear prescription hearing aids, are not covered.
Vision Services See details
Vision services are partially covered by DEVOTED CORE 008 VA (HMO), featuring one routine eye exam per year with a $0 to $25 copay and no coinsurance, though other eye exam services are not covered. Eyewear is covered with no copay or coinsurance up to a $350 yearly limit, and no deductibles apply to these benefits.
Dental Services See details
DEVOTED CORE 008 VA (HMO) offers dental services with a $3,500 annual limit, featuring no copay and no coinsurance for preventive care, and no copay with 0% to 50% coinsurance for restorative and prosthodontic services. Medicare-covered dental has a $25 copay and no coinsurance, while implants, orthodontics, and maxillofacial prosthetics are not covered.
Home Infusion bundled Services See details
DEVOTED CORE 008 VA (HMO) covers home infusion bundled services with no copay, though prior authorization is required. Covered Medicare Part B drugs, including chemotherapy, radiation, and insulin, carry a 0% to 20% coinsurance, with insulin also requiring a $35 copay.
Dialysis Services See details
Dialysis Services are covered under the DEVOTED CORE 008 VA (HMO) plan with no copay and a 20% coinsurance. Prior authorization is required to receive these covered services.
Medical Equipment See details
DEVOTED CORE 008 VA (HMO) covers durable medical equipment, prosthetics, and medical supplies with no copays and coinsurance ranging from no coinsurance up to 30% depending on the item. Diabetic equipment is partially covered with no copay and up to 30% coinsurance for supplies, though diabetic therapeutic shoes and inserts are not covered. Prior authorization is required for these benefits.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by DEVOTED CORE 008 VA (HMO) with prior authorization required, featuring no copay for lab services and outpatient X-rays. Diagnostic tests and procedures carry no coinsurance and a copay of up to $95, while diagnostic radiological services have no minimum copay and therapeutic radiological services require a copay and a minimum 20% coinsurance.
Home Health Services See details
Home Health Services are covered by DEVOTED CORE 008 VA (HMO) with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
DEVOTED CORE 008 VA (HMO) does not cover Cardiac Rehabilitation Services, as none of the specific sub-services, including intensive cardiac, pulmonary, and SET for PAD rehabilitation, are covered in practice.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by DEVOTED CORE 008 VA (HMO) with no coinsurance, requiring prior authorization but no prior three-day hospital stay. There is no copay for days 1 through 20 and a daily copay of $218 for days 21 through 100, though additional days beyond the standard Medicare-covered period are not covered.
Other Services See details
DEVOTED CORE 008 VA (HMO) offers partial coverage for other services, including additional preventive services and a $100 quarterly over-the-counter item allowance with no copay and no coinsurance. Acupuncture, meal benefits, and other select services are not covered under this plan.
Get Personalized Help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
*/SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
MedicareAdvantageRX.com is owned and operated by Dog Media Solutions LLC.
This is a promotional communication.
Every year, Medicare evaluates plans based on a 5-star rating system.
Part B premium reduction is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be lower. Deductibles, copays and coinsurance may apply.
* Benefit(s) mentioned may be part of a special supplemental program for chronically ill members with one of the following conditions: Diabetes mellitus, Cardiovascular disorders, Chronic and disabling mental health conditions, Chronic lung disorders, Chronic heart failure. This is not a complete list of qualifying conditions. Having a qualifying condition alone does not mean you will receive the benefit(s). Other requirements may apply.
Enrollment in Medicare/Medicare Advantage may be limited to certain times of the year unless you qualify for a Special Enrollment Period
We do not offer every plan available in your area. Currently, we represent 18 organizations, which offer 52,101 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
We represent Medicare Advantage HMO, PPO and PFFS organizations and stand-alone PDP prescription drug plans that are contracted with Medicare. Enrollment depends on the plan's contract renewal.
Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply.
Please contact Medicare.gov ,1-800-MEDICARE , or your local State Health Insurance Program (SHIP) to get information on all of your options.
Medicare has neither approved nor endorsed any information on this site.
Speak with a licensed insurance agent: 1-877-649-2073 / TTY 711 | 8am - 11pm ET | 7 days a week
© 2023 Dog Media Solutions LLC. All rights reserved