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Devoted DUAL PLUS Colorado (HMO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Devoted DUAL PLUS Colorado (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 Colorado (HMO D-SNP) in 2025, please refer to our full plan details page.
Devoted DUAL PLUS Colorado (HMO D-SNP) is a HMO D-SNP plan offered by Devoted Health, Inc. available for enrollment in 2025 to people living in Colorado. This plan received an overall rating of 4 out of 5 stars in 2025.
It's important to know that Devoted DUAL PLUS Colorado (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 Colorado (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 Colorado (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 Colorado (HMO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $23.50. 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 Maximum Out-Of-Pocket cost of $9350.00 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 Colorado (HMO D-SNP) plan has a $590 deductible for prescription drugs. If you qualify for the low-income subsidy, your monthly premium for Part D drugs will be $23.50. During the initial coverage phase, you will pay the costs for your drugs in each tier until your total drug costs reach $2000. After you spend $2000 out-of-pocket on prescription drugs, you enter the catastrophic coverage phase where you pay nothing for Part D covered drugs.
Additional Benefits
The Devoted DUAL PLUS Colorado (HMO D-SNP) plan offers coverage for a wide range of services, including inpatient and outpatient hospital care, with varying copays and coinsurance. Emergency services have a $110 copay, and primary care services are covered, with no copay for some services like occupational therapy and speech-language pathology. Additionally, the plan provides benefits for preventive, hearing, vision, and dental services, with specific cost-sharing details for each. This plan also includes coverage for home health, skilled nursing facility, and dialysis services, with specific copays or coinsurance amounts. Medical equipment, diagnostic, and radiological services are covered with varying coinsurance. While the plan covers a broad spectrum of care, some services such as certain therapies, home modifications, and specific dental procedures may not be included.
Inpatient Hospital See details
Inpatient Hospital benefits are covered, including Inpatient Hospital-Acute and Inpatient Hospital Psychiatric, both of which require prior authorization. For Inpatient Hospital-Acute, the copay is $2150 per admission or stay, and for Inpatient Hospital Psychiatric, the copay is $2036 per admission or stay. Additional days for Inpatient Hospital-Acute are covered, but Non-Medicare-covered stays and upgrades for Inpatient Hospital-Acute, as well as Additional days and Non-Medicare-covered stay for Inpatient Hospital Psychiatric are not covered.
Outpatient Services See details
Outpatient Services, including all outpatient hospital services, observation services, and outpatient substance abuse services are covered, with coinsurance ranging from 40% to 49%. Outpatient blood services are also covered.
Partial Hospitalization See details
Partial Hospitalization is covered by the Devoted DUAL PLUS Colorado (HMO D-SNP) plan, but requires prior authorization. You will pay 35% coinsurance for this benefit.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered under the Devoted DUAL PLUS Colorado (HMO D-SNP) plan. Ground ambulance services have a coinsurance of 0% - 49%, while air ambulance services have a 49% coinsurance. Transportation services to any health-related location are not covered.
Emergency Services See details
Emergency Services are covered under the Devoted DUAL PLUS Colorado (HMO D-SNP) plan with a $110 copay, and no coinsurance. Urgently Needed Services have a 35% coinsurance. Worldwide Emergency Services, including Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation are covered.
Primary Care See details
The Devoted DUAL PLUS Colorado (HMO D-SNP) plan covers primary care physician services, chiropractic services (up to 20 visits per year), occupational therapy services (with no copay or coinsurance), physician specialist services, podiatry services (up to 12 visits per year), physical therapy, speech-language pathology services (with no copay or coinsurance), additional telehealth benefits, and opioid treatment program services. Mental health and psychiatric services are covered, but individual and group sessions are not covered.
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 and modifications, kidney disease education services, glaucoma screenings, diabetes self-management training, barium enemas, digital rectal exams, and EKGs following a Welcome Visit. In-Home Safety Assessment, Medical Nutrition Therapy, Post discharge In-Home Medication Reconciliation, Re-admission 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 are covered by the Devoted DUAL PLUS Colorado (HMO D-SNP) plan, including hearing exams with a coinsurance of at most 49% for routine hearing exams, and fitting/evaluation for hearing aids. Prescription hearing aids are covered, with a copay between $399 and $699 for prescription hearing aids (all types), but not for inner ear, outer ear, or over the ear hearing aids.
Vision Services See details
Vision services are covered, including eye exams and eyewear. Eye exams have a 49% coinsurance, and routine eye exams are limited to one per year. Eyewear has a combined maximum benefit of $500 per year, and contact lenses, eyeglasses (lenses and frames), eyeglass lenses, eyeglass frames, and upgrades are also covered.
Dental Services See details
The Devoted DUAL PLUS Colorado (HMO D-SNP) plan covers a variety of dental services, including oral exams, dental x-rays, and cleanings, with a maximum annual benefit of $500. Orthodontic services are covered under Diagnostic and Preventive Dental, while maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered, including Medicare Part B Insulin Drugs with a $35 copay and 20% coinsurance, Medicare Part B Chemotherapy/Radiation Drugs with 0-20% coinsurance, and Other Medicare Part B Drugs with 0-20% coinsurance. Prior authorization is required.
Dialysis Services See details
Dialysis Services are covered under the Devoted DUAL PLUS Colorado (HMO D-SNP) plan. The coinsurance for Dialysis Services is 20%.
Medical Equipment See details
Medical Equipment is covered by the Devoted DUAL PLUS Colorado (HMO D-SNP) plan. Durable Medical Equipment (DME) has no copay and a coinsurance between 0% and 20%, while Durable Medical Equipment for use outside the home is not covered. Prosthetics/Medical Supplies - Non-Medicare benefit has no copay and is subject to coinsurance, while Medical Supplies have a 20% coinsurance. Diabetic Equipment is covered, but Diabetic Therapeutic Shoes/Inserts are not covered, and Diabetic Supplies have a coinsurance between 20% and 20%.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered with no copay. Diagnostic Procedures/Tests and Diagnostic Radiological Services have a coinsurance of up to 49%, Therapeutic Radiological Services have a coinsurance of up to 20%, and Outpatient X-Ray Services have a coinsurance of up to 35%.
Home Health Services See details
Home Health Services are covered by the Devoted DUAL PLUS Colorado (HMO D-SNP), 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 technically covered, but none of the listed sub-services are covered, including 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 DUAL PLUS Colorado (HMO D-SNP) plan, but require prior authorization. For days 1-20, there is no copay, and for days 21-100, the copay is $214. Additional days beyond Medicare-covered and non-Medicare-covered stays for SNF are not covered.
Other Services See details
Other Services include acupuncture and "Other 2" benefits, but not over-the-counter items, meal benefits, 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, Self-Directed Personal Assistance Services, or Dual Eligible SNPs with Highly Integrated Services. Acupuncture has no copay or coinsurance, and "Other 2" includes $0 preventive services with no copay or coinsurance.
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