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Devoted CORE Colorado (HMO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Devoted CORE Colorado (HMO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Devoted CORE Colorado (HMO) in 2025, please refer to our full plan details page.
Devoted CORE Colorado (HMO) is a HMO plan offered by Devoted Health, Inc. available for enrollment in 2025 to people living in Denver Metro. This plan received an overall rating of 4 out of 5 stars in 2025.
It's important to know that Devoted CORE Colorado (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 Colorado (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 Colorado (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 $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 $3900.00 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 CORE Colorado (HMO) plan has an Enhanced Alternative drug benefit. The plan has a $590 deductible for prescription drugs. In the initial coverage phase, you will pay a $0 copay for preferred generic drugs at standard and mail order pharmacies. For other tiers, you will pay 25% coinsurance. Once your total drug costs reach $2,000, you will enter the catastrophic coverage phase where you pay nothing for Part D covered drugs.
Additional Benefits
The Devoted CORE Colorado (HMO) plan offers a range of benefits with varying cost-sharing. Inpatient hospital stays have a copay, while outpatient services have copays that vary by service type. Emergency services have a copay, and primary care visits also have copays. This plan also includes coverage for preventive, hearing, vision, and dental services, with copays for exams and other services. The plan covers home health services and skilled nursing facility stays with copays, and offers additional benefits like acupuncture with no cost.
Inpatient Hospital See details
Inpatient Hospital benefits, including acute and psychiatric care, are covered. For Inpatient Hospital-Acute and Inpatient Hospital Psychiatric, you will pay a $240 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, observation services, ambulatory surgical center services, outpatient substance abuse services, and outpatient blood services. Outpatient Hospital Services have a copay between $0 and $325, observation services have a $225 copay, and ambulatory surgical center services have no copay. Individual and group sessions for outpatient substance abuse have a copay of $25.
Partial Hospitalization See details
Partial Hospitalization is covered under the Devoted CORE Colorado (HMO) plan, but requires prior authorization. You will pay a $70 copay for this service.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered by the Devoted CORE Colorado (HMO) plan, with prior authorization required for all ambulance services. Ground ambulance services have a copay between $0 and $275, while air ambulance services have a 20% coinsurance. Transportation services to any health-related location are not covered.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered by the Devoted CORE Colorado (HMO) plan. Emergency Services have a $140 copay, and no coinsurance, and the copay is waived if admitted to the hospital within 24 hours. Urgently Needed Services have a copay between $0 and $45, and no coinsurance. Worldwide Emergency Services have a $140 copay for Worldwide Emergency Coverage and Worldwide Urgent Coverage, and a $275 copay and 20% coinsurance for Worldwide Emergency Transportation.
Primary Care See details
Primary Care Physician Services, Chiropractic Services, Occupational Therapy Services, Physician Specialist Services, Mental Health Specialty Services, Other Health Care Professional, Psychiatric Services, Physical Therapy and Speech-Language Pathology Services, Additional Telehealth Benefits, and Opioid Treatment Program Services are covered. Chiropractic Services have a $20 copay, while Occupational Therapy Services, Individual and Group Sessions for Mental Health Specialty Services, Individual and Group Sessions for Psychiatric Services, and Opioid Treatment Program Services have a copay of $25.00. Physician Specialist Services and Additional Telehealth Benefits have a copay between $0 and $25, and Physical Therapy and Speech-Language Pathology Services have a copay between $25 and $50.
Preventive Services See details
The Devoted CORE Colorado (HMO) plan covers preventive services, including 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 screenings, diabetes self-management training, barium enemas, digital rectal exams, and EKGs following a welcome visit. In-home safety assessments, medical nutrition therapy, post-discharge in-home medication reconciliation, readmission prevention, wigs for hair loss related to chemotherapy, home-based palliative care, in-home support services, support for caregivers, additional sessions of smoking and tobacco cessation counseling, and counseling services are not covered.
Hearing Services See details
Hearing Services include hearing exams with a $20 copay and Prescription Hearing Aids with a copay between $399 and $699, but Prescription Hearing Aids - Inner Ear, Outer Ear, and Over the Ear are not covered, nor are OTC Hearing Aids. Routine Hearing Exams are covered for 1 visit every year, and Fitting/Evaluation for Hearing Aid is covered.
Vision Services See details
Vision services include coverage for eye exams with a $20 copay, and eyewear including contact lenses, eyeglasses, eyeglass lenses, and eyeglass frames, with a combined maximum benefit of $1000 every year. Routine eye exams are covered once per year.
Dental Services See details
The Devoted CORE Colorado (HMO) plan's dental services include coverage for Medicare Dental Services with a $25 copay, as well as Oral Exams, Dental X-Rays, Other Diagnostic Dental Services, Prophylaxis (Cleaning), Fluoride Treatment, Other Preventive Dental Services, Restorative Services, Adjunctive General Services, Endodontics, Periodontics, Prosthodontics (removable and fixed), and Oral and Maxillofacial Surgery with no copay. Maxillofacial Prosthetics, Implant Services, and Orthodontics are not covered. There is a maximum plan benefit of $1,000 per year for other dental services.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered by Devoted CORE Colorado (HMO), including Medicare Part B Insulin Drugs with a $35 copay and a 20% coinsurance, Medicare Part B Chemotherapy/Radiation Drugs with a 0-20% coinsurance, and Other Medicare Part B Drugs with a 0-20% coinsurance. Prior authorization is required.
Dialysis Services See details
Dialysis Services are covered by the Devoted CORE Colorado (HMO) plan, with a coinsurance between 20% and 20%.
Medical Equipment See details
Medical Equipment is covered, including Durable Medical Equipment (DME) with 0% to 25% coinsurance, Prosthetics/Medical Supplies with coinsurance, and Diabetic Equipment. 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 are covered, including diagnostic procedures/tests with a copay between $0 and $95, lab services with no copay, and outpatient X-ray services with no copay. Diagnostic Radiological Services have a copay of at most $300, and therapeutic radiological services have a coinsurance of at least 20%.
Home Health Services See details
Home Health Services are covered by the Devoted CORE Colorado (HMO) plan, with no copay and no coinsurance. However, additional hours of care and personal care services are not covered.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered by the Devoted CORE Colorado (HMO) plan, but the specific services listed are not covered. The plan does not specify any cost-sharing information for the covered services.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by the Devoted CORE Colorado (HMO) 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
The Devoted CORE Colorado (HMO) plan covers acupuncture with no copay or coinsurance, and other services including "Other 2" benefits with no copay or coinsurance for preventive services. Over-the-counter items, meal benefits, 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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