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DEVOTED DUAL 007 CO (HMO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for DEVOTED DUAL 007 CO (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 007 CO (HMO D-SNP) in 2026, please refer to our full plan details page.
DEVOTED DUAL 007 CO (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 2026.
It's important to know that DEVOTED DUAL 007 CO (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 007 CO (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 007 CO (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 007 CO (HMO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $10.90. 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 $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 DUAL 007 CO (HMO D-SNP) Medicare plan has an annual prescription drug deductible of $615. Under this plan, you will pay a 25% coinsurance for Tier 1 through Tier 4 drugs, which covers preferred generics, generics, preferred brands, and non-preferred drugs at standard pharmacies and standard mail-order services. Tier 5 specialty drugs also require a 25% coinsurance for a one-month supply at standard pharmacies and standard mail-order services. In contrast, Tier 6 select care drugs are highly affordable, requiring no copay for one-month, two-month, or three-month supplies through standard pharmacies and standard mail-order services. Reviewing these deductible, coinsurance, and copay details can help you determine if this plan aligns with your prescription medication needs and budget.
Additional Benefits
The DEVOTED DUAL 007 CO (HMO D-SNP) plan offers robust coverage with no copay or coinsurance for primary care visits, home health care, and routine preventive services. Specialist visits, physical therapy, and emergency care are accessible with predictable, low-to-moderate copayments. For inpatient hospital stays, members pay a $225 daily copay for the first five days, followed by no copay for days six through ninety. Dental, vision, and hearing benefits are highly affordable, featuring no copay for most preventive and comprehensive dental care up to a $2,000 annual limit. Members also enjoy a $400 annual allowance for eyewear with no copay, as well as an over-the-counter allowance of $50 every three months. Prescription hearing aids are covered with copayments ranging from $399 to $699 per device.
Inpatient Hospital See details
Inpatient hospital care under DEVOTED DUAL 007 CO (HMO D-SNP) is partially covered with no coinsurance and requires prior authorization, costing a $225 daily copay for days 1 through 5 and no copay for days 6 through 90. While unlimited additional days are covered for acute care, additional psychiatric days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
DEVOTED DUAL 007 CO (HMO D-SNP) outpatient services are covered with no coinsurance, though prior authorization is required for most services. There is no copay for ambulatory surgical center and blood services, a $25 copay for outpatient substance abuse sessions, a $225 copay per stay for observation services, and a copay of $0 to $325 for outpatient hospital services.
Partial Hospitalization See details
DEVOTED DUAL 007 CO (HMO D-SNP) covers partial hospitalization services with a $70.00 copay and no coinsurance. Prior authorization is required for these covered services.
Ambulance and Transportation Services See details
Ambulance and transportation services under DEVOTED DUAL 007 CO (HMO D-SNP) cover ground ambulance services with a copay of no copay to $315 and no coinsurance, and air ambulance services with a 20% coinsurance and no copay, both requiring prior authorization. Transportation services to plan-approved or health-related locations are not covered.
Emergency Services See details
DEVOTED DUAL 007 CO (HMO D-SNP) covers emergency services with a $150 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services feature a copay ranging from no copay to $45 with no coinsurance, while worldwide emergency services are covered up to a $25,000 lifetime maximum with a $150 copay for emergency or urgent care and a $315 copay plus 20% coinsurance for emergency transportation.
Primary Care See details
DEVOTED DUAL 007 CO (HMO D-SNP) covers primary care physician services with no copay and no coinsurance, while specialist, mental health, and podiatry visits require a $25 copay and no coinsurance. Physical and occupational therapy range from a $25 to $50 copay with no coinsurance, though chiropractic services are not covered.
Preventive Services See details
Preventive Services are partially covered by DEVOTED DUAL 007 CO (HMO D-SNP) with no copay and no coinsurance for covered benefits, including annual physicals, fitness programs, 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, readmission prevention, chemotherapy wigs, adult day health, home-based palliative care, in-home support, caregiver support, additional smoking cessation, enhanced disease management, telemonitoring, remote access technologies, and counseling.
Hearing Services See details
Hearing services are partially covered by DEVOTED DUAL 007 CO (HMO D-SNP), which offers routine hearing exams for a $25 copay and no coinsurance, alongside unlimited fitting evaluations. Prescription hearing aids are covered with no coinsurance and copayments ranging from $399.00 to $699.00 for up to two devices per year, though OTC, inner ear, outer ear, and over the ear hearing aids are not covered.
Vision Services See details
DEVOTED DUAL 007 CO (HMO D-SNP) partially covers vision services, offering one annual routine eye exam with a $0 to $25 copay and no coinsurance, though other eye exam services are not covered. Eyewear is covered with no copay, no coinsurance, and no deductible, providing a $400 annual maximum for contacts, frames, lenses, and upgrades.
Dental Services See details
Dental services are partially covered by DEVOTED DUAL 007 CO (HMO D-SNP), which offers a $2,000 annual maximum with no copay and no coinsurance for most preventive and comprehensive dental care. Medicare-covered dental services require a $25 copay and no coinsurance, but please note that implants, orthodontics, maxillofacial prosthetics, other diagnostic services, and other preventive dental services are not covered.
Home Infusion bundled Services See details
DEVOTED DUAL 007 CO (HMO D-SNP) covers Home Infusion bundled Services with no copay, though prior authorization is required. Under this benefit, Part B insulin drugs require a $35 copay and no coinsurance to 20% coinsurance, while chemotherapy and other Part B drugs require no coinsurance to 20% coinsurance.
Dialysis Services See details
Dialysis services are covered by DEVOTED DUAL 007 CO (HMO D-SNP) with no copay and a 20% coinsurance. Prior authorization is required for these services.
Medical Equipment See details
Medical equipment is covered by DEVOTED DUAL 007 CO (HMO D-SNP) with no copays and coinsurance ranging from no coinsurance up to 30%, subject to prior authorization. This benefit is partially covered, as diabetic therapeutic shoes and inserts are not covered by the plan.
Diagnostic and Radiological Services See details
DEVOTED DUAL 007 CO (HMO D-SNP) covers diagnostic and radiological services with prior authorization required. Diagnostic services have no coinsurance, offering no copay for lab tests and a $0 to $95 copay for diagnostic procedures, while radiological services feature no copay for outpatient X-rays and a minimum 20% coinsurance for therapeutic services.
Home Health Services See details
Home Health Services are covered under DEVOTED DUAL 007 CO (HMO D-SNP) with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered by DEVOTED DUAL 007 CO (HMO D-SNP) with no coinsurance, though prior authorization is required and only some services are covered. Specifically, cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered in practice and require a $25 copay.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) care is covered by DEVOTED DUAL 007 CO (HMO D-SNP) with no coinsurance, featuring no copay for days 1 through 20 and a $218 daily copay for days 21 through 100. Prior authorization is required, prior 3-day inpatient hospital stays are not required, and additional days beyond the standard 100 days are not covered.
Other Services See details
Other Services under DEVOTED DUAL 007 CO (HMO D-SNP) are partially covered, offering acupuncture, additional preventive services, and up to $50 every three months for over-the-counter items with no copay and no coinsurance. Meal benefits and highly integrated services for dual-eligible SNPs are not covered.
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