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Devoted DUAL Colorado (HMO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Devoted DUAL 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 Colorado (HMO D-SNP) in 2025, please refer to our full plan details page.
Devoted DUAL 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 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 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 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 Colorado (HMO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $25.50. 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 $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 Colorado (HMO D-SNP) plan has a $590 deductible for prescription drugs. After meeting the deductible, your cost sharing for drugs in each tier is not listed. If you qualify for the low-income subsidy (LIS), your monthly Part D premium will be $25.50. Once your total drug costs reach $2000, you enter the catastrophic coverage phase where you pay nothing for covered drugs.
Additional Benefits
The Devoted DUAL Colorado (HMO D-SNP) plan offers coverage for a wide range of services. This includes inpatient and outpatient hospital services, with varying copays, as well as coverage for primary care, hearing, vision, and dental services. The plan also covers ambulance, emergency, and home health services. Additional benefits of this plan include coverage for preventive services, diagnostic and radiological services, and medical equipment, with associated copays, coinsurance, or no cost. The plan also covers partial hospitalization and skilled nursing facility services, with prior authorization required. However, the plan does not cover cardiac rehabilitation services or certain other services.
Inpatient Hospital See details
Inpatient Hospital benefits include coverage for Inpatient Hospital-Acute and Inpatient Hospital Psychiatric services. For the first 5 days, there is a $225 copay, and days 6-90 have no copay; there is no coinsurance. Additional days for Inpatient Hospital-Acute are covered, but Non-Medicare-covered stays and Upgrades for Inpatient Hospital-Acute are not covered, and neither are Additional Days nor Non-Medicare-covered stays for Inpatient Hospital Psychiatric.
Outpatient Services See details
Outpatient Services include coverage for all outpatient hospital services, with a copay of $0-$325, and observation services, with a copay of $225. Ambulatory Surgical Center (ASC) Services have no copay, while Individual and Group Sessions for Outpatient Substance Abuse each have a copay of $25. Outpatient Blood Services are covered, with a waived three-pint deductible.
Partial Hospitalization See details
Partial Hospitalization is covered by Devoted DUAL Colorado (HMO D-SNP), but requires prior authorization. You will pay a $70 copay for this benefit.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered by the Devoted DUAL Colorado (HMO D-SNP) plan. Ground ambulance services have a copay between $0 and $275, while air ambulance services have a 20% coinsurance; however, 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 DUAL Colorado (HMO D-SNP) plan. Emergency Services have a $140 copay, while Urgently Needed Services have a copay of $0-$45. Worldwide Emergency Coverage and Worldwide Urgent Coverage have a $140 copay, and Worldwide Emergency Transportation has a $275 copay and 20% coinsurance.
Primary Care See details
The Devoted DUAL Colorado (HMO D-SNP) plan covers primary care physician services, chiropractic services with a $20 copay, occupational therapy services with a $25-$50 copay, physician specialist services with a $0-$25 copay, mental health specialty services with a minimum $25 copay, podiatry services with a minimum $25 copay, other health care professional services with a $0-$25 copay, psychiatric services with a minimum $25 copay, physical therapy and speech-language pathology services with a $25-$50 copay, additional telehealth benefits with a $0-$25 copay, and opioid treatment program services with a minimum $25 copay. Routine chiropractic care is not covered.
Preventive Services See details
The Devoted DUAL Colorado (HMO D-SNP) plan covers preventive services, including 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 assessments, medical nutrition therapy, post-discharge in-home medication reconciliation, re-admission 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, enhanced disease management, telemonitoring services, remote access technologies, and counseling services are not covered.
Hearing Services See details
Hearing services with the Devoted DUAL Colorado (HMO D-SNP) plan include routine hearing exams with a $25 copay, and fitting/evaluation for hearing aids with no copay. Prescription hearing aids (all types) have a copay between $399 and $699, while inner ear, outer ear, and over the ear prescription hearing aids, as well as OTC hearing aids, are not covered.
Vision Services See details
Vision services include coverage for eye exams with a $25 copay, and eyewear benefits with a combined maximum of $500 every year. Contact lenses, eyeglasses (lenses and frames), eyeglass lenses, eyeglass frames, and upgrades are also covered.
Dental Services See details
The Devoted DUAL Colorado (HMO D-SNP) plan covers a range of dental services, including oral exams, dental X-rays, and other diagnostic and preventive services with no copay. Medicare dental services require a $25 copay. Orthodontic services are covered under diagnostic and preventive dental. However, maxillofacial prosthetics, implant services, and orthodontics are not covered. There is a maximum benefit of $500 per year.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered by the Devoted DUAL Colorado (HMO D-SNP) plan, with prior authorization required. Medicare Part B Insulin Drugs have a $35 copay and 20% coinsurance, while Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs have between 0% and 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered by the Devoted DUAL Colorado (HMO D-SNP) plan, with a coinsurance of 20%.
Medical Equipment See details
Medical Equipment benefits include Durable Medical Equipment (DME) with a coinsurance between 0% and 25%, though DME for use outside the home is not covered, and also includes Prosthetics/Medical Supplies with no copay and a coinsurance for Medicare-covered Prosthetic Devices and Medical Supplies, and Diabetic Equipment. Diabetic Supplies and Diabetic Therapeutic Shoes/Inserts are not covered.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered by the Devoted DUAL Colorado (HMO D-SNP) plan. Diagnostic Procedures/Tests have a copay between $0 and $95, while Lab Services have no copay. Outpatient X-Ray Services have no copay, Diagnostic Radiological Services have a copay up to $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 DUAL Colorado (HMO D-SNP) with no copay and no coinsurance, but prior authorization is required. Additional Hours of Care and Personal Care Services are not covered.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered by the Devoted DUAL Colorado (HMO D-SNP) plan. This includes Medicare-covered Intensive Cardiac Rehabilitation Services, Medicare-covered Pulmonary Rehabilitation Services, Medicare-covered Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD) Services, and Additional Cardiac Rehabilitation Services.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by the Devoted DUAL Colorado (HMO D-SNP) plan, with prior authorization required. There is no copay for days 1-20 and days 61-100, and a $214 copay for days 21-60. Additional days beyond Medicare-covered for SNF and non-Medicare-covered stays are not covered.
Other Services See details
Other Services include acupuncture, which is covered, and other services, which are not covered. The plan does not cover over-the-counter (OTC) 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, or Self-Directed Personal Assistance Services.
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