A non-government entity
DEVOTED C-SNP PLUS 013 CO (HMO C-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for DEVOTED C-SNP PLUS 013 CO (HMO C-SNP). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on DEVOTED C-SNP PLUS 013 CO (HMO C-SNP) in 2026, please refer to our full plan details page.
DEVOTED C-SNP PLUS 013 CO (HMO C-SNP) is a HMO C-SNP plan offered by Devoted Health, Inc. available for enrollment in 2026 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 C-SNP PLUS 013 CO (HMO C-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Important:
DEVOTED C-SNP PLUS 013 CO (HMO C-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 C-SNP PLUS 013 CO (HMO C-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 C-SNP PLUS 013 CO (HMO C-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $35.20. 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 $9250.00 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 C-SNP PLUS 013 CO (HMO C-SNP)
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 C-SNP PLUS 013 CO (HMO C-SNP) prescription drug plan features an annual drug deductible of $615. For standard pharmacy and mail-order services, Tier 1 preferred generic drugs require an $18 copay for a one-month supply, while Tier 2 generic drugs have a $19 copay. Crucially, Tier 6 select care drugs are fully covered with no copay for one, two, or three-month supplies. For higher-tier medications, costs are based on coinsurance rather than flat copays. Tier 3 preferred brands and Tier 5 specialty drugs require a 25% coinsurance, while Tier 4 non-preferred drugs carry a 31% coinsurance. Understanding these tier-based copays and coinsurance rates can help you accurately plan your annual healthcare budget.
Additional Benefits
The DEVOTED C-SNP PLUS 013 CO (HMO C-SNP) plan provides robust coverage with no copay for primary care, preventive services, and home health care. For specialist visits and outpatient hospital services, members pay no copay but are subject to coinsurance, such as 30% for specialists and up to 50% for outpatient care. Emergency room visits require a $115 copay, which is waived if you are admitted within 24 hours, while urgent care requires no copay and up to 20% coinsurance. This plan also includes valuable supplemental benefits, such as routine dental care with no copay up to a $3,000 annual limit and a $400 yearly allowance for eyewear. For inpatient hospital admissions, there is a $2,230 copay for acute stays and a $2,080 copay for psychiatric stays, with no coinsurance. Additionally, skilled nursing facility stays feature no copay for the first 20 days, and members receive a $50 quarterly allowance for over-the-counter items.
Inpatient Hospital See details
DEVOTED C-SNP PLUS 013 CO (HMO C-SNP) provides partially covered inpatient hospital services, as upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered. Acute inpatient stays require a $2,230 copay per admission with no coinsurance, while psychiatric inpatient stays require a $2,080 copay per admission with no coinsurance.
Outpatient Services See details
DEVOTED C-SNP PLUS 013 CO (HMO C-SNP) covers outpatient services with no copays, though prior authorization is required. Outpatient hospital and ambulatory surgical center services have a coinsurance ranging from no coinsurance up to 50%, while outpatient substance abuse and blood services require a 30% coinsurance.
Partial Hospitalization See details
Partial hospitalization is covered under the DEVOTED C-SNP PLUS 013 CO (HMO C-SNP) plan with no copay and a 20% coinsurance. Prior authorization is required to receive these services.
Ambulance and Transportation Services See details
DEVOTED C-SNP PLUS 013 CO (HMO C-SNP) partially covers Ambulance and Transportation Services, offering ambulance services with no copay and a coinsurance of 0% to 50% for ground and 50% for air transport. Transportation services to plan-approved or any other health-related locations are not covered.
Emergency Services See details
DEVOTED C-SNP PLUS 013 CO (HMO C-SNP) covers emergency services with a $115 copay and no coinsurance, with the copay waived if you are admitted to the hospital within 24 hours. Urgently needed services are covered with no copay and a 0% to 20% coinsurance (up to $40 per visit), while worldwide emergency, urgent, and transportation services are covered with no copay and no coinsurance up to a $25,000 maximum limit.
Primary Care See details
DEVOTED C-SNP PLUS 013 CO (HMO C-SNP) covers primary care physician services with no copay and no coinsurance, while physical therapy, specialist, and mental health services require no copay and a 30% coinsurance. Chiropractic benefits are partially covered, offering up to 12 routine visits per year for a $15 copay and no coinsurance, while other chiropractic services are not covered.
Preventive Services See details
Preventive Services are partially covered by DEVOTED C-SNP PLUS 013 CO (HMO C-SNP) with no copay and no coinsurance for covered care, including annual physicals, kidney disease education, and fitness benefits. Several sub-services are not covered under this plan, such as personal emergency response systems (PERS), in-home support, caregiver support, counseling, and home-based palliative care.
Hearing Services See details
Hearing services are partially covered under DEVOTED C-SNP PLUS 013 CO (HMO C-SNP), featuring routine hearing exams with no copay and a 50% coinsurance, requiring prior authorization. Prescription hearing aids are also partially covered with no coinsurance and a copay of $399 to $699 for up to two aids per year, while inner ear, outer ear, over the ear, and OTC hearing aids are not covered.
Vision Services See details
DEVOTED C-SNP PLUS 013 CO (HMO C-SNP) vision services are partially covered, offering one routine eye exam per year with no copay, no deductible, and 0% to 50% coinsurance, while other eye exam services are not covered. Eyewear is covered with no copay, no deductible, and no coinsurance up to a $400 yearly limit for contacts, eyeglasses, lenses, frames, and upgrades.
Dental Services See details
DEVOTED C-SNP PLUS 013 CO (HMO C-SNP) offers partially covered dental services with no copay and no coinsurance for most preventive and comprehensive care up to a $3,000 annual limit, while Medicare-covered dental services require no copay and a 30% coinsurance. Other diagnostic, other preventive, maxillofacial prosthetics, implant services, and orthodontics are not covered under this plan.
Home Infusion bundled Services See details
DEVOTED C-SNP PLUS 013 CO (HMO C-SNP) covers home infusion bundled services with no copay, though prior authorization is required. Associated Medicare Part B chemotherapy, radiation, and other drugs require no copay and no coinsurance to 20% coinsurance, while Part B insulin has a $35 copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered under the DEVOTED C-SNP PLUS 013 CO (HMO C-SNP) plan with no copay and a 20% coinsurance, though prior authorization is required.
Medical Equipment See details
DEVOTED C-SNP PLUS 013 CO (HMO C-SNP) partially covers medical equipment with no copays, requiring prior authorization for covered items. Durable medical equipment and diabetic supplies are subject to a 20% coinsurance, while prosthetics and medical supplies range from no coinsurance to 20% coinsurance, though diabetic therapeutic shoes and inserts are not covered.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by DEVOTED C-SNP PLUS 013 CO (HMO C-SNP) with no copays, though prior authorization is required. There is no coinsurance for diagnostic procedures and tests, but members will pay a 50% coinsurance for lab services, 40% coinsurance for diagnostic radiology and outpatient X-rays, and 20% coinsurance for therapeutic radiology.
Home Health Services See details
Home health services are covered by DEVOTED C-SNP PLUS 013 CO (HMO C-SNP) with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered by DEVOTED C-SNP PLUS 013 CO (HMO C-SNP) with no copay and require prior authorization. While some services are covered, specific programs including cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation are not covered and require a 30% coinsurance.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by DEVOTED C-SNP PLUS 013 CO (HMO C-SNP) with no coinsurance, requiring no copay for days 1 through 20 and a $218 daily copay for days 21 through 100. Prior authorization is required, an inpatient hospital stay of less than three days prior to admission is allowed, and additional days beyond the Medicare-covered limit are not covered.
Other Services See details
DEVOTED C-SNP PLUS 013 CO (HMO C-SNP) provides partial coverage for other services, offering acupuncture, over-the-counter items, and select diabetic shoes and preventive services with no copay and no coinsurance. While over-the-counter items include a $50 allowance every three months, meal benefits are not covered.
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