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DEVOTED C-SNP PLUS 006 IL (HMO C-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for DEVOTED C-SNP PLUS 006 IL (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 006 IL (HMO C-SNP) in 2026, please refer to our full plan details page.
DEVOTED C-SNP PLUS 006 IL (HMO C-SNP) is a HMO C-SNP plan offered by Devoted Health, Inc. available for enrollment in 2026 to people living in Greater Chicago. This plan received an overall rating of 4 out of 5 stars in 2026.
It's important to know that DEVOTED C-SNP PLUS 006 IL (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 006 IL (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 006 IL (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 006 IL (HMO C-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $15.20. 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:
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Drug Coverage
The DEVOTED C-SNP PLUS 006 IL (HMO C-SNP) Medicare plan has a yearly drug deductible of $615. For prescription coverage, Tier 1 preferred generic drugs require an $18 copay for a 1-month supply at standard pharmacies and standard mail order, while Tier 2 generic drugs carry a $19 copay. Tier 6 select care drugs offer the greatest savings with no copay for 1-month, 2-month, or 3-month fills. For higher-tier prescriptions, Tier 3 preferred brand drugs and Tier 5 specialty drugs require a 25% coinsurance payment through standard pharmacies and standard mail order. Tier 4 non-preferred drugs have a 31% coinsurance for all available supply durations. This clear cost structure helps beneficiaries estimate their out-of-pocket prescription expenses with the DEVOTED C-SNP PLUS 006 IL (HMO C-SNP) plan.
Additional Benefits
The DEVOTED C-SNP PLUS 006 IL (HMO C-SNP) plan offers comprehensive coverage with no copay and no coinsurance for primary care visits, preventive services, and home health care. For inpatient hospital stays, members pay a flat copay of $2,230 for acute care and $2,080 for psychiatric care, with no coinsurance required. Outpatient hospital services and emergency care are also highly accessible, featuring no copays for outpatient visits and a $115 copay for emergency room visits, which is waived upon admission. Additional benefits include dental care up to a $3,500 annual limit and routine eyewear up to a $300 annual limit, both with no copay and no coinsurance. Routine hearing exams carry no copay with 50% coinsurance, while prescription hearing aids require a copay of $399 to $699. Members also benefit from no copay and no coinsurance on home infusion services and up to $50 every three months for over-the-counter items.
Inpatient Hospital See details
DEVOTED C-SNP PLUS 006 IL (HMO C-SNP) covers inpatient hospital services with no coinsurance, requiring a $2,230 copay per stay for acute care and a $2,080 copay per stay for psychiatric care. Prior authorization is required for both services, and while unlimited additional days are covered for acute stays, upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
Outpatient services under DEVOTED C-SNP PLUS 006 IL (HMO C-SNP) are covered with no copays, though prior authorization is required for most services. Outpatient hospital and ambulatory surgical center services carry a 0% to 50% coinsurance, while outpatient substance abuse and blood services require a 30% coinsurance with no deductible.
Partial Hospitalization See details
Partial hospitalization is covered by DEVOTED C-SNP PLUS 006 IL (HMO C-SNP) with no copay and a 20% coinsurance. Prior authorization is required for these services.
Ambulance and Transportation Services See details
DEVOTED C-SNP PLUS 006 IL (HMO C-SNP) covers ambulance services with no copay and a coinsurance of 0% to 50% for ground services and 50% for air services, subject to prior authorization. For transportation benefits, some services are covered, but plan-approved and any health-related location transportation services are not covered.
Emergency Services See details
Emergency services are covered by DEVOTED C-SNP PLUS 006 IL (HMO C-SNP) with a $115 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services feature no copay and 0% to 20% coinsurance (up to a $40 maximum per visit), while worldwide emergency, urgent, and transportation services are covered up to $25,000 with no copay or coinsurance.
Primary Care See details
Primary care benefits under the DEVOTED C-SNP PLUS 006 IL (HMO C-SNP) plan feature no copay and no coinsurance for primary care physician services, while chiropractic services are not covered. Most other services, including specialist visits, mental health care, physical therapy, and podiatry, are covered with no copay and a 30% coinsurance.
Preventive Services See details
Preventive services are covered by DEVOTED C-SNP PLUS 006 IL (HMO C-SNP) with no copay and no coinsurance, including annual physical exams, fitness benefits, and nutritional therapy. However, this benefit is partially covered because several sub-services, such as in-home support, personal emergency response systems (PERS), and counseling, are not covered.
Hearing Services See details
Hearing services are partially covered by DEVOTED C-SNP PLUS 006 IL (HMO C-SNP), offering routine hearing exams with no copay and 50% coinsurance, and prescription hearing aids with a $399 to $699 copay and no coinsurance. OTC hearing aids, as well as inner ear, outer ear, and over the ear prescription hearing aids, are not covered.
Vision Services See details
Vision services are partially covered by DEVOTED C-SNP PLUS 006 IL (HMO C-SNP), featuring one routine eye exam per year with no copay and 0% to 50% coinsurance, while other eye exam services are not covered. Covered eyewear, including lenses, frames, contacts, and upgrades, has no copay and no coinsurance up to a combined maximum plan benefit of $300 per year.
Dental Services See details
Dental services are partially covered by DEVOTED C-SNP PLUS 006 IL (HMO C-SNP), offering no copay and no coinsurance for covered preventive and comprehensive services up to a $3,500 annual limit, while Medicare-covered dental requires a 30% coinsurance and no copay. Sub-services not covered under this plan include other diagnostic services, other preventive services, maxillofacial prosthetics, implants, and orthodontics.
Home Infusion bundled Services See details
Home infusion bundled services are covered by DEVOTED C-SNP PLUS 006 IL (HMO C-SNP) with no copay and no coinsurance, subject to prior authorization. Medicare Part B chemotherapy, radiation, and other drugs are covered with no copay and 0% to 20% coinsurance, while Part B insulin requires a $35 copay and 0% to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered under the DEVOTED C-SNP PLUS 006 IL (HMO C-SNP) plan with no copay and a 20% coinsurance, though prior authorization is required.
Medical Equipment See details
DEVOTED C-SNP PLUS 006 IL (HMO C-SNP) partially covers medical equipment with no copay, and coinsurance ranges from no coinsurance to 20% depending on the service. Prior authorization is required for these benefits, and diabetic therapeutic shoes or inserts are not covered.
Diagnostic and Radiological Services See details
DEVOTED C-SNP PLUS 006 IL (HMO C-SNP) covers diagnostic and radiological services with prior authorization required and no copays. Diagnostic procedures and tests have no coinsurance, while therapeutic radiological services require a 20% coinsurance, and lab services, diagnostic radiological services, and outpatient X-rays require a 50% coinsurance.
Home Health Services See details
DEVOTED C-SNP PLUS 006 IL (HMO C-SNP) covers home health services with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
DEVOTED C-SNP PLUS 006 IL (HMO C-SNP) covers cardiac rehabilitation services with no copay and a prior authorization requirement, though some specific services are not covered under this $0 rate. Standard cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for peripheral artery disease are not covered at the $0 copay level and instead require a 30% coinsurance.
Skilled Nursing Facility (SNF) See details
DEVOTED C-SNP PLUS 006 IL (HMO C-SNP) covers skilled nursing facility (SNF) services with no coinsurance, requiring prior authorization but no prior three-day hospital stay. There is no copay for days 1 through 20 and a $218 daily copay for days 21 through 100, though additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
Other services are partially covered by DEVOTED C-SNP PLUS 006 IL (HMO C-SNP), featuring no copay and no coinsurance for over-the-counter (OTC) items up to $50 every three months, diabetic shoes, and additional preventive services. Acupuncture and meal benefits are not covered.
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