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Devoted CHOICE Oregon (PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Devoted CHOICE Oregon (PPO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Devoted CHOICE Oregon (PPO) in 2025, please refer to our full plan details page.
Devoted CHOICE Oregon (PPO) is a PPO plan offered by Devoted Health, Inc. available for enrollment in 2025 to people living in Portland. This plan received an overall rating of 3 out of 5 stars in 2025.
It's important to know that Devoted CHOICE Oregon (PPO) 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 CHOICE Oregon (PPO).
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 CHOICE Oregon (PPO), 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 combined Maximum Out-Of-Pocket cost of $9550.00 (in-network or out-of-network combined). You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $9550.00 for covered services, the plan will pay 100% of covered costs for the rest of the year.
The plan may have separate out-pocket-maximums for in-network and out-of-network services. See our full plan details page for more information.
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 CHOICE Oregon (PPO) plan has an "Enhanced Alternative" drug benefit. The plan has a deductible of $590. After the deductible, you will pay a copay or coinsurance for your prescriptions. In the initial coverage phase, you will pay a $5 copay for preferred generic drugs at a standard or mail-order pharmacy. For standard generic, preferred brand, and non-preferred drugs, you will pay 25% coinsurance. After your total drug costs reach $2000, you enter the catastrophic coverage phase, where you pay nothing for your Part D covered drugs.
Additional Benefits
The Devoted CHOICE Oregon (PPO) plan offers comprehensive coverage with a variety of benefits. Inpatient hospital stays have a $375 copay for days 1-4, and no copay for days 5-90, while outpatient services have copays ranging from $0-$475. The plan also includes coverage for emergency services, primary care, preventive services, hearing, vision, dental, and home health services, with varying copays and coinsurance amounts. Additional benefits include coverage for ambulance, partial hospitalization, home infusion, and dialysis services. Diagnostic and radiological services, medical equipment, and skilled nursing facilities are also covered. The plan provides coverage for acupuncture with no copay.
Inpatient Hospital See details
Inpatient Hospital benefits are covered, including Inpatient Hospital-Acute and Inpatient Hospital Psychiatric, with a $375 copay for days 1-4, and no copay for days 5-90. Additional days for Inpatient Hospital-Acute are covered, but non-Medicare-covered stays and upgrades are not covered.
Outpatient Services See details
Outpatient Services include coverage for all outpatient hospital services with a copay of $0-$475, observation services with a copay of $375, and ambulatory surgical center services with no copay. Outpatient substance abuse services have a copay of $40 for both individual and group sessions, and outpatient blood services are also covered.
Partial Hospitalization See details
Partial Hospitalization is covered by the Devoted CHOICE Oregon (PPO) plan. This benefit has a copay of $70.
Ambulance and Transportation Services See details
Ambulance and Transportation Services include coverage for ground and air ambulance services, with a copay of $0-$285 for ground ambulance services and 20% coinsurance for air ambulance services. Transportation services to health-related locations are not covered.
Emergency Services See details
Emergency Services includes coverage for emergency services, urgently needed services, and worldwide emergency services. For emergency services, there is a $125 copay, and no coinsurance. Urgently needed services have a copay between $0 and $45, and no coinsurance. Worldwide emergency services include a $125 copay for worldwide emergency and urgent coverage, and a $285 copay and 20% coinsurance for worldwide emergency transportation.
Primary Care See details
Devoted CHOICE Oregon (PPO) covers primary care physician services, chiropractic services with a $20 copay for routine care, occupational therapy with a $0-$45 copay, and physician specialist services with a $40 copay. Mental health specialty, psychiatric, and opioid treatment services have a $40 copay for individual and group sessions, and physical therapy and speech-language pathology services have a $0-$50 copay. Additional telehealth benefits have a $0-$40 copay. Podiatry services are not covered.
Preventive Services See details
The Devoted CHOICE Oregon (PPO) plan covers preventive services including annual physical exams, health education, Personal Emergency Response Systems (PERS), weight management programs, alternative therapies, therapeutic massage, nutritional/dietary benefits, fitness benefits, home and bathroom safety devices and modifications, kidney disease education services, glaucoma screening, diabetes self-management training, barium enemas, digital rectal exams, and EKG following Welcome Visit. In-home safety assessment, medical nutrition therapy (MNT), post-discharge in-home medication reconciliation, re-admission prevention, wigs for hair loss related to chemotherapy, adult day health services, home-based palliative care, in-home support services, support for caregivers of enrollees, additional sessions of smoking and tobacco cessation counseling, and counseling services are not covered.
Hearing Services See details
Hearing Services include coverage for hearing exams with a $40 copay, as well as routine hearing exams and fitting/evaluation for hearing aids. Prescription Hearing Aids (all types) are covered with a copay between $0 and $299; however, Prescription Hearing Aids - Inner Ear, Outer Ear, and Over the Ear are not covered, and OTC hearing aids are also not covered.
Vision Services See details
Vision services include coverage for eye exams with a $40 copay, eyewear with a combined maximum benefit of $1050 per year, and contact lenses, eyeglasses (lenses and frames), eyeglass lenses, eyeglass frames, and upgrades. Routine eye exams are covered once per year.
Dental Services See details
The Devoted CHOICE Oregon (PPO) plan covers Medicare Dental Services with a $40 copay. Other Dental Services include 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. Maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered, but prior authorization is required. For Medicare Part B insulin drugs, there is a $35 copay and 20% coinsurance, while other Medicare Part B drugs have 0-20% coinsurance.
Dialysis Services See details
Dialysis Services are covered by the Devoted CHOICE Oregon (PPO) plan. You will pay a coinsurance of 20% for these services.
Medical Equipment See details
Medical Equipment coverage includes Durable Medical Equipment (DME) with 0% to 25% coinsurance and Prosthetic Devices with 0% to 20% coinsurance, but does not cover Durable Medical Equipment for use outside the home. Medical Supplies have a 20% coinsurance, while Diabetic Supplies and Diabetic Therapeutic Shoes/Inserts are not covered.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered under the Devoted CHOICE Oregon (PPO) plan. Diagnostic Procedures/Tests have a copay between $0 and $95, while Lab Services have no copay. Diagnostic Radiological Services have a copay of at most $300. Therapeutic Radiological Services have a coinsurance of at least 20%. Outpatient X-Ray Services have no copay.
Home Health Services See details
Home Health Services are covered by the Devoted CHOICE Oregon (PPO) plan 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 covered by the Devoted CHOICE Oregon (PPO) plan, but the plan does not cover any of the sub-services. The plan has a copay for services, but the exact amount is not specified in this snippet.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) benefits are covered by the Devoted CHOICE Oregon (PPO) plan, but require prior authorization. For days 1-20, there is no copay, and for days 21-100, there is a $214 copay. Additional days beyond Medicare-covered and non-Medicare-covered stays are not covered.
Other Services See details
The Devoted CHOICE Oregon (PPO) plan covers acupuncture with no copay, and other services are not covered, including over-the-counter items, meal benefits, and several other services. Other services include $0 Preventive Services.
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