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Devoted CHOICE PLUS Oregon (PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Devoted CHOICE PLUS 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 PLUS Oregon (PPO) in 2025, please refer to our full plan details page.
Devoted CHOICE PLUS 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 PLUS 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 PLUS 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 PLUS Oregon (PPO), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $1.10. 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 PLUS Oregon (PPO) plan has an enhanced alternative drug benefit. The plan has a deductible of $590.00. In the initial coverage phase, after you pay the deductible, you will pay a $5.00 copay for preferred generic drugs at a standard or mail pharmacy. For standard generic, preferred brand, and non-preferred drugs, you pay 25% coinsurance. Once your total drug costs reach $2000.00, you enter the catastrophic coverage phase and pay nothing for Part D covered drugs.
Additional Benefits
The Devoted CHOICE PLUS Oregon (PPO) plan provides coverage for a variety of medical services. This plan includes inpatient hospital stays with a $300 copay for the first five days, and then no copay for days 6-90. Outpatient services have copays ranging from $0 to $400, while emergency services have a $125 copay. This plan also offers benefits for primary care, preventive services, hearing, vision, dental, and home health services. Hearing exams have a $40 copay, and prescription hearing aids have copays ranging from $199 to $499. Vision services include eye exams with a $40 copay, and eyewear coverage with a $2,000 annual maximum.
Inpatient Hospital See details
Inpatient Hospital benefits, including Inpatient Hospital-Acute and Inpatient Hospital Psychiatric, are covered. For Inpatient Hospital-Acute, you will pay a $300 copay for days 1-5, and no copay for days 6-90; for Inpatient Hospital Psychiatric, you will also pay a $300 copay for days 1-5, and no copay for days 6-90. Additional days for Inpatient Hospital-Acute are covered, but Non-Medicare-covered Stay and Upgrades for Inpatient Hospital-Acute are not covered, along with Additional Days for Inpatient Hospital Psychiatric and Non-Medicare-covered Stay for Inpatient Hospital Psychiatric.
Outpatient Services See details
Outpatient Services include coverage for all outpatient hospital services, with copays ranging from $0 to $400, observation services with a $300 copay, and Ambulatory Surgical Center (ASC) services with no copay. Outpatient substance abuse services have a $40 copay for both individual and group sessions. Outpatient blood services are also covered, including services not usually covered by Medicare plans.
Partial Hospitalization See details
Partial Hospitalization is covered by the Devoted CHOICE PLUS Oregon (PPO) plan. The plan has a $70 copay for this benefit.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered by the Devoted CHOICE PLUS Oregon (PPO) plan, including ground ambulance services with a copay of $0-$275, and air ambulance services with 20% coinsurance. 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. Emergency Services have a $125 copay, and Urgently Needed Services have a copay between $0-$45; both have no coinsurance. Worldwide Emergency Transportation has a $275 copay and 20% coinsurance, while Worldwide Emergency Coverage and Worldwide Urgent Coverage have a $125 copay; all three have no coinsurance.
Primary Care See details
Primary Care benefits include coverage for Primary Care Physician Services, Chiropractic Services, Occupational Therapy Services, Physician Specialist Services, Mental Health Specialty Services, Other Health Care Professional, Psychiatric Services, Physical Therapy and Speech-Language Pathology Services, Additional Telehealth Benefits, and Opioid Treatment Program Services. Chiropractic Services have a $20 copay, Occupational Therapy Services have a copay between $40 and $45, Physician Specialist Services have a copay between $0 and $40, Individual and Group Sessions for Mental Health Specialty Services have a $40 copay, Other Health Care Professional services have a copay between $0 and $40, Individual and Group Sessions for Psychiatric Services have a $40 copay, Physical Therapy and Speech-Language Pathology Services have a copay between $40 and $50, Additional Telehealth Benefits have a copay between $0 and $40, and Opioid Treatment Program Services have a $40 copay.
Preventive Services See details
The Devoted CHOICE PLUS Oregon (PPO) plan covers a variety of preventive services, including Medicare-covered preventive services, annual physical exams, health education, Personal Emergency Response Systems (PERS), Weight Management Programs, Alternative Therapies, Therapeutic Massage, Nutritional/Dietary Benefits, Fitness Benefit, 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. However, In-Home Safety Assessments, 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, Counseling Services, Enhanced Disease Management, Telemonitoring Services, and Remote Access Technologies are not covered.
Hearing Services See details
Hearing Services includes coverage for hearing exams with a $40 copay, as well as fitting/evaluation for hearing aids. Prescription hearing aids are covered with a copay between $199 and $499, depending on the type of hearing aid. Prescription Hearing Aids - Inner Ear, Prescription Hearing Aids - Outer Ear, Prescription Hearing Aids - Over the Ear and OTC hearing aids are not covered.
Vision Services See details
Vision services include eye exams with a $40 copay, and eyewear coverage with a combined maximum of $2,000 per year for both in-network and out-of-network services. Contact lenses, eyeglasses (lenses and frames), eyeglass lenses, eyeglass frames, and upgrades are also covered.
Dental Services See details
The Devoted CHOICE PLUS Oregon (PPO) plan covers dental services, including 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. Medicare dental services have a $40 copay, and the plan offers a $2,000 annual maximum benefit for in-network and out-of-network services; however, maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered, including Insulin, Medicare Part B Chemotherapy/Radiation Drugs, and Other Medicare Part B Drugs. Insulin has a $35 copay and 20% coinsurance, while the coinsurance for Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs is between 0% and 20%.
Dialysis Services See details
Dialysis Services are covered under the Devoted CHOICE PLUS Oregon (PPO) plan, with a coinsurance of 20%.
Medical Equipment See details
Medical Equipment benefits for the Devoted CHOICE PLUS Oregon (PPO) plan include Durable Medical Equipment (DME) with a coinsurance between 0% and 20% and no copay, though Durable Medical Equipment for use outside the home is not covered. Prosthetics and Medical Supplies are covered with no copay and a coinsurance for Medicare-covered Prosthetic Devices and Medical Supplies, while Diabetic Equipment is covered, but Diabetic Supplies and Diabetic Therapeutic Shoes/Inserts are not covered.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered, including all diagnostic services, lab services, and radiological services. Diagnostic Procedures/Tests have a copay between $0 and $95, and Lab Services have no copay. Diagnostic Radiological Services have a copay up to $300, Therapeutic Radiological Services have 20% coinsurance, and Outpatient X-Ray Services have no copay.
Home Health Services See details
Home Health Services are covered by the Devoted CHOICE PLUS 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, but specific services including Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, and SET for PAD Services, are not covered. There is a copay for some cardiac and pulmonary rehabilitation services, but the exact amount is not specified.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by Devoted CHOICE PLUS Oregon (PPO) with prior authorization. You will have no copay for days 1-20, and a $214 copay for days 21-100.
Other Services See details
The Devoted CHOICE PLUS Oregon (PPO) plan covers acupuncture with no copay, and also covers Other Services, including $0 preventive services. The plan does not cover over-the-counter items, meal benefits, Dual Eligible SNPs with Highly Integrated Services, 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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