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Devoted CHOICE Mississippi (PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Devoted CHOICE Mississippi (PPO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Devoted CHOICE Mississippi (PPO) in 2025, please refer to our full plan details page.
Devoted CHOICE Mississippi (PPO) is a PPO plan offered by Devoted Health, Inc. available for enrollment in 2025 to people living in Mississippi. The overall rating for this plan is not yet available for 2025.
It's important to know that Devoted CHOICE Mississippi (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 Mississippi (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 Mississippi (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 $8950.00 (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 $8950.00 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 Mississippi (PPO) plan has a $590 deductible for prescription drugs. Once you meet your deductible, you will pay a copay or coinsurance depending on the drug tier and pharmacy. For a 30-day supply, you will pay a $10 copay for Tier 1 (Preferred Generic) drugs at a standard pharmacy or through the mail. For other tiers, you will pay 25% coinsurance. After your total drug costs reach $2000, you enter the catastrophic coverage phase and pay nothing for your Part D covered drugs.
Additional Benefits
The Devoted CHOICE Mississippi (PPO) plan offers a range of benefits, including inpatient and outpatient hospital services with varying copays. You'll find coverage for primary care, preventive services, hearing, vision, and dental, with specific copays and maximum benefits for each. This plan also covers emergency services, ambulance services, and home health services, as well as additional services like home infusion and dialysis. While some services like skilled nursing facilities are covered with copays, it's important to note that certain services such as acupuncture, over-the-counter items, and private duty nursing are not included in this plan.
Inpatient Hospital See details
Inpatient Hospital benefits are covered, including Inpatient Hospital-Acute and Inpatient Hospital Psychiatric services, both requiring prior authorization. For Inpatient Hospital-Acute, you will pay a $275 copay for days 1-9, and no copay for days 10-90; for Inpatient Hospital Psychiatric, you will pay a $275 copay for days 1-9, and no copay for days 10-90.
Outpatient Services See details
Outpatient Services includes coverage for all outpatient hospital services with a copay between $0 and $380, observation services with a $280 copay, and ambulatory surgical center services with no copay. Outpatient substance abuse services are covered with a $35 copay for both individual and group sessions, and outpatient blood services are covered, including services not usually covered by Medicare plans.
Partial Hospitalization See details
Partial Hospitalization is covered, but requires prior authorization. You will have a $70 copay for this benefit.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered, with prior authorization required for all ambulance services. Ground ambulance services have a copay between $0 and $295, while air ambulance services have a 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 by the Devoted CHOICE Mississippi (PPO) plan. Emergency Services have a $125 copay, and Urgently Needed Services have a copay between $0 and $45. Worldwide Emergency Services have a $125 copay for Worldwide Emergency Coverage and Worldwide Urgent Coverage, and a $295 copay plus 20% coinsurance for Worldwide Emergency Transportation.
Primary Care See details
The Devoted CHOICE Mississippi (PPO) plan covers 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 $35 and $45, physician specialist services have a $35 copay, individual and group sessions for mental health and psychiatric services have a $35 copay, physical therapy and speech-language pathology services have a copay between $35 and $50, additional telehealth benefits have a copay between $0 and $35, and opioid treatment program services have a copay between $35 and $35. Routine chiropractic care and podiatry services are not covered.
Preventive Services See details
Preventive Services include coverage for Medicare-covered preventive services, annual physical exams, additional preventive services, health education, weight management programs, alternative therapies, 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. However, in-home safety assessment, Personal Emergency Response System (PERS), Medical Nutrition Therapy (MNT), post-discharge in-home medication reconciliation, re-admission prevention, wigs for hair loss related to chemotherapy, therapeutic massage, 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, enhanced disease management, telemonitoring services, remote access technologies, and counseling services are not covered.
Hearing Services See details
Hearing services for the Devoted CHOICE Mississippi (PPO) plan include hearing exams with a $30 copay, and prescription hearing aids with a copay between $399 and $699 for all types, but the plan does not cover prescription hearing aids for the inner, outer, or over the ear. Fitting/Evaluation for Hearing Aid is covered, as well as routine hearing exams (1 per year). OTC hearing aids are not covered.
Vision Services See details
Vision Services include coverage for eye exams with a $30 copay, routine eye exams (1 every year), and eyewear with a combined maximum benefit of $1000 every 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 Mississippi (PPO) plan covers dental services, including oral exams, dental x-rays, and other diagnostic services with no copay, but it doesn't cover maxillofacial prosthetics, implant services, or orthodontics. This plan has a maximum benefit of $1,000 per year for in-network and out-of-network services. Medicare dental services have a $35 copay.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered by the Devoted CHOICE Mississippi (PPO) plan, with prior authorization required. For Medicare Part B Insulin Drugs, there is a $35 copay and 20% coinsurance. For Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs, there is between 0% and 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered by the Devoted CHOICE Mississippi (PPO) plan with a coinsurance between 20% and 20%.
Medical Equipment See details
Medical Equipment benefits include coverage for Durable Medical Equipment (DME) with a 0-20% coinsurance, Prosthetics/Medical Supplies with a coinsurance, and Diabetic Equipment; however, Durable Medical Equipment for use outside the home, Diabetic Supplies, and Diabetic Therapeutic Shoes/Inserts are not covered. There is no copay for any of these services.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services include coverage for all diagnostic services, diagnostic procedures/tests with a copay between $0 and $95, and lab services with no copay. Radiological services include diagnostic radiological services with a copay up to $300, therapeutic radiological services with 20% coinsurance, and outpatient X-ray services with no copay.
Home Health Services See details
Home Health Services are covered by the Devoted CHOICE Mississippi (PPO) plan with no copay and no coinsurance, but additional hours of care and personal care services are not covered. Prior authorization is required for this benefit.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered by the Devoted CHOICE Mississippi (PPO) plan, but the specific services including 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 are not covered. There is a copay for some Cardiac and Pulmonary Rehabilitation Services.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by the Devoted CHOICE Mississippi (PPO) plan, but require prior authorization. For days 1-20, there is no copay, and for days 21-100, the copay is $214.
Other Services See details
Other Services are not covered, including acupuncture, over-the-counter items, meal benefits, Dual Eligible SNPs, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services, Private Duty Nursing Services, Case Management (Long Term Care), and several other services. However, the plan covers Other 2 services with no copay for preventive services.
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