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Devoted CHOICE DUAL PLUS Mississippi (PPO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Devoted CHOICE DUAL PLUS Mississippi (PPO D-SNP). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Devoted CHOICE DUAL PLUS Mississippi (PPO D-SNP) in 2025, please refer to our full plan details page.
Devoted CHOICE DUAL PLUS Mississippi (PPO D-SNP) is a PPO D-SNP 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 DUAL PLUS Mississippi (PPO D-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Important:
Devoted CHOICE DUAL PLUS Mississippi (PPO D-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 CHOICE DUAL PLUS Mississippi (PPO D-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 CHOICE DUAL PLUS Mississippi (PPO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $47.30. 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 has a $375.00 health deductible. This means, every calendar year, you pay this amount towards covered services before your insurance coverage kicks in.
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 $14000.00 (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 $14000.00 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 DUAL PLUS Mississippi (PPO D-SNP) plan has a $590 deductible for prescription drugs. After you meet your deductible, you will pay the costs for your drugs based on the tier until your total drug costs reach $2000. If you qualify for the low-income subsidy, you will pay $47.30 for Part D. Once your yearly out-of-pocket drug costs reach $2000, you will pay nothing for your Part D covered drugs.
Additional Benefits
The Devoted CHOICE DUAL PLUS Mississippi (PPO D-SNP) plan offers a range of health benefits. Inpatient hospital stays have a $1300 copay per admission, while emergency services cost $110. Primary care, preventive services, and home health services are available with no copay. The plan covers outpatient services with a 40% coinsurance, and partial hospitalization has a 35% coinsurance. Hearing exams have coinsurance up to 30%, while prescription hearing aids have a copay between $399 and $699. Vision services include routine eye exams with a 30% coinsurance and eyewear with a combined maximum benefit of $500 per year. Dental services are covered with a $500 annual maximum benefit.
Inpatient Hospital See details
Inpatient Hospital benefits, including Inpatient Hospital-Acute and Inpatient Hospital Psychiatric, are covered, with a copay of $1300 per admission or stay for Medicare-covered stays. Additional Days for Inpatient Hospital-Acute are covered, but Non-Medicare-covered Stay for Inpatient Hospital-Acute, Upgrades for Inpatient Hospital-Acute, Additional Days for Inpatient Hospital Psychiatric, and Non-Medicare-covered Stay for Inpatient Hospital Psychiatric are not covered.
Outpatient Services See details
Outpatient Services, including all outpatient hospital services, observation services, ambulatory surgical center services, outpatient substance abuse services, and outpatient blood services, are covered. Outpatient hospital services, observation services, individual sessions for outpatient substance abuse, and group sessions for outpatient substance abuse have a 40% coinsurance. Outpatient blood services have a three (3) pint deductible waived.
Partial Hospitalization See details
Partial Hospitalization is covered with a 35% coinsurance, and prior authorization is required.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered by the Devoted CHOICE DUAL PLUS Mississippi (PPO D-SNP) plan. There is no copay for ambulance services, with coinsurance of 0-40% for ground ambulance services and 40% for air ambulance services; however, transportation services to any health-related location are not covered.
Emergency Services See details
Emergency Services are covered under the Devoted CHOICE DUAL PLUS Mississippi (PPO D-SNP) plan with a $110 copay, and no coinsurance. Urgently Needed Services have a 35% coinsurance. Worldwide Emergency Services are also covered.
Primary Care See details
The Devoted CHOICE DUAL PLUS Mississippi (PPO D-SNP) plan covers Primary Care Physician Services, Occupational Therapy Services, Physician Specialist Services, Other Health Care Professional, Physical Therapy and Speech-Language Pathology Services, Opioid Treatment Program Services, and Additional Telehealth benefits with no copay and no coinsurance. Chiropractic Services, Mental Health Specialty Services, and Psychiatric Services are partially covered. Routine Chiropractic Care, Individual Sessions for Mental Health Specialty Services, and Group Sessions for Mental Health Specialty Services, Individual Sessions for Psychiatric Services, and Group Sessions for Psychiatric Services are not covered. Podiatry Services are not covered.
Preventive Services See details
Preventive Services are covered by the Devoted CHOICE DUAL PLUS Mississippi (PPO D-SNP) plan, including Medicare-covered preventive services, annual physical exams, and additional services such as health education, weight management programs, alternative therapies, nutritional/dietary benefits, fitness benefits, home and bathroom safety devices, glaucoma screening, diabetes self-management training, barium enemas, digital rectal exams, and EKG following Welcome Visit. However, in-home safety assessments, personal emergency response systems, medical nutrition therapy, 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 include hearing exams and prescription hearing aids. Hearing exams have a coinsurance of at most 30%, and routine hearing exams are covered once per year. Prescription hearing aids have a copay between $399 and $699, and are covered for 2 per year, however, prescription hearing aids for the inner ear, outer ear, and over the ear are not covered.
Vision Services See details
Vision services include routine eye exams with a 30% coinsurance, and eyewear with a combined maximum of $500 every year. Contact lenses, eyeglasses (lenses and frames), eyeglass lenses, eyeglass frames, and upgrades are also covered.
Dental Services See details
Dental Services include coverage for 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. This plan has a maximum benefit of $500 per year for both in and out-of-network services, and orthodontic services are covered under the Diagnostic and Preventive Dental. Maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered, including Insulin and Medicare Part B drugs. 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 a coinsurance between 0% and 20%.
Dialysis Services See details
Dialysis Services are covered under the Devoted CHOICE DUAL PLUS Mississippi (PPO D-SNP) plan. You will pay 20% coinsurance for these services.
Medical Equipment See details
Medical Equipment is covered, including Durable Medical Equipment (DME) with 0% to 20% coinsurance and no copay, along with Prosthetics/Medical Supplies, which have no copay and coinsurance for Medicare-covered items. Diabetic Equipment is covered, but Diabetic Therapeutic Shoes/Inserts and Durable Medical Equipment for use outside the home are not covered.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered, with no copay. Diagnostic Procedures/Tests and Lab Services have a coinsurance of up to 40%, while Diagnostic Radiological Services have a coinsurance of up to 40%, Therapeutic Radiological Services have a coinsurance of up to 20%, and Outpatient X-Ray Services have a coinsurance of up to 35%.
Home Health Services See details
Home Health Services are covered by the Devoted CHOICE DUAL PLUS Mississippi (PPO D-SNP) plan with no copay and no coinsurance, but additional hours of care and personal care services are not covered. Authorization is required for this benefit.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered by the Devoted CHOICE DUAL PLUS Mississippi (PPO D-SNP) plan. This includes Cardiac Rehabilitation Services, Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, and SET for PAD Services.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered, but require prior authorization. For days 1-20, there is no copay, and for days 21-100, the copay is $214. Additional days beyond Medicare-covered SNF stays and non-Medicare-covered SNF stays are not covered.
Other Services See details
The "Other Services" benefit for Devoted CHOICE DUAL PLUS Mississippi (PPO D-SNP) does not cover acupuncture, over-the-counter (OTC) 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, and Self-Directed Personal Assistance Services. Other services include $0 preventive services.
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