A non-government entity
DEVOTED DUAL CHOICE PLUS 003 MS (PPO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for DEVOTED DUAL CHOICE PLUS 003 MS (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 DUAL CHOICE PLUS 003 MS (PPO D-SNP) in 2026, please refer to our full plan details page.
DEVOTED DUAL CHOICE PLUS 003 MS (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 2026.
It's important to know that DEVOTED DUAL CHOICE PLUS 003 MS (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 DUAL CHOICE PLUS 003 MS (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 DUAL CHOICE PLUS 003 MS (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 DUAL CHOICE PLUS 003 MS (PPO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $23.80. 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 $690.00 health deductible. This means, every calendar year, you pay this amount towards covered services before your insurance coverage kicks in.
This plan has a $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 combined Maximum Out-Of-Pocket cost of $13900.00 (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 $13900.00 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:
Sign up for DEVOTED DUAL CHOICE PLUS 003 MS (PPO D-SNP)
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
Drug Coverage
The DEVOTED DUAL CHOICE PLUS 003 MS (PPO D-SNP) plan features an annual drug deductible of $615. Under this plan, standard pharmacies and standard mail-order services charge a 25% coinsurance for Tier 1 preferred generic, Tier 2 generic, Tier 3 preferred brand, and Tier 4 non-preferred drugs. Tier 5 specialty drugs also require a 25% coinsurance for a one-month supply at standard pharmacies and standard mail order. For Tier 6 select care drugs, beneficiaries pay no copay for one-month, two-month, or three-month supplies through standard pharmacies and standard mail-order services. This plan offers structured cost-sharing options to help you manage your prescription medication expenses throughout the initial coverage phase.
Additional Benefits
The DEVOTED DUAL CHOICE PLUS 003 MS (PPO D-SNP) plan offers robust medical coverage where many routine services require no copay, though coinsurance and prior authorizations often apply. For inpatient hospital stays, members pay a copay of $2,230 for acute care and $2,080 for psychiatric care per stay, with no coinsurance. Primary care visits feature no copay and no coinsurance, while specialist visits and outpatient diagnostic services require no copay but carry varying coinsurance rates. This plan also covers key supplemental benefits, including dental care up to a $2,000 annual limit and eyewear up to a $375 yearly limit with no copay and no coinsurance. Routine hearing exams have no copay and a 50% coinsurance, while prescription hearing aids require copays ranging from $399 to $699. Additionally, members can access a $50 over-the-counter allowance every three months with no copay or coinsurance to help manage everyday wellness costs.
Inpatient Hospital See details
DEVOTED DUAL CHOICE PLUS 003 MS (PPO D-SNP) inpatient hospital benefits are partially covered, requiring a $2,230 copay per stay for acute care and a $2,080 copay per stay for psychiatric care, both with no coinsurance. Prior authorization is required, and non-Medicare-covered stays, psychiatric additional days, and upgrades are not covered.
Outpatient Services See details
DEVOTED DUAL CHOICE PLUS 003 MS (PPO D-SNP) covers outpatient services with no copay, although coinsurance and prior authorization are required for most benefits. Covered outpatient hospital and ambulatory surgical center services have a 0% to 50% coinsurance, while outpatient substance abuse and blood services carry a 30% coinsurance.
Partial Hospitalization See details
Partial hospitalization is covered under the DEVOTED DUAL CHOICE PLUS 003 MS (PPO D-SNP) plan with no copay and a 30% coinsurance. Prior authorization is required for these services.
Ambulance and Transportation Services See details
Ambulance and transportation services are partially covered by DEVOTED DUAL CHOICE PLUS 003 MS (PPO D-SNP), which offers ambulance services with no copay, no coinsurance to 50% coinsurance for ground transport, and 50% coinsurance for air transport. Prior authorization is required for ambulance services, but transportation services to plan-approved or any health-related locations are not covered.
Emergency Services See details
DEVOTED DUAL CHOICE PLUS 003 MS (PPO D-SNP) covers emergency services with a $115 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services have no copay and a 0% to 30% coinsurance (up to $40 per visit), and worldwide emergency, urgent, and transportation services are fully covered up to $25,000 with no copay and no coinsurance.
Primary Care See details
Primary care and specialty services are covered by DEVOTED DUAL CHOICE PLUS 003 MS (PPO D-SNP) with no copays, featuring no coinsurance for primary care visits and up to 30% coinsurance for specialist, therapy, and mental health services. Chiropractic care is partially covered, excluding routine chiropractic services, while podiatry services are not covered.
Preventive Services See details
DEVOTED DUAL CHOICE PLUS 003 MS (PPO D-SNP) covers preventive services with no copay and no coinsurance, including annual physical exams, kidney disease education, and glaucoma screenings. This benefit is partially covered, as it excludes specific sub-services such as in-home support, personal emergency response systems (PERS), medical nutrition therapy, and therapeutic massages.
Hearing Services See details
DEVOTED DUAL CHOICE PLUS 003 MS (PPO D-SNP) provides partially covered hearing services, featuring routine hearing exams with no copay and a 50% coinsurance, plus unlimited fitting evaluations. Prescription hearing aids are covered with no coinsurance and copays ranging from $399 to $699, though OTC hearing aids and inner ear, outer ear, or over-the-ear prescription models are not covered.
Vision Services See details
DEVOTED DUAL CHOICE PLUS 003 MS (PPO D-SNP) vision services are partially covered, offering one annual routine eye exam with no copay and 0% to 50% coinsurance, while other eye exam services are not covered. Eyewear is covered with no copay and no coinsurance up to a $375 combined annual limit for contacts, lenses, frames, and upgrades.
Dental Services See details
DEVOTED DUAL CHOICE PLUS 003 MS (PPO D-SNP) covers Medicare-covered dental services with no copay and 30% coinsurance, and other dental services are partially covered with no copay and no coinsurance up to a $2,000 annual limit. Sub-services such as other diagnostic, other preventive, maxillofacial prosthetics, implants, and orthodontics are not covered.
Home Infusion bundled Services See details
DEVOTED DUAL CHOICE PLUS 003 MS (PPO D-SNP) covers home infusion bundled services with no copay, though prior authorization is required. Associated Medicare Part B chemotherapy, radiation, and other drugs require no copay and a coinsurance ranging from no coinsurance to 20%, while Part B insulin drugs require a $35 copay and no coinsurance to 20% coinsurance that counts toward the plan-level deductible.
Dialysis Services See details
DEVOTED DUAL CHOICE PLUS 003 MS (PPO D-SNP) covers Dialysis Services with no copay and a 20% coinsurance. Prior authorization is required to receive this covered benefit.
Medical Equipment See details
DEVOTED DUAL CHOICE PLUS 003 MS (PPO D-SNP) covers medical equipment, including durable medical equipment, prosthetics, and diabetic supplies, with no copay for all covered items. A 20% coinsurance applies to durable medical equipment and diabetic supplies, while medical supplies and prosthetics require between no coinsurance and 20% coinsurance.
Diagnostic and Radiological Services See details
DEVOTED DUAL CHOICE PLUS 003 MS (PPO D-SNP) covers diagnostic and radiological services with no copay, though prior authorization is required. Diagnostic procedures and tests have no coinsurance, while lab services require a 50% coinsurance. Diagnostic radiological and outpatient X-ray services require a 30% coinsurance, and therapeutic radiological services require a 20% coinsurance.
Home Health Services See details
DEVOTED DUAL CHOICE PLUS 003 MS (PPO D-SNP) covers Home Health Services with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
DEVOTED DUAL CHOICE PLUS 003 MS (PPO D-SNP) covers some Cardiac Rehabilitation Services with no copay and no coinsurance, but key sub-services—including cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation—are not covered and require a 30% coinsurance.
Skilled Nursing Facility (SNF) See details
DEVOTED DUAL CHOICE PLUS 003 MS (PPO D-SNP) covers Skilled Nursing Facility (SNF) services with no coinsurance, featuring no copay for days 1 through 20 and a $218 daily copay for days 21 through 100. Prior authorization is required, a prior 3-day hospital stay is not needed, and additional days beyond the 100 Medicare-covered days are not covered.
Other Services See details
DEVOTED DUAL CHOICE PLUS 003 MS (PPO D-SNP) partially covers other services, providing additional preventive benefits and over-the-counter (OTC) items with no copay and no coinsurance, including a $50 OTC allowance every three months. Acupuncture and meal benefits are not covered under this plan.
Get Personalized Help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
*/SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
MedicareAdvantageRX.com is owned and operated by Dog Media Solutions LLC.
This is a promotional communication.
Every year, Medicare evaluates plans based on a 5-star rating system.
Part B premium reduction is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be lower. Deductibles, copays and coinsurance may apply.
* Benefit(s) mentioned may be part of a special supplemental program for chronically ill members with one of the following conditions: Diabetes mellitus, Cardiovascular disorders, Chronic and disabling mental health conditions, Chronic lung disorders, Chronic heart failure. This is not a complete list of qualifying conditions. Having a qualifying condition alone does not mean you will receive the benefit(s). Other requirements may apply.
Enrollment in Medicare/Medicare Advantage may be limited to certain times of the year unless you qualify for a Special Enrollment Period
We do not offer every plan available in your area. Currently, we represent 18 organizations, which offer 52,101 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
We represent Medicare Advantage HMO, PPO and PFFS organizations and stand-alone PDP prescription drug plans that are contracted with Medicare. Enrollment depends on the plan's contract renewal.
Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply.
Please contact Medicare.gov ,1-800-MEDICARE , or your local State Health Insurance Program (SHIP) to get information on all of your options.
Medicare has neither approved nor endorsed any information on this site.
Speak with a licensed insurance agent: 1-877-649-2073 / TTY 711 | 8am - 11pm ET | 7 days a week
© 2023 Dog Media Solutions LLC. All rights reserved