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Devoted CHOICE DUAL Mississippi (PPO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Devoted CHOICE DUAL 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 Mississippi (PPO D-SNP) in 2025, please refer to our full plan details page.
Devoted CHOICE DUAL 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 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 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 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 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 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 DUAL Mississippi (PPO D-SNP) plan has a $590 deductible for prescription drugs. After you meet your deductible, you'll pay the costs for drugs in each tier until your total drug costs reach $2000. If you qualify for the low-income subsidy, your Part D premium is $47.30. After your yearly out-of-pocket drug costs reach $2000, you pay nothing for Medicare Part D covered drugs.
Additional Benefits
The Devoted CHOICE DUAL Mississippi (PPO D-SNP) plan offers a range of benefits with varying costs. Inpatient hospital stays have a $275 copay for days 1-9, and no copay for days 10-90. Outpatient services have copays ranging from $0 to $380, and emergency services have a $125 copay. This plan includes coverage for primary care, preventive services with no copay, hearing, vision, and dental services. Hearing exams have a $35 copay, while vision exams also have a $35 copay, and dental services have a $35 copay for Medicare dental services. The plan also covers home health services with no copay, and skilled nursing facility services with no copay for days 1-20, and a $214 copay for days 21-100.
Inpatient Hospital See details
Inpatient Hospital benefits include coverage for Inpatient Hospital-Acute and Inpatient Hospital Psychiatric services, with a copay of $275 for days 1-9, and no copay for days 10-90. Additional Days for Inpatient Hospital-Acute are covered, but Non-Medicare-covered Stay and Upgrades for Inpatient Hospital-Acute, and Additional Days for Inpatient Hospital Psychiatric, and Non-Medicare-covered Stay for Inpatient Hospital Psychiatric are not covered.
Outpatient Services See details
Outpatient Services include coverage for all outpatient hospital services with a copay between $0 and $380, observation services with a $280 copay, ambulatory surgical center services with no copay, outpatient substance abuse services with a $35 copay for both individual and group sessions, and outpatient blood services.
Partial Hospitalization See details
Partial Hospitalization is covered by the Devoted CHOICE DUAL Mississippi (PPO D-SNP) plan, but requires prior authorization. You will pay a $70 copay for this service.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered by Devoted CHOICE DUAL Mississippi (PPO D-SNP). Ground ambulance services have a copay between $0 and $295, and air ambulance services have a 20% coinsurance. Transportation services to any health-related location are not covered.
Emergency Services See details
Emergency Services are covered under this plan. You will pay a $125 copay. Urgently Needed Services are covered with a copay between $0 and $45. Worldwide Emergency Services are also covered, including Worldwide Emergency Coverage with a $125 copay, Worldwide Urgent Coverage with a $125 copay, and Worldwide Emergency Transportation with a $295 copay and 20% coinsurance.
Primary Care See details
The Devoted CHOICE DUAL Mississippi (PPO D-SNP) plan covers Primary Care services, including Primary Care Physician Services, Chiropractic Services with a $20 copay, Occupational Therapy Services with a copay between $35 and $45, Physician Specialist Services with a $35 copay, and Mental Health Specialty Services with a $35 copay for both individual and group sessions. The plan also covers Other Health Care Professional services with a copay between $0 and $35, Psychiatric Services with a $35 copay for both individual and group sessions, Physical Therapy and Speech-Language Pathology Services with a copay between $35 and $50, Additional Telehealth Benefits with a copay between $0 and $35, and Opioid Treatment Program Services with a $35 copay. Routine Chiropractic Care and Podiatry Services are not covered.
Preventive Services See details
Devoted CHOICE DUAL Mississippi (PPO D-SNP) covers preventive services, including annual physical exams, 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 EKGs, with no copay. However, in-home safety assessment, 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, 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 Routine Hearing Exams with a $35 copay, Fitting/Evaluation for Hearing Aids with no copay, and Prescription Hearing Aids with a copay between $399 and $699. 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
The Devoted CHOICE DUAL Mississippi (PPO D-SNP) plan covers vision services, including eye exams with a $35 copay. The plan also covers eyewear, including contact lenses, eyeglasses (lenses and frames), eyeglass lenses, and eyeglass frames, with a combined maximum benefit of $500 every year.
Dental Services See details
Dental Services includes coverage for Medicare Dental Services with a $35 copay, and other services with a $500 maximum benefit per year. 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 are covered. Maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered under the Devoted CHOICE DUAL Mississippi (PPO D-SNP) plan, including Medicare Part B Insulin Drugs, Medicare Part B Chemotherapy/Radiation Drugs, and Other Medicare Part B Drugs. For Medicare Part B Insulin Drugs, you will pay a $35 copay and 20% coinsurance, while Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs have a coinsurance between 0% and 20%.
Dialysis Services See details
Dialysis Services are covered under the Devoted CHOICE DUAL Mississippi (PPO D-SNP) plan. You will pay a coinsurance of 20% for dialysis services.
Medical Equipment See details
Medical Equipment benefits include Durable Medical Equipment (DME) with a coinsurance between 0% and 20%, no copay, and authorization required, though Durable Medical Equipment for use outside the home is not covered. Prosthetic Devices have a coinsurance between 0% and 20%, and Medical Supplies have a 20% coinsurance, with no copay for either. 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 include coverage for all diagnostic services with a copay, and lab services with no copay. Diagnostic Procedures/Tests have a copay between $0 and $95, while Diagnostic Radiological Services have a copay of up to $300, and Therapeutic Radiological Services have a 20% coinsurance.
Home Health Services See details
Home Health Services are covered by the Devoted CHOICE DUAL Mississippi (PPO D-SNP) plan with no copay and no coinsurance, but authorization is required. Additional Hours of Care and Personal Care Services are not covered.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered by the Devoted CHOICE DUAL Mississippi (PPO D-SNP) plan, including Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, and SET for PAD Services. While the plan mentions copays, the specific costs are not provided.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by the Devoted CHOICE DUAL Mississippi (PPO D-SNP) plan, but require prior authorization. There is no copay for days 1-20, and a $214 copay for days 21-100. Additional days beyond Medicare-covered and non-Medicare-covered stays are not covered.
Other Services See details
Other Services are not covered, including acupuncture, over-the-counter items, meal benefit, 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. The plan covers Other 2 services, including $0 preventive services.
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