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DEVOTED C-SNP CHOICE 006 MS (PPO C-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for DEVOTED C-SNP CHOICE 006 MS (PPO C-SNP). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on DEVOTED C-SNP CHOICE 006 MS (PPO C-SNP) in 2026, please refer to our full plan details page.
DEVOTED C-SNP CHOICE 006 MS (PPO C-SNP) is a PPO C-SNP plan offered by Devoted Health, Inc. available for enrollment in 2026 to people living in Mississippi. The overall rating for this plan is not yet available for 2026.
It's important to know that DEVOTED C-SNP CHOICE 006 MS (PPO C-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Important:
DEVOTED C-SNP CHOICE 006 MS (PPO C-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 C-SNP CHOICE 006 MS (PPO C-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 C-SNP CHOICE 006 MS (PPO C-SNP), 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 $395.00 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 $9250.00 (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 $9250.00 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 C-SNP CHOICE 006 MS (PPO C-SNP) Medicare plan features an annual prescription drug deductible of $395. For cost-effective medications, this plan offers no copay on both Tier 1 preferred generic and Tier 2 generic drugs. This $0 cost sharing applies to one-month, two-month, and three-month supplies filled at standard retail pharmacies or through standard mail order. For brand-name and specialty medications, your costs are determined by coinsurance percentages. Standard pharmacy and mail-order options require a 20% coinsurance for Tier 3 preferred brand drugs and a 43% coinsurance for Tier 4 non-preferred drugs. Additionally, Tier 5 specialty drugs require a 26% coinsurance for a one-month supply.
Additional Benefits
The DEVOTED C-SNP CHOICE 006 MS (PPO C-SNP) plan offers comprehensive medical coverage with no copay and no coinsurance for primary care physician visits, preventive services, and home health care. For specialist visits, members pay a $35 copay, while inpatient hospital stays require a $340 daily copay for the first several days of acute and psychiatric stays before transitioning to no copay. Emergency care is available with a $130 copay, which is waived upon hospital admission, alongside worldwide emergency coverage. The plan also features valuable extras, including dental coverage up to a $3,500 annual limit with no copay for preventive care and up to 50 percent coinsurance for comprehensive services. Vision services include a $350 annual allowance for eyewear with no copay, and hearing aid copays range from $199 to $499. Additionally, members receive a $120 allowance every three months for over-the-counter items with no copay, and skilled nursing facility stays feature no copay for the first 20 days.
Inpatient Hospital See details
DEVOTED C-SNP CHOICE 006 MS (PPO C-SNP) covers inpatient hospital services with no coinsurance, requiring a $340 daily copay for days 1 through 9 of acute stays (no copay for days 10 through 90) and days 1 through 6 of psychiatric stays (no copay for days 7 through 90). Unlimited additional acute stay days are covered, but additional psychiatric days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
Outpatient services under DEVOTED C-SNP CHOICE 006 MS (PPO C-SNP) are covered with no coinsurance, featuring no copay for ambulatory surgical center and blood services. Other covered outpatient benefits require no coinsurance but have copays, including $35 for substance abuse sessions, $340 per stay for observation services, and ranging from no copay to $440 for hospital services.
Partial Hospitalization See details
Partial hospitalization services are covered by DEVOTED C-SNP CHOICE 006 MS (PPO C-SNP) with a $70.00 copay and no coinsurance. Prior authorization is required for these services.
Ambulance and Transportation Services See details
DEVOTED C-SNP CHOICE 006 MS (PPO C-SNP) covers ambulance services with prior authorization, charging a copay of no copay to $360 and coinsurance for ground transport, and a 20% coinsurance plus a copay for air transport. For transportation benefits, some services are covered but trips to plan-approved or any health-related locations are not covered.
Emergency Services See details
Emergency services are covered by DEVOTED C-SNP CHOICE 006 MS (PPO C-SNP) with a $130 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services feature no copay to a $45 copay with no coinsurance, and worldwide emergency coverage is available up to $25,000 with a $130 copay for emergency or urgent care, and a $360 copay with 20% coinsurance for emergency transportation.
Primary Care See details
DEVOTED C-SNP CHOICE 006 MS (PPO C-SNP) covers primary care physician services with no copay and no coinsurance, while specialist visits require a $35 copay and no coinsurance. Other services like physical therapy, mental health, and telehealth are covered with copays ranging from $0 to $50 and no coinsurance, though routine and other chiropractic services are not covered.
Preventive Services See details
DEVOTED C-SNP CHOICE 006 MS (PPO C-SNP) covers preventive services, including annual physicals, kidney disease education, and diabetes self-management training, with no copay and no coinsurance. Additional preventive benefits are partially covered, excluding in-home safety assessments, personal emergency response systems (PERS), post-discharge medication reconciliation, readmission prevention, chemotherapy wigs, therapeutic massage, adult day health, home-based palliative care, in-home support, caregiver support, additional smoking cessation, enhanced disease management, telemonitoring, remote access technologies, and counseling.
Hearing Services See details
Hearing services are partially covered by DEVOTED C-SNP CHOICE 006 MS (PPO C-SNP), featuring routine exams for a $35 copay and no coinsurance, and up to two prescription hearing aids per year for a $199 to $499 copay and no coinsurance. OTC hearing aids, as well as inner ear, outer ear, and over the ear prescription hearing aids, are not covered.
Vision Services See details
Vision services are partially covered by DEVOTED C-SNP CHOICE 006 MS (PPO C-SNP), offering eye exams with a $0 to $35 copay and no coinsurance, though other eye exam services are not covered. Eyewear, including contacts, lenses, frames, and upgrades, is covered with no copay and no coinsurance up to a $350 combined annual limit.
Dental Services See details
DEVOTED C-SNP CHOICE 006 MS (PPO C-SNP) covers dental services up to a $3,500 annual maximum with no copay and no coinsurance for preventive care, periodontics, and oral surgery, while Medicare-covered dental has a $35 copay and no coinsurance. Other comprehensive services require no copay and 0% to 50% coinsurance, though the benefit is partially covered as maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
DEVOTED C-SNP CHOICE 006 MS (PPO C-SNP) covers home infusion bundled services with no copay, subject to prior authorization and step requirements. Covered Medicare Part B chemotherapy, radiation, and other Part B drugs require no copay and a 0% to 20% coinsurance, while Medicare Part B insulin is covered with a $35 copay and 0% to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered by DEVOTED C-SNP CHOICE 006 MS (PPO C-SNP) with no copay and a 20% coinsurance. Prior authorization is required for these services.
Medical Equipment See details
DEVOTED C-SNP CHOICE 006 MS (PPO C-SNP) partially covers medical equipment with no copay, though prior authorization is required and diabetic therapeutic shoes or inserts are not covered. Coinsurance ranges from 20% to 30% for durable medical equipment, no coinsurance to 20% for prosthetics and medical supplies, and no coinsurance to 35% for diabetic supplies.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by DEVOTED C-SNP CHOICE 006 MS (PPO C-SNP), with prior authorization required for all services. Lab services have no copay and no coinsurance, while diagnostic procedures and tests have no coinsurance and a copay ranging from $0 to $95. Diagnostic radiological services and outpatient X-rays feature no copay, though X-rays require coinsurance and therapeutic radiological services require a copay and at least 20% coinsurance.
Home Health Services See details
Home Health Services are covered by DEVOTED C-SNP CHOICE 006 MS (PPO C-SNP) with no copay and no coinsurance. Prior authorization is required to receive these services.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered by DEVOTED C-SNP CHOICE 006 MS (PPO C-SNP) with no coinsurance, meaning some services are covered, but in practice cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered.
Skilled Nursing Facility (SNF) See details
DEVOTED C-SNP CHOICE 006 MS (PPO C-SNP) covers Skilled Nursing Facility (SNF) services with no coinsurance and no prior three-day hospital stay requirement, though prior authorization is required. There is no copay for days 1 through 20, followed by a daily copay of $218 for days 21 through 100, with additional days not covered.
Other Services See details
DEVOTED C-SNP CHOICE 006 MS (PPO C-SNP) partially covers other services, providing no copay and no coinsurance for over-the-counter (OTC) items up to $120 every three months, non-Medicare covered diabetic shoes, and additional preventive services. Acupuncture and meal benefits are not covered under this benefit.
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