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DEVOTED C-SNP CHOICE PREMIUM 007 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 PREMIUM 007 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 PREMIUM 007 MS (PPO C-SNP) in 2026, please refer to our full plan details page.
DEVOTED C-SNP CHOICE PREMIUM 007 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 PREMIUM 007 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 PREMIUM 007 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 PREMIUM 007 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 PREMIUM 007 MS (PPO C-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 does not have a health deductible. Your insurance coverage on covered health services will start immediately.
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 $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 Premium 007 MS (PPO C-SNP) plan features an annual drug deductible of $615. For prescription drug coverage, Tier 6 Select Care Drugs are available with no copay for one-, two-, or three-month supplies through standard pharmacies and mail order. Standard pharmacy and mail order costs for Tier 1 Preferred Generics require an $18 copay for a one-month supply, while Tier 2 Generic drugs carry a $19 copay for a one-month supply. Higher-tier medications on this plan transition to coinsurance, with Tier 3 Preferred Brand drugs requiring a 21% coinsurance and Tier 4 Non-Preferred drugs requiring a 33% coinsurance for standard pharmacy and mail order fills. Additionally, Tier 5 Specialty Tier drugs incur a 25% coinsurance for a one-month supply. These structured costs help you estimate your out-of-pocket expenses when choosing the Devoted C-SNP Choice Premium 007 MS plan.
Additional Benefits
The DEVOTED C-SNP CHOICE PREMIUM 007 MS (PPO C-SNP) plan offers robust medical coverage featuring no copay and no coinsurance for primary care visits, preventive services, and home health care. For inpatient hospital stays, members pay no coinsurance and a $355 copay for the first several days, after which there is no copay. Outpatient services also feature no coinsurance, with no copay for ambulatory surgical centers and outpatient hospital copays ranging from $0 to $455. This plan provides strong supplemental benefits, including preventive and comprehensive dental care up to $2,000 annually with no copay and no coinsurance. Members also enjoy vision coverage with no copay for eyewear up to a $300 annual limit, plus a $50 quarterly allowance for over-the-counter items with no copay. Skilled nursing facility stays require no copay for the first 20 days, while routine hearing exams and hearing aids are available with affordable copays and no coinsurance.
Inpatient Hospital See details
Inpatient Hospital benefits under DEVOTED C-SNP CHOICE PREMIUM 007 MS (PPO C-SNP) are partially covered with no coinsurance, requiring a $355 copay for days 1 through 8 of an acute stay and days 1 through 6 of a psychiatric stay, and no copay for remaining days. Unlimited additional acute days are covered, but upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
DEVOTED C-SNP CHOICE PREMIUM 007 MS (PPO C-SNP) covers outpatient services with no coinsurance, featuring no copay for ambulatory surgical center and blood services. Outpatient hospital services require a copay ranging from $0 to $455, while observation services incur a $355 copay per stay and outpatient substance abuse sessions carry a $40 copay.
Partial Hospitalization See details
DEVOTED C-SNP CHOICE PREMIUM 007 MS (PPO C-SNP) covers partial hospitalization services with a $70.00 copay and no coinsurance. Prior authorization is required for this benefit.
Ambulance and Transportation Services See details
DEVOTED C-SNP CHOICE PREMIUM 007 MS (PPO C-SNP) covers ambulance services with prior authorization, but transportation services are not covered. Ground ambulance services require a copay ranging from no copay to $360 along with coinsurance, while air ambulance services require a 20% coinsurance and a copay.
Emergency Services See details
DEVOTED C-SNP CHOICE PREMIUM 007 MS (PPO C-SNP) covers emergency services with a $130 copay and no coinsurance, which is waived if admitted to the hospital within 24 hours, and urgently needed services with a copay ranging from no copay to $45 and no coinsurance. Worldwide emergency and urgent care are covered up to $25,000 with a $130 copay and no coinsurance, while worldwide emergency transportation requires a $360 copay and 20% coinsurance.
Primary Care See details
DEVOTED C-SNP CHOICE PREMIUM 007 MS (PPO C-SNP) covers primary care physician services with no copay and no coinsurance, while specialist visits, mental health, and therapy services require copays ranging from $40 to $50 with no coinsurance. Chiropractic services are partially covered under this plan, as routine chiropractic care and other chiropractic services are not covered.
Preventive Services See details
DEVOTED C-SNP CHOICE PREMIUM 007 MS (PPO C-SNP) offers partially covered preventive services with no copay and no coinsurance for covered care, including annual physical exams, fitness benefits, and kidney disease education. However, certain additional services are not covered, such as in-home safety assessments, personal emergency response systems, therapeutic massage, and counseling services.
Hearing Services See details
Hearing services are partially covered by DEVOTED C-SNP CHOICE PREMIUM 007 MS (PPO C-SNP), which offers routine hearing exams for a $40 copay and no coinsurance, and up to two prescription hearing aids per year with a copay ranging from $399 to $699 and no coinsurance. Over-the-counter (OTC) hearing aids, as well as inner ear, outer ear, and over-the-ear prescription hearing aids, are not covered under this plan.
Vision Services See details
DEVOTED C-SNP CHOICE PREMIUM 007 MS (PPO C-SNP) offers partially covered vision services, including one annual routine eye exam with a $0 to $40 copay and no coinsurance, though other eye exam services are not covered. Eyewear is covered with no copay, no coinsurance, and no deductible, up to a $300 combined annual maximum for contacts, frames, lenses, and upgrades.
Dental Services See details
DEVOTED C-SNP CHOICE PREMIUM 007 MS (PPO C-SNP) partially covers dental services up to a $2,000 annual limit with no copay and no coinsurance for preventive and comprehensive care, though Medicare-covered dental services require a $40 copay and no coinsurance. Sub-services not covered under this plan include other diagnostic dental services, other preventive dental services, maxillofacial prosthetics, implant services, and orthodontics.
Home Infusion bundled Services See details
Home infusion bundled services are covered by DEVOTED C-SNP CHOICE PREMIUM 007 MS (PPO C-SNP) with no copay and require prior authorization. Under this benefit, Medicare Part B chemotherapy, radiation, and other drugs have no copay and no coinsurance to 20% coinsurance, while Medicare Part B insulin has a $35 copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered by DEVOTED C-SNP CHOICE PREMIUM 007 MS (PPO C-SNP) with no copay and a 20% coinsurance, although prior authorization is required.
Medical Equipment See details
DEVOTED C-SNP CHOICE PREMIUM 007 MS (PPO C-SNP) medical equipment benefits are partially covered with no copays and require prior authorization. Durable medical equipment has a 20% to 50% coinsurance, prosthetics and medical supplies carry no coinsurance to 20% coinsurance, and diabetic supplies range from no coinsurance to 50% coinsurance, while diabetic therapeutic shoes and inserts are not covered.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by DEVOTED C-SNP CHOICE PREMIUM 007 MS (PPO C-SNP) with prior authorization required. Lab services require no copay and no coinsurance, diagnostic tests have a copay of up to $95 with no coinsurance, outpatient X-rays have no copay but require coinsurance, and therapeutic radiology requires a copay and a minimum 20% coinsurance.
Home Health Services See details
Home health services are covered by DEVOTED C-SNP CHOICE PREMIUM 007 MS (PPO C-SNP) with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
DEVOTED C-SNP CHOICE PREMIUM 007 MS (PPO C-SNP) covers some cardiac rehabilitation services with no copay and no coinsurance, subject to prior authorization. However, cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered under this plan.
Skilled Nursing Facility (SNF) See details
DEVOTED C-SNP CHOICE PREMIUM 007 MS (PPO C-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, and while a prior three-day inpatient hospital stay is not needed for admission, additional days beyond the 100-day Medicare limit are not covered.
Other Services See details
DEVOTED C-SNP CHOICE PREMIUM 007 MS (PPO C-SNP) partially covers Other Services with no copay and no coinsurance for Over-the-Counter (OTC) items up to $50 every three months, non-Medicare diabetic shoes, and additional preventive services. Acupuncture, meal benefits, and highly integrated dual-eligible SNP services are not covered under this benefit.
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* 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.
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