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DEVOTED DUAL CHOICE FULL 009 MS (PPO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for DEVOTED DUAL CHOICE FULL 009 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 FULL 009 MS (PPO D-SNP) in 2026, please refer to our full plan details page.
DEVOTED DUAL CHOICE FULL 009 MS (PPO D-SNP) is a PPO D-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 DUAL CHOICE FULL 009 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 FULL 009 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 FULL 009 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 FULL 009 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 $990.00 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:
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Drug Coverage
The prescription drug coverage for the DEVOTED DUAL CHOICE FULL 009 MS (PPO D-SNP) plan includes an annual drug deductible of $615. For Tiers 1 through 4, which cover preferred generic, generic, preferred brand, and non-preferred drugs, you will pay a 25% coinsurance at standard pharmacies and through standard mail order. Tier 5 specialty drugs also require a 25% coinsurance for a one-month supply at standard pharmacies and standard mail order. In contrast, Tier 6 select care drugs have no copay for one-month, two-month, or three-month supplies at standard pharmacies and standard mail order. This straightforward cost structure helps you easily evaluate your potential out-of-pocket prescription drug costs with this Medicare plan.
Additional Benefits
The DEVOTED DUAL CHOICE FULL 009 MS (PPO D-SNP) plan offers robust medical coverage with no copay and no coinsurance for primary care visits, while specialist and mental health consultations require no copay and a 30% coinsurance. Inpatient hospital stays require a copay of $2,230 for acute care or $2,080 for psychiatric care per stay, whereas outpatient services feature no copay but require coinsurance up to 50%. Emergency room visits carry a $115 copay, which is waived upon hospital admission, and urgently needed care requires no copay with up to 30% coinsurance. For supplemental care, the plan provides a generous dental benefit of up to $4,000 annually with no copay or coinsurance for covered preventive and comprehensive services. Vision benefits include up to a $400 annual limit for eyewear with no copay or coinsurance, and hearing care covers up to two prescription hearing aids per year with a copay between $399 and $699. Additionally, members receive home health care with no copay or coinsurance, alongside a $50 quarterly allowance for over-the-counter items.
Inpatient Hospital See details
DEVOTED DUAL CHOICE FULL 009 MS (PPO D-SNP) covers inpatient hospital services, though upgrades and non-Medicare-covered stays are not covered. Medicare-covered acute stays require a $2,230 copay per stay with no coinsurance, while psychiatric stays require a $2,080 copay per stay with no coinsurance, with prior authorization required for both.
Outpatient Services See details
Outpatient services under DEVOTED DUAL CHOICE FULL 009 MS (PPO D-SNP) are covered with no copay, but coinsurance and prior authorization requirements apply. Outpatient hospital and ambulatory surgical center services feature no copay and range from no coinsurance to 50% coinsurance, while outpatient substance abuse and blood services require no copay and 30% coinsurance.
Partial Hospitalization See details
Partial hospitalization is covered by DEVOTED DUAL CHOICE FULL 009 MS (PPO D-SNP) 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 covered by DEVOTED DUAL CHOICE FULL 009 MS (PPO D-SNP) with prior authorization required for ambulance services, which feature no copay, no coinsurance to 50% coinsurance for ground transport, and a 50% coinsurance for air transport. Routine transportation services, including travel to plan-approved or any health-related locations, are not covered in practice.
Emergency Services See details
Emergency services are covered by the DEVOTED DUAL CHOICE FULL 009 MS (PPO D-SNP) with a $115 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services require no copay and 0% to 30% coinsurance (up to $40 per visit), while worldwide emergency, urgent, and transportation services are covered up to $25,000 with no copay and no coinsurance.
Primary Care See details
DEVOTED DUAL CHOICE FULL 009 MS (PPO D-SNP) provides primary care physician services with no copay and no coinsurance, as well as telehealth benefits with no copay and 0% to 30% coinsurance. Specialist visits, therapy services, mental health care, and opioid treatment are covered with no copay and 30% coinsurance, though chiropractic and podiatry services are not covered.
Preventive Services See details
DEVOTED DUAL CHOICE FULL 009 MS (PPO D-SNP) covers preventive services, including annual physical exams and kidney disease education, with no copay and no coinsurance. Additional preventive services are partially covered with no copay and no coinsurance, excluding In-Home Safety Assessment, Personal Emergency Response System (PERS), Medical Nutrition Therapy (MNT), 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.
Hearing Services See details
Hearing services are partially covered by DEVOTED DUAL CHOICE FULL 009 MS (PPO D-SNP), featuring one annual routine hearing exam with no copay and 50% coinsurance, alongside unlimited fitting evaluations. Up to two prescription hearing aids are covered per year with no coinsurance and a $399 to $699 copay, though OTC hearing aids and inner ear, outer ear, or over the ear prescription models are not covered.
Vision Services See details
Vision services are partially covered by DEVOTED DUAL CHOICE FULL 009 MS (PPO D-SNP), 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, no coinsurance, and no deductible, providing up to a $400 combined annual limit for contacts, frames, lenses, and upgrades.
Dental Services See details
DEVOTED DUAL CHOICE FULL 009 MS (PPO D-SNP) partially covers dental services, offering up to $4,000 annually with no copay and no coinsurance for covered preventive and comprehensive care, while Medicare-covered dental has no copay and 30% coinsurance. However, other diagnostic, other preventive, maxillofacial prosthetics, implants, and orthodontics are not covered under this plan.
Home Infusion bundled Services See details
DEVOTED DUAL CHOICE FULL 009 MS (PPO D-SNP) covers Home Infusion bundled Services with no copay and no coinsurance, subject to prior authorization. Associated Medicare Part B chemotherapy, radiation, and other drugs require no copay and range from no coinsurance to 20% coinsurance, while Part B insulin drugs have a $35 copay and range from no coinsurance to 20% coinsurance.
Dialysis Services See details
DEVOTED DUAL CHOICE FULL 009 MS (PPO D-SNP) covers Dialysis Services with no copay and a 20% coinsurance, though prior authorization is required.
Medical Equipment See details
DEVOTED DUAL CHOICE FULL 009 MS (PPO D-SNP) covers medical equipment, including durable medical equipment, prosthetics, medical supplies, and diabetic equipment, with no copay and required prior authorization. Coinsurance for these covered benefits ranges from no coinsurance up to 20% depending on the specific items and supplies received.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by DEVOTED DUAL CHOICE FULL 009 MS (PPO D-SNP) with no copays, though prior authorization is required. There is no coinsurance for diagnostic procedures and tests, but members will pay a 50% coinsurance for lab services, 20% coinsurance for therapeutic radiological services, and 30% coinsurance for both diagnostic radiological and outpatient X-ray services.
Home Health Services See details
Home health services are covered under the DEVOTED DUAL CHOICE FULL 009 MS (PPO D-SNP) plan with no copay and no coinsurance. Prior authorization is required before you can receive these services.
Cardiac Rehabilitation Services See details
DEVOTED DUAL CHOICE FULL 009 MS (PPO D-SNP) covers Cardiac Rehabilitation Services with no copay, though prior authorization is required. While some services are covered, specific sub-services including cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation are not covered and carry a 30% coinsurance.
Skilled Nursing Facility (SNF) See details
DEVOTED DUAL CHOICE FULL 009 MS (PPO D-SNP) covers Skilled Nursing Facility (SNF) services with no coinsurance, featuring no copay for days 1 to 20 and a $218 daily copay for days 21 to 100. Prior authorization is required, a prior 3-day hospital stay is not required, and additional days beyond the standard 100 days are not covered.
Other Services See details
Other services are partially covered by DEVOTED DUAL CHOICE FULL 009 MS (PPO D-SNP), offering additional preventive services and over-the-counter (OTC) items with no copay and no coinsurance. OTC items are covered up to $50 every three months, but acupuncture and meal benefits are not covered.
Get Personalized Help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
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