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DEVOTED C-SNP CHOICE PLUS 010 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 PLUS 010 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 PLUS 010 MS (PPO C-SNP) in 2026, please refer to our full plan details page.
DEVOTED C-SNP CHOICE PLUS 010 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 PLUS 010 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 PLUS 010 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 PLUS 010 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 PLUS 010 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 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:
Sign up for DEVOTED C-SNP CHOICE PLUS 010 MS (PPO C-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 C-SNP CHOICE PLUS 010 MS (PPO C-SNP) plan features an annual drug deductible of $615. For Tier 1 preferred generic drugs, you will pay an $18 copay for a 1-month supply through standard retail pharmacies or standard mail order. Tier 2 generic drugs require a $19 copay for a 1-month supply, while Tier 6 select care drugs have no copay. Brand-name and specialty drugs under this plan require coinsurance rather than flat copays. Tier 3 preferred brand drugs and Tier 5 specialty drugs both carry a 25% coinsurance rate for a 1-month supply. Tier 4 non-preferred drugs require a 31% coinsurance for standard pharmacy and mail order fills.
Additional Benefits
The DEVOTED C-SNP CHOICE PLUS 010 MS (PPO C-SNP) plan offers robust medical coverage with no copay and no coinsurance for primary care visits and home health services. For inpatient hospital stays, members pay a flat copay of $2,230 per stay for acute care with no coinsurance, while emergency room visits carry a $115 copay. Most outpatient, specialist, and diagnostic services require no copays, though coinsurance rates ranging from 20% to 50% typically apply. This plan also includes valuable supplemental benefits to help lower out-of-pocket costs, such as dental coverage with no copay and up to a $4,000 annual limit. Members benefit from a $400 annual vision allowance and hearing aid coverage with no coinsurance and copays ranging from $399 to $699. Additionally, the plan provides a $50 quarterly allowance for over-the-counter items with no copay or coinsurance.
Inpatient Hospital See details
DEVOTED C-SNP CHOICE PLUS 010 MS (PPO C-SNP) partially covers inpatient hospital services with no coinsurance, requiring a $2,230 copay per stay for acute care and a $2,080 copay per stay for psychiatric care. While unlimited additional days are covered for acute care, non-Medicare-covered stays, upgrades, and additional psychiatric days are not covered.
Outpatient Services See details
Outpatient services are covered by DEVOTED C-SNP CHOICE PLUS 010 MS (PPO C-SNP) with no copays, featuring coinsurance ranging from no coinsurance to 50% for outpatient hospital and ambulatory surgical center services. Outpatient substance abuse and blood services also require no copay but carry a 30% coinsurance, with prior authorization required for most services.
Partial Hospitalization See details
Partial hospitalization is covered under the DEVOTED C-SNP CHOICE PLUS 010 MS (PPO C-SNP) plan with no copay and a 20% coinsurance. Prior authorization is required for these services.
Ambulance and Transportation Services See details
DEVOTED C-SNP CHOICE PLUS 010 MS (PPO C-SNP) covers ambulance services with prior authorization, requiring no copay and a coinsurance of 0% to 50% for ground services and 50% for air services. Routine transportation services, including trips to plan-approved or health-related locations, are not covered under this plan.
Emergency Services See details
DEVOTED C-SNP CHOICE PLUS 010 MS (PPO C-SNP) covers emergency services with a $115 copay and no coinsurance, with the copay waived if you are admitted to the hospital within 24 hours. Urgently needed services are covered with no copay and a 0% to 20% coinsurance (up to $40 per visit), while worldwide emergency, urgent, and transportation services are covered up to a $25,000 lifetime limit with no copay and no coinsurance.
Primary Care See details
Primary care benefits under the DEVOTED C-SNP CHOICE PLUS 010 MS (PPO C-SNP) plan feature no copay and no coinsurance for primary care provider visits, though chiropractic services are not covered in practice. Most other services, including specialist visits, physical and occupational therapies, mental health, and podiatry, are covered with no copay and a 30% coinsurance, while telehealth and other health professional services range from no coinsurance to 30% coinsurance.
Preventive Services See details
Preventive services are partially covered by DEVOTED C-SNP CHOICE PLUS 010 MS (PPO C-SNP) with no copay and no coinsurance for covered options like annual physicals, kidney disease education, and fitness benefits. However, several supplemental services such as in-home safety assessments, personal emergency response systems, and therapeutic massage are not covered.
Hearing Services See details
DEVOTED C-SNP CHOICE PLUS 010 MS (PPO C-SNP) offers partially covered hearing services, including diagnostic exams with no copay and one annual routine exam with 50% coinsurance. Up to two prescription hearing aids are covered per year with no coinsurance and copays ranging from $399 to $699, while OTC, inner ear, outer ear, and over-the-ear hearing aids are not covered.
Vision Services See details
DEVOTED C-SNP CHOICE PLUS 010 MS (PPO C-SNP) offers partially covered vision services, which include one routine eye exam per year 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, offering a combined maximum benefit of $400 every year for contacts, eyeglasses, lenses, frames, and upgrades.
Dental Services See details
Dental services are partially covered by DEVOTED C-SNP CHOICE PLUS 010 MS (PPO C-SNP), featuring no copay and 30% coinsurance for Medicare-covered dental, and no copay and no coinsurance for other covered dental services up to a $4,000 annual limit. Sub-services that are not covered under this plan include other diagnostic dental, other preventive dental, maxillofacial prosthetics, implant services, and orthodontics.
Home Infusion bundled Services See details
Home infusion bundled services are covered by DEVOTED C-SNP CHOICE PLUS 010 MS (PPO C-SNP) with no copay and no coinsurance, subject to prior authorization and step therapy. Associated Medicare Part B chemotherapy, radiation, and other drugs require no copay and no coinsurance to 20% coinsurance, while Part B insulin has a $35 copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered under the DEVOTED C-SNP CHOICE PLUS 010 MS (PPO C-SNP) plan with no copay and a 20% coinsurance, though prior authorization is required.
Medical Equipment See details
Medical equipment is covered by DEVOTED C-SNP CHOICE PLUS 010 MS (PPO C-SNP) with no copays, but prior authorization and coinsurance apply. Durable medical equipment and diabetic supplies require 20% coinsurance, while medical supplies and prosthetics range from no coinsurance to 20% coinsurance, though diabetic therapeutic shoes and inserts are not covered.
Diagnostic and Radiological Services See details
DEVOTED C-SNP CHOICE PLUS 010 MS (PPO C-SNP) covers diagnostic and radiological services with prior authorization and no copays. Patients pay no coinsurance for diagnostic procedures and tests, but a 20% coinsurance applies to therapeutic radiological services, and a 50% coinsurance applies to lab services, diagnostic radiological services, and outpatient X-rays.
Home Health Services See details
DEVOTED C-SNP CHOICE PLUS 010 MS (PPO C-SNP) covers Home Health Services with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are offered by DEVOTED C-SNP CHOICE PLUS 010 MS (PPO C-SNP) with no copay and require prior authorization, but only some services are covered. Specifically, cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and SET for PAD services are not covered and carry a 30% coinsurance.
Skilled Nursing Facility (SNF) See details
DEVOTED C-SNP CHOICE PLUS 010 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, a prior three-day inpatient hospital stay is not required for admission, and additional days beyond the standard 100-day limit are not covered.
Other Services See details
DEVOTED C-SNP CHOICE PLUS 010 MS (PPO C-SNP) partially covers other services with no copay and no coinsurance, including a $50 quarterly over-the-counter item allowance, non-Medicare covered diabetic shoes, and additional preventive services. However, acupuncture, meal benefits, and certain other supplemental services 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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