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DEVOTED C-SNP CHOICE 006 AR (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 AR (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 AR (PPO C-SNP) in 2026, please refer to our full plan details page.
DEVOTED C-SNP CHOICE 006 AR (PPO C-SNP) is a PPO C-SNP plan offered by Devoted Health, Inc. available for enrollment in 2026 to people living in Arkansas. The overall rating for this plan is not yet available for 2026.
It's important to know that DEVOTED C-SNP CHOICE 006 AR (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 AR (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 AR (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 AR (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 $9850.00 (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 $9850.00 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 AR (PPO C-SNP) plan offers an Enhanced Alternative drug benefit with a $395 prescription drug deductible. After meeting this deductible, you will pay no copay for Tier 1 preferred generic drugs at standard pharmacies or through standard mail. For other tiers, you will pay a coinsurance of 20% for Tier 2 standard generics, 43% for Tier 3 preferred brands, and 26% for Tier 4 non-preferred drugs. Once your yearly out-of-pocket drug costs reach $2,100, you enter the catastrophic coverage phase and pay nothing for Medicare Part D covered drugs. If you qualify for the low-income subsidy or Extra Help, your Part D cost-sharing is reduced to $0. Make sure to check the plan's formulary to verify if your specific prescription medications are covered.
Additional Benefits
The DEVOTED C-SNP CHOICE 006 AR (PPO C-SNP) plan offers comprehensive medical coverage with predictable cost-sharing, including no copay for inpatient hospital stays from days 7 through 90 after a daily copay of $295 for the first 6 days. Outpatient and primary care services feature low out-of-pocket costs, with doctor visits requiring no copay to a $50 copay and ambulatory surgical center visits having no copay. Emergency care is accessible with a $130 copay, which is waived if you are admitted, while urgently needed care ranges from no copay to a $45 copay. This plan also provides robust supplemental benefits, such as dental coverage up to a $3,500 annual limit with no copay for preventive and restorative services. Vision benefits include routine exams with no copay to a $35 copay alongside a $350 annual eyewear allowance, and hearing exams require a $35 copay. Additionally, members can take advantage of a $120 quarterly allowance for over-the-counter items with no copay or coinsurance.
Inpatient Hospital See details
DEVOTED C-SNP CHOICE 006 AR (PPO C-SNP) partially covers inpatient hospital benefits with a $295 daily copay for days 1 through 6, no copay for days 7 through 90, and no coinsurance for both acute and psychiatric admissions. Prior authorization is required, and non-Medicare-covered stays, acute care upgrades, and additional days for psychiatric care are not covered.
Outpatient Services See details
Outpatient services are covered under the DEVOTED C-SNP CHOICE 006 AR (PPO C-SNP) plan with no coinsurance, featuring no copay for ambulatory surgical center services and a $295 copay per stay for observation services. Outpatient hospital services feature a copay ranging from no copay to $395, while outpatient substance abuse services require a $35 copay and outpatient blood services have no deductible.
Partial Hospitalization See details
Partial hospitalization benefits are covered by DEVOTED C-SNP CHOICE 006 AR (PPO C-SNP) with a $70.00 copay and no coinsurance, though prior authorization is required.
Ambulance and Transportation Services See details
DEVOTED C-SNP CHOICE 006 AR (PPO C-SNP) covers ground ambulance services with a copay ranging from no copay to $350 and no coinsurance, and air ambulance services with 20% coinsurance and no copay. For transportation services, some services are covered, but transportation to plan-approved health-related locations and any health-related locations is not covered.
Emergency Services See details
Emergency services are covered by DEVOTED C-SNP CHOICE 006 AR (PPO C-SNP) with a $130 copay and no coinsurance, with the copay waived if you are admitted to the hospital within 24 hours. Urgently needed services require no copay to a $45 copay with no coinsurance, and worldwide emergency services are covered up to a $25,000 limit with copays ranging from $130 to $350 and up to 20% coinsurance.
Primary Care See details
DEVOTED C-SNP CHOICE 006 AR (PPO C-SNP) covers primary care, specialist, and therapy services with no coinsurance and copays ranging from no copay up to $50. Chiropractic services are partially covered, as routine chiropractic care is not covered.
Preventive Services See details
Preventive services are partially covered by DEVOTED C-SNP CHOICE 006 AR (PPO C-SNP) with no copay or coinsurance for covered benefits such as annual physicals, health education, and fitness programs. However, several sub-services are not covered, including in-home safety assessments, personal emergency response systems, post-discharge medication reconciliation, re-admission prevention, 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 services.
Hearing Services See details
Hearing services are partially covered by DEVOTED C-SNP CHOICE 006 AR (PPO C-SNP), requiring a $35 copay with no coinsurance or deductible for hearing exams, and a $199 to $499 copay with no coinsurance for prescription hearing aids. While routine exams and general prescription hearing aids are covered, OTC hearing aids and specific inner ear, outer ear, and over-the-ear prescription models are not covered.
Vision Services See details
Vision services are covered by DEVOTED C-SNP CHOICE 006 AR (PPO C-SNP), featuring one routine eye exam per year with a copay ranging from no copay to $35 and no coinsurance. Additionally, the plan provides a $350 annual combined maximum benefit for eyewear, including contacts and eyeglasses, with no copay, no coinsurance, and no deductible.
Dental Services See details
DEVOTED C-SNP CHOICE 006 AR (PPO C-SNP) features partially covered dental services up to a $3,500 annual limit, excluding maxillofacial prosthetics, implant services, and orthodontics. Medicare-covered dental services require a $35 copay and no coinsurance, while preventive services have no copay or coinsurance, and restorative, endodontic, and prosthodontic services have no copay and 0% to 50% coinsurance.
Home Infusion bundled Services See details
DEVOTED C-SNP CHOICE 006 AR (PPO C-SNP) covers home infusion bundled services with prior authorization, requiring a $35 copay and no coinsurance to 20% coinsurance for Part B insulin. Other covered Part B chemotherapy, radiation, and miscellaneous drugs have no copay and require no coinsurance to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered by DEVOTED C-SNP CHOICE 006 AR (PPO C-SNP) with no copay and a 20% coinsurance. Prior authorization is required to receive this covered benefit.
Medical Equipment See details
Medical equipment is covered by DEVOTED C-SNP CHOICE 006 AR (PPO C-SNP) with no copays, requiring 20% to 30% coinsurance for durable medical equipment and no coinsurance to 20% coinsurance for prosthetics and medical supplies. Diabetic equipment is partially covered, with diabetic supplies carrying no copay and no coinsurance to 30% coinsurance, while diabetic therapeutic shoes and inserts are not covered.
Diagnostic and Radiological Services See details
DEVOTED C-SNP CHOICE 006 AR (PPO C-SNP) covers diagnostic and radiological services with prior authorization, offering no copay and no coinsurance for lab and outpatient X-ray services. Diagnostic procedures carry a $0 to $95 copay with no coinsurance, diagnostic radiological services require a $0 to $300 copay with no coinsurance, and therapeutic radiological services incur a 20% coinsurance with no copay.
Home Health Services See details
Home Health Services are covered under the DEVOTED C-SNP CHOICE 006 AR (PPO C-SNP) plan, though prior authorization is required to access these benefits. Specific copay and coinsurance cost-sharing details for these services are not specified.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered under DEVOTED C-SNP CHOICE 006 AR (PPO C-SNP), as none of the sub-services—including Cardiac Rehabilitation, Intensive Cardiac Rehabilitation, Pulmonary Rehabilitation, and SET for PAD Services—are covered by the plan.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are partially covered by DEVOTED C-SNP CHOICE 006 AR (PPO C-SNP) with prior authorization required, though additional days beyond the Medicare-covered limit are not covered. There is no copay for days 1 through 20 and a $218 daily copay for days 21 through 100, with no coinsurance required.
Other Services See details
DEVOTED C-SNP CHOICE 006 AR (PPO C-SNP) partially covers other services, excluding acupuncture, meal benefits, and highly integrated Dual Eligible SNP services. Covered services include non-Medicare covered diabetic shoes, additional preventive services, and a $120 quarterly allowance for over-the-counter items with no copay or coinsurance.
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