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DEVOTED DUAL CHOICE FULL 009 AR (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 AR (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 AR (PPO D-SNP) in 2026, please refer to our full plan details page.
DEVOTED DUAL CHOICE FULL 009 AR (PPO D-SNP) is a PPO D-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 DUAL CHOICE FULL 009 AR (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 AR (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 AR (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 AR (PPO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $3.10. 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 DEVOTED DUAL CHOICE FULL 009 AR (PPO D-SNP) plan offers an Enhanced Alternative drug benefit with an annual prescription drug deductible of $615.00. If you qualify for the low-income subsidy, also known as LIS, your cost is reduced to $3.10. During the initial coverage phase, you will pay a 25% coinsurance for Tiers 1 through 4 at standard pharmacies and standard mail-order services, while Tier 5 specialty drugs have no copay. After your yearly out-of-pocket drug costs reach $2,100.00, you enter the catastrophic coverage phase. During this phase, you pay nothing for Medicare Part D covered drugs. This structure helps you easily project your annual medication expenses and protects you from high out-of-pocket costs.
Additional Benefits
The DEVOTED DUAL CHOICE FULL 009 AR (PPO D-SNP) plan offers comprehensive medical coverage featuring no copays for preventative care, primary care visits, and outpatient services, though coinsurance up to 50% may apply to certain outpatient care. Inpatient hospital stays require a copay of $2,230 per stay with no coinsurance, while emergency room visits carry a $115 copay that is waived if you are admitted. Skilled nursing facility stays are also covered with no copay for the first 20 days, followed by a $218 daily copay for days 21 through 100. For specialty care, the plan provides a $3,000 annual dental benefit with no copay and 30% coinsurance for covered services, alongside a $400 annual eyewear allowance with no deductible. Routine hearing exams feature no copay and 50% coinsurance, and prescription hearing aids are covered with copays ranging from $399 to $699. Additionally, members receive a $50 quarterly allowance for over-the-counter items and pay no copays for medical equipment, which carries a maximum coinsurance of 20%.
Inpatient Hospital See details
DEVOTED DUAL CHOICE FULL 009 AR (PPO D-SNP) covers inpatient acute hospital stays with a $2,230 copay per stay and no coinsurance, and inpatient psychiatric stays with a $2,080 copay per stay and no coinsurance. These benefits are partially covered because upgrades, additional psychiatric days, and non-Medicare-covered stays are not covered.
Outpatient Services See details
DEVOTED DUAL CHOICE FULL 009 AR (PPO D-SNP) covers outpatient services with no copays, though coinsurance ranges from no coinsurance up to 50% depending on the service. Specifically, you will pay no coinsurance to 50% coinsurance for outpatient hospital and ambulatory surgical center services, 50% coinsurance for observation services, and 30% coinsurance for outpatient blood and substance abuse services.
Partial Hospitalization See details
DEVOTED DUAL CHOICE FULL 009 AR (PPO D-SNP) covers partial hospitalization services with a 30% coinsurance and no copay. Prior authorization is required to access these benefits.
Ambulance and Transportation Services See details
DEVOTED DUAL CHOICE FULL 009 AR (PPO D-SNP) partially covers Ambulance and Transportation Services, as transportation to plan-approved or other health-related locations is not covered. Covered ground ambulance services require no copay and feature no coinsurance to 50% coinsurance, while air ambulance services require no copay and 50% coinsurance.
Emergency Services See details
DEVOTED DUAL CHOICE FULL 009 AR (PPO D-SNP) covers emergency services with a $115 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services are covered with no copay and 0% to 30% coinsurance up to a $40 maximum per visit, while worldwide emergency services are covered up to a $25,000 maximum limit.
Primary Care See details
DEVOTED DUAL CHOICE FULL 009 AR (PPO D-SNP) covers primary care, specialist, therapy, and psychiatric services with no copay and up to 30% coinsurance, offering no coinsurance for select telehealth and healthcare professional services. Chiropractic services are partially covered with a 30% coinsurance, excluding routine chiropractic care, while podiatry services are not covered.
Preventive Services See details
DEVOTED DUAL CHOICE FULL 009 AR (PPO D-SNP) covers preventive services with no copays and no coinsurance, including annual physical exams and health education. This benefit is partially covered, as sub-services such as in-home support, personal emergency response systems, therapeutic massage, and caregiver support are not covered.
Hearing Services See details
DEVOTED DUAL CHOICE FULL 009 AR (PPO D-SNP) offers partially covered hearing services, excluding OTC hearing aids as well as inner ear, outer ear, and over-the-ear prescription hearing aids. Routine hearing exams are covered with a 50% coinsurance and no copay, while up to two annual prescription hearing aids (all types) are covered with a $399 to $699 copay and no coinsurance.
Vision Services See details
DEVOTED DUAL CHOICE FULL 009 AR (PPO D-SNP) covers one routine eye exam per year with no copay and 0% to 50% coinsurance. The plan also covers eyewear up to a $400 annual limit for contacts, eyeglasses, and upgrades with no deductible.
Dental Services See details
DEVOTED DUAL CHOICE FULL 009 AR (PPO D-SNP) partially covers dental services, offering a $3,000 maximum annual benefit for both in-network and out-of-network care. Medicare-covered dental services require no copay and a 30% coinsurance, while maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
Home infusion bundled services are covered by DEVOTED DUAL CHOICE FULL 009 AR (PPO D-SNP) with prior authorization. Medicare Part B chemotherapy, radiation, and other drugs require no copay and feature no coinsurance to 20% coinsurance, while Part B insulin drugs require a $35 copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered under the DEVOTED DUAL CHOICE FULL 009 AR (PPO D-SNP) plan with 20% coinsurance and no copay, though prior authorization is required.
Medical Equipment See details
Medical Equipment benefits are covered by DEVOTED DUAL CHOICE FULL 009 AR (PPO D-SNP) with no copayments for all services. Durable Medical Equipment and diabetic equipment require a 20% coinsurance, while prosthetic devices and medical supplies range from no coinsurance to 20% coinsurance.
Diagnostic and Radiological Services See details
DEVOTED DUAL CHOICE FULL 009 AR (PPO D-SNP) covers diagnostic and radiological services with no copays, though prior authorization is required. Coinsurance ranges from no coinsurance to 50% for diagnostic tests, 50% for lab services, 30% to 50% for diagnostic radiology, 20% for therapeutic radiology, and 30% for outpatient X-rays.
Home Health Services See details
DEVOTED DUAL CHOICE FULL 009 AR (PPO D-SNP) covers home health services, though prior authorization is required before you can receive care.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered under DEVOTED DUAL CHOICE FULL 009 AR (PPO D-SNP), meaning there is no copay or coinsurance, as Cardiac Rehabilitation, Intensive Cardiac Rehabilitation, Pulmonary Rehabilitation, and SET for PAD services are all not covered.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) benefits are partially covered by DEVOTED DUAL CHOICE FULL 009 AR (PPO D-SNP), with prior authorization required and additional days beyond the Medicare-covered limit excluded. Members pay no coinsurance, featuring no copay for days 1 through 20 and a $218 daily copay for days 21 through 100.
Other Services See details
Other Services are partially covered by DEVOTED DUAL CHOICE FULL 009 AR (PPO D-SNP), which provides a $50 quarterly over-the-counter allowance and additional preventive services with no copay or coinsurance. Acupuncture, meal benefits, and highly integrated services for dual-eligible SNPs are not covered under this plan.
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