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DEVOTED C-SNP CHOICE PLUS 010 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 PLUS 010 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 PLUS 010 AR (PPO C-SNP) in 2026, please refer to our full plan details page.
DEVOTED C-SNP CHOICE PLUS 010 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 PLUS 010 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 PLUS 010 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 PLUS 010 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 PLUS 010 AR (PPO C-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $8.90. 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 $970.00 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 C-SNP CHOICE PLUS 010 AR (PPO C-SNP) plan features an annual prescription drug deductible of $615.00. After meeting this deductible, you will pay copayments or coinsurance during the initial coverage phase until your total drug costs reach $2,100.00. If you qualify for the Low-Income Subsidy, your Part D premium may be reduced to $8.90. Under standard pharmacy and standard mail services, Tier 1 preferred generics cost a $19.00 copay, while Tier 5 specialty drugs have no copay. You will pay 25% coinsurance for Tier 2 standard generics and Tier 4 non-preferred drugs, and 31% coinsurance for Tier 3 preferred brands. Once your yearly out-of-pocket drug costs reach $2,100.00, you enter the catastrophic coverage phase and pay nothing for covered Part D drugs.
Additional Benefits
The DEVOTED C-SNP CHOICE PLUS 010 AR (PPO C-SNP) plan offers comprehensive medical coverage, including inpatient acute hospital stays with a $2,230 copay per stay and no coinsurance. Outpatient services, primary care, and specialist visits generally feature no copays, though coinsurance can range up to 50% depending on the specific service. Emergency care is covered with a $115 copay, which is waived upon hospital admission, while Medicare-covered preventive services and annual physicals have no copay or coinsurance. Supplemental benefits include dental coverage up to a $3,000 annual limit with no copay and a 30% coinsurance for covered services. Members also benefit from a $400 annual eyewear allowance and routine hearing exams with no copay, alongside a $50 quarterly over-the-counter allowance. Skilled nursing facility stays feature no copay for the first 20 days, followed by a $218 daily copay for days 21 through 100.
Inpatient Hospital See details
DEVOTED C-SNP CHOICE PLUS 010 AR (PPO C-SNP) partially covers inpatient acute hospital stays with a $2,230 copay per stay and no coinsurance, excluding upgrades and non-Medicare-covered stays. Inpatient psychiatric care is also partially covered with a $2,080 copay per stay and no coinsurance, excluding additional days and non-Medicare-covered stays, with prior authorization required for both.
Outpatient Services See details
DEVOTED C-SNP CHOICE PLUS 010 AR (PPO C-SNP) covers outpatient services with no copays and coinsurance ranging from no coinsurance up to 50% depending on the specific service. Covered benefits include outpatient hospital, observation, ambulatory surgical center, substance abuse, and blood services, most of which require prior authorization.
Partial Hospitalization See details
Partial hospitalization benefits are covered by DEVOTED C-SNP CHOICE PLUS 010 AR (PPO C-SNP) with a 20% coinsurance and no copay. Prior authorization is required before you can receive these services.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are partially covered by DEVOTED C-SNP CHOICE PLUS 010 AR (PPO C-SNP), as transportation services to plan-approved and any health-related locations are not covered. Covered ambulance services require no copay, but ground ambulance services range from no coinsurance to 50% coinsurance and air ambulance services require 50% coinsurance.
Emergency Services See details
DEVOTED C-SNP CHOICE PLUS 010 AR (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, and worldwide emergency care is covered up to a $25,000 maximum benefit limit.
Primary Care See details
DEVOTED C-SNP CHOICE PLUS 010 AR (PPO C-SNP) covers primary care, with most specialist, therapy, podiatry, and psychiatric services requiring a 30% coinsurance and no copay. Telehealth and other professional services range from no coinsurance to 30% coinsurance with no copay, while chiropractic services are partially covered with a $15 copay and no coinsurance because routine chiropractic care is not covered.
Preventive Services See details
Preventive services are partially covered by DEVOTED C-SNP CHOICE PLUS 010 AR (PPO C-SNP) with no copay or coinsurance for Medicare-covered zero-dollar preventive services and annual physical exams. However, the plan does not cover in-home safety assessments, personal emergency response systems, post-discharge medication reconciliation, readmission prevention, chemotherapy wigs, therapeutic massage, adult day health, home-based palliative care, in-home support, caregiver support, additional smoking cessation, enhanced disease management, telemonitoring, remote access, and counseling services.
Hearing Services See details
DEVOTED C-SNP CHOICE PLUS 010 AR (PPO C-SNP) partially covers hearing services, offering routine hearing exams with a 50% coinsurance and no copay, and prescription hearing aids (all types) with a $399 to $699 copay and no coinsurance. OTC hearing aids, as well as inner ear, outer ear, and over the ear prescription hearing aids, are not covered.
Vision Services See details
DEVOTED C-SNP CHOICE PLUS 010 AR (PPO C-SNP) covers annual routine eye exams with no copay and a coinsurance ranging from no coinsurance to 50%. Additionally, the plan provides a $400 annual maximum benefit for eyewear, including contacts, lenses, frames, and upgrades, with no deductible, copay, or coinsurance.
Dental Services See details
Dental services are partially covered by DEVOTED C-SNP CHOICE PLUS 010 AR (PPO C-SNP) up to a $3,000 annual maximum, with Medicare-covered dental services requiring no copay and a 30% coinsurance. While preventive and restorative treatments are covered, maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered by DEVOTED C-SNP CHOICE PLUS 010 AR (PPO C-SNP) with prior authorization, where Medicare Part B insulin drugs require a $35 copay and no coinsurance to 20% coinsurance, which counts toward the plan deductible. Medicare Part B chemotherapy, radiation, and other Part B drugs feature no copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
DEVOTED C-SNP CHOICE PLUS 010 AR (PPO C-SNP) covers dialysis services with no copay and a 20% coinsurance. Prior authorization is required to receive these covered services.
Medical Equipment See details
Medical equipment is partially covered by DEVOTED C-SNP CHOICE PLUS 010 AR (PPO C-SNP), as diabetic therapeutic shoes and inserts are not covered. Covered durable medical equipment and diabetic supplies require a 20% coinsurance and no copay, while prosthetic devices and medical supplies range from no coinsurance to 20% coinsurance and no copay.
Diagnostic and Radiological Services See details
DEVOTED C-SNP CHOICE PLUS 010 AR (PPO C-SNP) covers diagnostic and radiological services with no copays, though prior authorization is required. Members will pay no coinsurance up to 50% coinsurance depending on the specific service, which includes lab work, X-rays, and therapeutic or diagnostic radiology.
Home Health Services See details
Home health services are covered by the DEVOTED C-SNP CHOICE PLUS 010 AR (PPO C-SNP) plan, but prior authorization is required. Specific copay and coinsurance details for this benefit are not provided in the plan summary.
Cardiac Rehabilitation Services See details
DEVOTED C-SNP CHOICE PLUS 010 AR (PPO C-SNP) technically covers Cardiac Rehabilitation Services, but in practice some services are covered while Cardiac Rehabilitation, Intensive Cardiac Rehabilitation, Pulmonary Rehabilitation, and SET for PAD services are not covered. Since these specific services are not covered, there is no copay or coinsurance for them under this plan.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) benefits are partially covered by DEVOTED C-SNP CHOICE PLUS 010 AR (PPO C-SNP), as additional days beyond the Medicare-covered limit are not covered. For covered stays, there is no coinsurance, with 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 C-SNP CHOICE PLUS 010 AR (PPO C-SNP), which offers a $50 quarterly over-the-counter item allowance, non-Medicare diabetic shoes, 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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