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Devoted CORE Tennessee (HMO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Devoted CORE Tennessee (HMO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Devoted CORE Tennessee (HMO) in 2025, please refer to our full plan details page.
Devoted CORE Tennessee (HMO) is a HMO plan offered by Devoted Health, Inc. available for enrollment in 2025 to people living in Memphis. This plan received an overall rating of 4 out of 5 stars in 2025.
It's important to know that Devoted CORE Tennessee (HMO) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Key Plan Facts
Below are a few key facts and commonly-asked questions about Devoted CORE Tennessee (HMO).
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 CORE Tennessee (HMO), 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 $590.00 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 Maximum Out-Of-Pocket cost of $4900.00 for out-of-network services. You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $0.00 for in-network covered services, the plan will pay 100% of in-network covered costs for the rest of the year.
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 CORE Tennessee (HMO) plan has an "Enhanced Alternative" drug benefit type. The plan has a $590 deductible for prescription drugs. Once you meet the deductible, you will pay either a 25% coinsurance or no copay, depending on the drug tier and pharmacy. For example, you will pay no copay for preferred generic drugs at a standard pharmacy or standard mail. After your total drug costs reach $2000, you enter the catastrophic coverage phase, and you pay nothing for Part D covered drugs.
Additional Benefits
The Devoted CORE Tennessee (HMO) plan offers a range of benefits, including inpatient and outpatient hospital services, with varying copays. Emergency and urgent care services are covered, as are primary care services, with copays for specialist visits and therapies. Preventive services, such as hearing and vision exams, are included, along with dental services, all with copays or coinsurance. This plan also covers home health services, skilled nursing facilities, and home infusion services. Additionally, it offers benefits for ambulance services, diagnostic and radiological services, and medical equipment. However, some services like acupuncture, over-the-counter items, and certain therapies are not covered.
Inpatient Hospital See details
Inpatient Hospital coverage includes acute and psychiatric care, with a copay of $330 for days 1-5, and no copay for days 6-90. Additional days for inpatient hospital-acute are covered, while non-Medicare-covered stays and upgrades for inpatient hospital-acute are not covered. Additional days and non-Medicare-covered stays for inpatient hospital psychiatric are also not covered.
Outpatient Services See details
Outpatient Services, covered by Devoted CORE Tennessee (HMO), include outpatient hospital services with a copay between $0 and $390, observation services with a $290 copay, and ambulatory surgical center services with no copay. Outpatient substance abuse services, including individual and group sessions, have a copay of $25. Outpatient blood services are also covered.
Partial Hospitalization See details
Partial Hospitalization is covered by the Devoted CORE Tennessee (HMO) plan with a $60 copay, and prior authorization is required.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered by the Devoted CORE Tennessee (HMO) plan, including both ground and air ambulance services. Ground ambulance services have a copay of $0-$290, while air ambulance services have a 20% coinsurance; however, transportation services to health-related locations are not covered.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered. Emergency Services have a $125 copay, while Urgently Needed Services have a copay between $0-$45. Worldwide Emergency Transportation has a $290 copay and 20% coinsurance, while Worldwide Emergency Coverage and Worldwide Urgent Coverage have a $125 copay.
Primary Care See details
Primary Care services with Devoted CORE Tennessee (HMO) include coverage for Primary Care Physician Services, Chiropractic Services, Occupational Therapy Services, Physician Specialist Services, Mental Health Specialty Services, Other Health Care Professional, Psychiatric Services, Physical Therapy and Speech-Language Pathology Services, Additional Telehealth Benefits, and Opioid Treatment Program Services. Chiropractic Services have a $20 copay, while Occupational Therapy Services have a copay between $25 and $45. Physician Specialist Services have a copay between $0 and $25. Individual and Group Sessions for Mental Health and Psychiatric Services, Opioid Treatment Program Services, and Physical Therapy and Speech-Language Pathology Services all have a $25 copay. Additional Telehealth Benefits have a copay between $0 and $25. Routine Chiropractic Care and Podiatry Services are not covered.
Preventive Services See details
Preventive services are covered, including annual physical exams and other services not usually covered by Medicare plans, such as Health Education, Personal Emergency Response System (PERS), Weight Management Programs, Alternative Therapies, Nutritional/Dietary Benefit, Fitness Benefit, Home and Bathroom Safety Devices and Modifications, Glaucoma Screening, Diabetes Self-Management Training, Barium Enemas, Digital Rectal Exams, and EKG following Welcome Visit. In-Home Safety Assessment, 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 (including Web/Phone-based technologies and Nursing Hotline), and Counseling Services are not covered.
Hearing Services See details
Hearing exams are covered with a $25 copay, with one routine hearing exam covered per year, and fitting/evaluation for hearing aids is covered. Prescription hearing aids are covered with a copay between $399 and $699 for all types, but prescription hearing aids for the inner ear, outer ear, and over the ear are not covered, and OTC hearing aids are not covered.
Vision Services See details
Vision services include eye exams with a $25 copay, and eyewear with a combined maximum benefit of $1000 every year. Contact lenses, eyeglasses (lenses and frames), eyeglass lenses, eyeglass frames, and upgrades are also covered.
Dental Services See details
Dental Services include Medicare Dental Services with a $25 copay, and other services like Oral Exams, Dental X-Rays, and more. The plan has a $1,000 maximum benefit per year, but does not cover Maxillofacial Prosthetics, Implant Services, or Orthodontics.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered, with prior authorization required. Medicare Part B Insulin Drugs have a $35 copay and 20% coinsurance, while Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs have between 0% and 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered by the Devoted CORE Tennessee (HMO) plan, with a coinsurance between 20% and 20%.
Medical Equipment See details
Medical Equipment benefits are covered, including Durable Medical Equipment (DME), Prosthetics/Medical Supplies, and Diabetic Equipment. DME has a coinsurance between 0% and 30%, while Prosthetic Devices have a coinsurance between 0% and 20%, and Medical Supplies have a 20% coinsurance; there is no copay for any of these services. Durable Medical Equipment for use outside the home, Diabetic Supplies, and Diabetic Therapeutic Shoes/Inserts are not covered.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services include coverage for all diagnostic services, with a copay for Medicare-covered diagnostic procedures, tests, and lab services, and a copay of up to $95 for diagnostic procedures and tests. Lab services have no copay, and outpatient X-ray services have no copay. Therapeutic Radiological Services has a coinsurance of at least 20%, and Diagnostic Radiological Services has a copay of at most $300.
Home Health Services See details
Home Health Services are covered by the Devoted CORE Tennessee (HMO) plan with no copay and no coinsurance, but additional hours of care and personal care services are not covered. Authorization is required for this benefit.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are technically covered by the Devoted CORE Tennessee (HMO) plan, but none of the sub-services are covered. There is no coinsurance for this benefit.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by the Devoted CORE Tennessee (HMO) plan, but require prior authorization. For days 1-20, there is no copay, while for days 21-100, the copay is $214. Additional days beyond Medicare-covered and non-Medicare-covered stays for SNF are not covered.
Other Services See details
Other Services, including acupuncture, over-the-counter items, and meal benefits, are not covered. Additional services such as Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services, Private Duty Nursing Services, and Case Management are also not covered.
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