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DEVOTED C-SNP CHOICE PLUS 014 LA (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 014 LA (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 014 LA (PPO C-SNP) in 2026, please refer to our full plan details page.
DEVOTED C-SNP CHOICE PLUS 014 LA (PPO C-SNP) is a PPO C-SNP plan offered by Devoted Health, Inc. available for enrollment in 2026 to people living in Greater Baton Rouge. The overall rating for this plan is not yet available for 2026.
It's important to know that DEVOTED C-SNP CHOICE PLUS 014 LA (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 014 LA (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 014 LA (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 014 LA (PPO C-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $32.90. 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 $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 014 LA (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 014 LA (PPO C-SNP) prescription drug plan features an annual drug deductible of $615. Under this plan, you will pay no copay for Tier 6 select care drugs filled through standard pharmacies or standard mail order. For other lower-tier drugs, standard pharmacy and standard mail order copays start at $18 for a one-month supply of Tier 1 preferred generics and $19 for Tier 2 generics. For higher-tier medications, the plan charges a percentage of the drug cost rather than a flat copay. You will pay a 25% coinsurance for Tier 3 preferred brands and Tier 5 specialty drugs, and a 31% coinsurance for Tier 4 non-preferred drugs. These coinsurance rates apply to one, two, or three-month supplies, with the exception of specialty drugs which are limited to a one-month supply.
Additional Benefits
The DEVOTED C-SNP CHOICE PLUS 014 LA (PPO C-SNP) plan offers comprehensive healthcare coverage with no copay for primary care, preventive services, and home health care. For inpatient hospital stays, members pay no coinsurance but will have a copay of $2,150 per acute stay or $2,000 per psychiatric stay. Outpatient services, specialist visits, and diagnostic tests feature no copays, though coinsurance rates apply up to 50% depending on the specific service. Additional benefits include dental care with no copay and up to a $3,000 annual maximum for non-Medicare services, alongside a $300 annual allowance for eyewear with no copay or coinsurance. Routine vision and hearing exams feature no copays, while prescription hearing aids require a copay between $399 and $699. Durable medical equipment and dialysis services are also covered with no copay and a 20% coinsurance, ensuring affordable access to essential medical supplies and treatment.
Inpatient Hospital See details
DEVOTED C-SNP CHOICE PLUS 014 LA (PPO C-SNP) covers inpatient hospital services with no coinsurance, requiring a $2,150 copay per stay for acute care and a $2,000 copay per stay for psychiatric care. While unlimited additional days are covered for acute stays, additional psychiatric days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
DEVOTED C-SNP CHOICE PLUS 014 LA (PPO C-SNP) covers outpatient services with no copays, though prior authorization is required. Patients will pay no coinsurance to 50% coinsurance for outpatient hospital and ambulatory surgical center services, and 30% coinsurance for outpatient substance abuse and blood services.
Partial Hospitalization See details
Partial hospitalization is covered under the DEVOTED C-SNP CHOICE PLUS 014 LA (PPO C-SNP) plan with no copay and a 20% coinsurance. Prior authorization is required for this benefit.
Ambulance and Transportation Services See details
Ambulance services under the DEVOTED C-SNP CHOICE PLUS 014 LA (PPO C-SNP) require prior authorization and feature no copay, with a 0% to 50% coinsurance for ground transport and a 50% coinsurance for air transport. While some transportation services are covered, plan-approved health-related location and any health-related location transportation services are not covered.
Emergency Services See details
Emergency services are covered by DEVOTED C-SNP CHOICE PLUS 014 LA (PPO C-SNP) with a $115 copay and no coinsurance, and the copay is waived if you are admitted to the hospital within 24 hours. Urgently needed services require no copay and a 0% to 20% coinsurance (capped at $40), while worldwide emergency, urgent, and transportation services are fully covered with no copay or coinsurance up to a $25,000 maximum.
Primary Care See details
DEVOTED C-SNP CHOICE PLUS 014 LA (PPO C-SNP) covers primary care physician services with no copay and no coinsurance, while specialist, therapy, mental health, psychiatric, and podiatry services are covered with no copay and 30% coinsurance. Telehealth and other health professional services are available with no copay and 0% to 30% coinsurance. For chiropractic care, some services are covered but routine chiropractic care and other chiropractic services are not covered.
Preventive Services See details
DEVOTED C-SNP CHOICE PLUS 014 LA (PPO C-SNP) covers preventive services, including annual physicals and kidney disease education, with no copay and no coinsurance. Additional preventive benefits are partially covered with no copay and no coinsurance, offering fitness benefits, nutrition therapy, and home safety modifications, while excluding services like personal emergency response systems, in-home support, and therapeutic massages.
Hearing Services See details
Hearing services are partially covered by DEVOTED C-SNP CHOICE PLUS 014 LA (PPO C-SNP), offering routine hearing exams with no copay and 50% coinsurance, alongside unlimited fitting evaluations. Up to two prescription hearing aids are covered per year with no coinsurance and a copay between $399 and $699, though OTC hearing aids and inner, outer, or over-the-ear prescription models are not covered.
Vision Services See details
Vision services are partially covered by DEVOTED C-SNP CHOICE PLUS 014 LA (PPO C-SNP), as other eye exam services are not covered. Covered benefits include one routine eye exam per year with no copay and 0% to 50% coinsurance, and eyewear is covered with no copay and no coinsurance up to a $300 annual maximum.
Dental Services See details
DEVOTED C-SNP CHOICE PLUS 014 LA (PPO C-SNP) covers Medicare-covered dental services with no copay and a 30% coinsurance, and other dental services with no copay, no coinsurance, up to a $3,000 annual maximum. Dental benefits are partially covered under this plan, as other diagnostic, other preventive, maxillofacial prosthetics, implants, and orthodontics are not covered.
Home Infusion bundled Services See details
DEVOTED C-SNP CHOICE PLUS 014 LA (PPO C-SNP) covers home infusion bundled services with no copay, though prior authorization is required. Medicare Part B chemotherapy, radiation, and other drugs have no copay and a coinsurance ranging from no coinsurance to 20%. Medicare Part B insulin drugs are covered with a $35 copay and a coinsurance ranging from no coinsurance to 20%, which counts toward the plan-level deductible.
Dialysis Services See details
DEVOTED C-SNP CHOICE PLUS 014 LA (PPO C-SNP) covers Dialysis Services with no copay and a 20% coinsurance, and prior authorization is required.
Medical Equipment See details
DEVOTED C-SNP CHOICE PLUS 014 LA (PPO C-SNP) provides partially covered medical equipment with no copay, though prior authorization is required. Durable medical equipment and diabetic supplies require 20% coinsurance, prosthetics and medical supplies range from no coinsurance to 20% coinsurance, and diabetic therapeutic shoes or inserts are not covered.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by DEVOTED C-SNP CHOICE PLUS 014 LA (PPO C-SNP) with prior authorization and no copayments. While diagnostic procedures and tests require no coinsurance, there is a 20% coinsurance for therapeutic radiological services and a 50% coinsurance for lab services, diagnostic radiological services, and outpatient X-rays.
Home Health Services See details
DEVOTED C-SNP CHOICE PLUS 014 LA (PPO C-SNP) covers Home Health Services with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered by DEVOTED C-SNP CHOICE PLUS 014 LA (PPO C-SNP) with no copay and require prior authorization. While some services are covered, specific sub-services—including Cardiac Rehabilitation, Intensive Cardiac Rehabilitation, Pulmonary Rehabilitation, and Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD)—are not covered and carry a 30% coinsurance.
Skilled Nursing Facility (SNF) See details
DEVOTED C-SNP CHOICE PLUS 014 LA (PPO C-SNP) covers Skilled Nursing Facility (SNF) services with no coinsurance, offering no copay for days 1 through 20 and a $218 copay for days 21 through 100. Prior authorization is required, a prior 3-day hospital stay is not required, and additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
DEVOTED C-SNP CHOICE PLUS 014 LA (PPO C-SNP) partially covers other services, offering over-the-counter items, non-Medicare covered diabetic shoes, and additional preventive services with no copay and no coinsurance. Acupuncture and meal benefits are not covered under this benefit.
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