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DEVOTED DUAL CHOICE FULL 015 LA (PPO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for DEVOTED DUAL CHOICE FULL 015 LA (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 015 LA (PPO D-SNP) in 2026, please refer to our full plan details page.
DEVOTED DUAL CHOICE FULL 015 LA (PPO D-SNP) is a PPO D-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 DUAL CHOICE FULL 015 LA (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 015 LA (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 015 LA (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 015 LA (PPO D-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:
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Drug Coverage
The DEVOTED DUAL CHOICE FULL 015 LA (PPO D-SNP) prescription drug plan features an annual drug deductible of $615. Under this plan, members pay a 25% coinsurance for Tier 1 preferred generics, Tier 2 generics, Tier 3 preferred brands, and Tier 4 non-preferred drugs when using standard pharmacies or standard mail order. Tier 5 specialty drugs also carry a 25% coinsurance for a one-month supply at standard locations. For Tier 6 select care drugs, members benefit from no copay for one-month, two-month, and three-month supplies filled at standard pharmacies or standard mail order. This cost-sharing structure helps you understand your potential out-of-pocket expenses for prescriptions under the DEVOTED DUAL CHOICE FULL 015 LA (PPO D-SNP) plan.
Additional Benefits
The DEVOTED DUAL CHOICE FULL 015 LA (PPO D-SNP) offers robust coverage for essential medical services, featuring no copay for primary care visits, home health care, and outpatient services. For hospital stays, members pay a copay of $2,230 per acute inpatient stay or $2,080 per psychiatric stay, with no coinsurance required. Emergency room visits carry a $115 copay that is waived upon admission, while urgent care visits feature no copay. In addition to medical care, the plan provides dental coverage up to a $3,500 annual limit and a $400 yearly allowance for eyewear with no copays or coinsurance. Routine hearing exams also feature no copay, though prescription hearing aids require a copayment between $399 and $699. Members also benefit from a $50 over-the-counter allowance every three months and pay no copay for the first 20 days in a skilled nursing facility.
Inpatient Hospital See details
DEVOTED DUAL CHOICE FULL 015 LA (PPO D-SNP) inpatient hospital services are partially covered, as upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered. Covered acute stays require a $2,230 copay per stay with no coinsurance, while psychiatric stays require a $2,080 copay per stay with no coinsurance, with prior authorization required for both.
Outpatient Services See details
DEVOTED DUAL CHOICE FULL 015 LA (PPO D-SNP) covers outpatient services with no copay, though prior authorization is required for most benefits. Outpatient hospital and ambulatory surgical center services range from no coinsurance to 50% coinsurance, while outpatient substance abuse sessions and outpatient blood services require a 30% coinsurance.
Partial Hospitalization See details
DEVOTED DUAL CHOICE FULL 015 LA (PPO D-SNP) covers partial hospitalization services with no copay and a 30% coinsurance. Prior authorization is required to access this benefit.
Ambulance and Transportation Services See details
Ambulance services are covered by DEVOTED DUAL CHOICE FULL 015 LA (PPO D-SNP) with prior authorization, featuring no copay, no coinsurance to 50% coinsurance for ground transport, and 50% coinsurance for air transport. Transportation services are not covered under this plan.
Emergency Services See details
DEVOTED DUAL CHOICE FULL 015 LA (PPO D-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 feature no copay and a 0% to 30% coinsurance (capped at $40 per visit), while worldwide emergency, urgent, and transportation services are covered with no copay and no coinsurance up to a $25,000 maximum limit.
Primary Care See details
DEVOTED DUAL CHOICE FULL 015 LA (PPO D-SNP) covers primary care physician visits with no copay and no coinsurance, while podiatry and chiropractic services are not covered. Other covered benefits, including specialist visits, physical and occupational therapies, mental health, and psychiatric care, feature no copay and a 30% coinsurance, with telehealth and other healthcare professionals ranging from 0% to 30% coinsurance.
Preventive Services See details
Preventive services are partially covered by DEVOTED DUAL CHOICE FULL 015 LA (PPO D-SNP) with no copay and no coinsurance for covered options like annual physicals and fitness benefits. Uncovered services include in-home safety assessments, personal emergency response systems (PERS), medical nutrition therapy, post-discharge medication reconciliation, readmission prevention, wigs, therapeutic massage, adult day health, palliative care, in-home support, caregiver support, additional smoking cessation, enhanced disease management, telemonitoring, remote access, and counseling.
Hearing Services See details
DEVOTED DUAL CHOICE FULL 015 LA (PPO D-SNP) covers hearing services, offering one routine hearing exam per year with no copay and a 50% coinsurance, alongside unlimited fitting evaluations. The plan also covers up to two prescription hearing aids annually with no coinsurance and a copay of $399 to $699, though OTC options and inner ear, outer ear, or over-the-ear prescription aids are not covered.
Vision Services See details
Vision services are partially covered by DEVOTED DUAL CHOICE FULL 015 LA (PPO D-SNP), featuring one routine eye exam per year with no copay and 0% to 50% coinsurance, while other eye exam services are not covered. Eyewear, including contacts, lenses, frames, and upgrades, is covered with no copay or coinsurance up to a combined maximum of $400 per year.
Dental Services See details
DEVOTED DUAL CHOICE FULL 015 LA (PPO D-SNP) partially covers dental services with no copay and no coinsurance up to a $3,500 annual limit, though Medicare-covered dental services require a 30% coinsurance and no copay. Other diagnostic services, other preventive services, 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 015 LA (PPO D-SNP) with no copay, though prior authorization and step therapy are required. Under this benefit, Medicare Part B chemotherapy, radiation, and other drugs have no copay and 0% to 20% coinsurance, while Part B insulin is covered with a $35 copay and 0% to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered under DEVOTED DUAL CHOICE FULL 015 LA (PPO D-SNP) with no copay and a 20% coinsurance. Prior authorization is required for these services.
Medical Equipment See details
DEVOTED DUAL CHOICE FULL 015 LA (PPO D-SNP) covers medical equipment, prosthetics, and diabetic supplies with no copays, though prior authorization is required. Durable medical equipment and diabetic supplies are subject to a 20% coinsurance, while medical supplies and prosthetic devices range from no coinsurance to 20% coinsurance.
Diagnostic and Radiological Services See details
DEVOTED DUAL CHOICE FULL 015 LA (PPO D-SNP) covers diagnostic and radiological services with no copays, though prior authorization is required. Diagnostic procedures have no coinsurance and lab services have a 50% coinsurance, while diagnostic radiology and X-rays require a 30% coinsurance and therapeutic radiology requires a 20% coinsurance.
Home Health Services See details
Home Health Services are covered under the DEVOTED DUAL CHOICE FULL 015 LA (PPO D-SNP) plan with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services under DEVOTED DUAL CHOICE FULL 015 LA (PPO D-SNP) are covered 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 require a 30% coinsurance.
Skilled Nursing Facility (SNF) See details
DEVOTED DUAL CHOICE FULL 015 LA (PPO D-SNP) covers Skilled Nursing Facility (SNF) services with no coinsurance, requiring prior authorization but no prior three-day inpatient hospital stay. You will pay no copay for days 1 through 20 and a $218 daily copay for days 21 through 100, with no coverage provided for additional days.
Other Services See details
DEVOTED DUAL CHOICE FULL 015 LA (PPO D-SNP) partially covers other services, offering additional preventive services and over-the-counter (OTC) items with no copay and no coinsurance. While OTC items include a $50 allowance every three months, acupuncture and meal benefits are not covered.
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