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DEVOTED CORE 007 TX (HMO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for DEVOTED CORE 007 TX (HMO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on DEVOTED CORE 007 TX (HMO) in 2026, please refer to our full plan details page.
DEVOTED CORE 007 TX (HMO) is a HMO plan offered by Devoted Health, Inc. available for enrollment in 2025 to people living in El Paso and Hudspeth Counties. This plan received an overall rating of 5 out of 5 stars in 2026.
It's important to know that DEVOTED CORE 007 TX (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 007 TX (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 007 TX (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 no drug deductible. Your prescription medication coverage will start immediately.
Out-of-Pocket Maximums
This plan has a Maximum Out-Of-Pocket cost of $3450.00 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 007 TX (HMO) Medicare plan features a $0 drug deductible, allowing your prescription drug coverage to begin immediately. For Tier 1 preferred generic and Tier 2 generic drugs, you will pay no copay for one-month, two-month, or three-month supplies at standard pharmacies and through standard mail order. Higher-tier medications require coinsurance rather than flat copayments under this plan. You will pay 24% coinsurance for Tier 3 preferred brand drugs and 43% coinsurance for Tier 4 non-preferred drugs through standard pharmacies or standard mail order. Tier 5 specialty drugs carry a 33% coinsurance for a one-month supply.
Additional Benefits
The DEVOTED CORE 007 TX (HMO) plan offers affordable healthcare coverage with no copay and no coinsurance for primary care visits, preventive services, and home health care. For specialist visits, patients pay a $20 copay, while inpatient hospital stays cost a $120 daily copay for the first five days and no copay for days six through ninety. Skilled nursing facility care also features no copay for the first twenty days, followed by a daily copay of $218. In addition to medical care, this plan provides valuable extra benefits, including dental coverage up to $3,500 annually with no copay for preventive services. Members also benefit from a $400 yearly allowance for eyewear with no copay, routine hearing exams for a $20 copay, and a $70 quarterly allowance for over-the-counter items. Emergency room visits are covered with a $150 copay, which is waived if you are admitted to the hospital within 24 hours.
Inpatient Hospital See details
DEVOTED CORE 007 TX (HMO) covers inpatient hospital services with no coinsurance and a copay of $120 per day for days 1 through 5, and no copay for days 6 through 90. While unlimited additional days are covered for acute care, psychiatric additional days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
Outpatient services under DEVOTED CORE 007 TX (HMO) are covered with no coinsurance, featuring no copay for ambulatory surgical center and outpatient blood services. Medicare-covered outpatient hospital services require a copay of $0 to $220 ($120 per stay for observation services), while outpatient substance abuse sessions carry a $20 copay.
Partial Hospitalization See details
Partial hospitalization is covered by DEVOTED CORE 007 TX (HMO) with a $60.00 copay and no coinsurance. Prior authorization is required to receive these services.
Ambulance and Transportation Services See details
Ambulance and transportation services are covered under DEVOTED CORE 007 TX (HMO) with prior authorization, featuring no copay to a $315 copay and no coinsurance for ground transport, and a 20% coinsurance with no copay for air transport. While some transportation services are covered, transportation to plan-approved or any health-related locations is not covered.
Emergency Services See details
DEVOTED CORE 007 TX (HMO) covers emergency services with a $150 copay and no coinsurance, which is waived if admitted within 24 hours, and urgently needed services with no copay to a $45 copay and no coinsurance. Worldwide emergency and urgent care are covered up to a $25,000 limit with a $150 copay and no coinsurance, while worldwide emergency transportation requires a $315 copay and 20% coinsurance.
Primary Care See details
DEVOTED CORE 007 TX (HMO) offers primary care physician services with no copay and no coinsurance, while specialist visits require a $20 copay and no coinsurance. Physical, occupational, and speech therapy services range from a $20 to $50 copay with no coinsurance, but chiropractic and podiatry services are not covered.
Preventive Services See details
Preventive services are partially covered under the DEVOTED CORE 007 TX (HMO) plan with no copay and no coinsurance for covered services like annual physical exams, kidney disease education, and fitness benefits. Non-covered sub-services include in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge medication reconciliation, readmission prevention, 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.
Hearing Services See details
DEVOTED CORE 007 TX (HMO) offers partially covered hearing services, featuring a $20 copay and no coinsurance for routine hearing exams alongside unlimited fitting evaluations. Up to two prescription hearing aids are covered per year with no coinsurance and copays ranging from no copay to $299, 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 CORE 007 TX (HMO), offering one routine eye exam per year with a $0 to $20 copay, no coinsurance, and required prior authorization, though other eye exam services are not covered. Covered eyewear, including contact lenses, eyeglasses, frames, and upgrades, features no copay and no coinsurance up to a maximum plan benefit of $400 every year.
Dental Services See details
Dental Services are partially covered by DEVOTED CORE 007 TX (HMO) up to a $3,500 yearly maximum, offering preventive and diagnostic care with no copay and no coinsurance. While Medicare-covered dental requires a $20 copay and no coinsurance, and some comprehensive services have no copay and 0% to 50% coinsurance, maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
DEVOTED CORE 007 TX (HMO) covers Home Infusion bundled Services with no copay, though prior authorization is required. Covered Medicare Part B chemotherapy, radiation, and other drugs under this benefit have no copay and no coinsurance to 20% coinsurance, while covered Part B insulin has a $35 copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered by the DEVOTED CORE 007 TX (HMO) plan with no copay and a 20% coinsurance, although prior authorization is required.
Medical Equipment See details
DEVOTED CORE 007 TX (HMO) covers medical equipment with no copays, although prior authorization is required for these services. Durable medical equipment carries a 20% to 50% coinsurance, prosthetics and medical supplies range from no coinsurance to 20% coinsurance, and diabetic supplies range from no coinsurance to 50% coinsurance, while diabetic therapeutic shoes and inserts are not covered.
Diagnostic and Radiological Services See details
DEVOTED CORE 007 TX (HMO) covers diagnostic and radiological services with prior authorization required. Lab services and outpatient X-rays feature no copay, diagnostic tests and procedures range from no copay up to a $95 copay with no coinsurance, and therapeutic radiological services require a 20% coinsurance.
Home Health Services See details
DEVOTED CORE 007 TX (HMO) covers home health services with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
DEVOTED CORE 007 TX (HMO) covers some Cardiac Rehabilitation Services with a $20 copay and no coinsurance, subject to prior authorization. However, standard cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) care is covered by DEVOTED CORE 007 TX (HMO) with no coinsurance and no prior three-day hospital stay required, though prior authorization is necessary. There is no copay for days 1 through 20, followed by a $218 daily copay for days 21 through 100, with no coverage for additional days.
Other Services See details
DEVOTED CORE 007 TX (HMO) partially covers other services, offering additional preventive services and up to $70 every three months for Over-the-Counter (OTC) items with no copay and no coinsurance. Acupuncture, meal benefits, and dual eligible SNP services are not covered.
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