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Devoted CORE El Paso (HMO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Devoted CORE El Paso (HMO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Devoted CORE El Paso (HMO) in 2025, please refer to our full plan details page.
Devoted CORE El Paso (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 4.5 out of 5 stars in 2025.
It's important to know that Devoted CORE El Paso (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 El Paso (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 El Paso (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 $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 El Paso (HMO) plan has an enhanced alternative drug benefit. The plan has a deductible of $590.00. Once you meet your deductible, you will pay different amounts depending on the drug tier and the pharmacy. For preferred generic drugs, you'll pay no copay when using a standard or mail order pharmacy. For standard generic, preferred brand, and non-preferred drugs, you will pay 25% coinsurance.
Additional Benefits
The Devoted CORE El Paso (HMO) plan offers a range of benefits, including inpatient hospital stays with a copay, outpatient services with varying copays, and emergency services with a $140 copay. The plan also covers primary care, preventive services with no copay, and services for hearing, vision, and dental with set copays and annual maximums. Additional benefits include coverage for ambulance services, home infusion, and home health services, with varying cost-sharing. The plan does not cover certain services like cardiac rehabilitation, acupuncture, or over-the-counter items.
Inpatient Hospital See details
Inpatient Hospital benefits, including acute and psychiatric, are covered. For days 1-5, the copay is $120, and for days 6-90, there is no copay.
Outpatient Services See details
Outpatient Services include coverage for all outpatient hospital services, with a copay ranging from $0 to $220, and observation services with a $120 copay. Ambulatory Surgical Center (ASC) services have no copay, and outpatient substance abuse services have a $20 copay for individual and group sessions. Outpatient blood services are also covered.
Partial Hospitalization See details
Partial Hospitalization is covered under the Devoted CORE El Paso (HMO) plan, with a $60 copay. Prior authorization is required.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered by the Devoted CORE El Paso (HMO) plan, with prior authorization required for all ambulance services. Ground ambulance services have a copay between $0 and $275, while air ambulance services have a 20% coinsurance, and transportation services to any health-related location are not covered.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered under the Devoted CORE El Paso (HMO) plan. Emergency Services have a $140 copay with no coinsurance. Urgently Needed Services have a copay between $0 and $45 with no coinsurance. Worldwide Emergency Coverage has a $140 copay. Worldwide Urgent Coverage has a $140 copay. Worldwide Emergency Transportation has a $275 copay and 20% coinsurance. Worldwide Emergency Services has a maximum plan benefit coverage of $25,000.
Primary Care See details
Primary Care benefits 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, Occupational Therapy Services have a copay between $20 and $50, Physician Specialist Services have a $20 copay, Individual and Group Sessions for Mental Health and Psychiatric Specialty Services have a $20 copay, Other Health Care Professional services have a copay between $0 and $20, Physical Therapy and Speech-Language Pathology Services have a copay between $20 and $50, Additional Telehealth Benefits have a copay between $0 and $20, and Opioid Treatment Program Services have a $20 copay. Routine Chiropractic Care and Podiatry Services are not covered.
Preventive Services See details
Preventive Services include coverage for Medicare-covered services with no copay, annual physical exams, health education, Personal Emergency Response System (PERS), Weight Management Programs, Alternative Therapies, Nutritional/Dietary Benefit, Fitness Benefit, Home and Bathroom Safety Devices and Modifications, Kidney Disease Education Services, Glaucoma Screening, Diabetes Self-Management Training, Barium Enemas, Digital Rectal Exams, and EKG following Welcome Visit, while 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 services with the Devoted CORE El Paso (HMO) include routine hearing exams with a $20 copay for one visit per year, and fitting/evaluation for hearing aids. Prescription hearing aids are partially covered, with a copay between $399 and $699 for all types, but Inner Ear, Outer Ear, and Over the Ear hearing aids are not covered, and OTC hearing aids are not covered.
Vision Services See details
Vision Services include coverage for eye exams with a $20 copay, and eyewear with a combined maximum benefit of $1,000 per year. Contact lenses, eyeglasses (lenses and frames), eyeglass lenses, eyeglass frames, and upgrades are also covered.
Dental Services See details
Devoted CORE El Paso (HMO) covers Medicare Dental Services with a $20 copay, and other dental services, including oral exams, dental x-rays, and more, with a $1,000 annual maximum. Maxillofacial Prosthetics, Implant Services, and Orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered and require prior authorization. For Medicare Part B Insulin Drugs, you will pay a $35 copay and 20% coinsurance, while for Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs, you will pay between 0% and 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered by the Devoted CORE El Paso (HMO) plan, with a coinsurance of 20%.
Medical Equipment See details
Medical Equipment is covered by the Devoted CORE El Paso (HMO) plan, with Durable Medical Equipment (DME) subject to a coinsurance between 0% and 35% and no copay, but Durable Medical Equipment for use outside the home is not covered. Prosthetic Devices have a coinsurance between 0% and 20%, while Medical Supplies have a 20% coinsurance and no copay, and Diabetic Supplies and Diabetic Therapeutic Shoes/Inserts are not covered.
Diagnostic and Radiological Services See details
The Devoted CORE El Paso (HMO) plan covers Diagnostic and Radiological Services, including Diagnostic Procedures/Tests with a copay between $0 and $95, Lab Services with no copay, and Outpatient X-Ray Services with no copay. Diagnostic Radiological Services have a copay up to $300 and Therapeutic Radiological Services have a coinsurance of at least 20%.
Home Health Services See details
Home Health Services are covered by the Devoted CORE El Paso (HMO) plan with no copay and no coinsurance, but additional hours of care and personal care services are not covered. This benefit requires authorization.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered by the Devoted CORE El Paso (HMO) plan. The plan does not cover Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, or SET for PAD Services.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by the Devoted CORE El Paso (HMO) plan, but require prior authorization. For days 1-20, there is no copay, and for days 21-100, the copay is $214. Additional days beyond Medicare-covered for SNF and non-Medicare-covered stays for SNF are not covered.
Other Services See details
The Devoted CORE El Paso (HMO) plan does not cover acupuncture, over-the-counter items, or meal benefits. Other services, including $0 preventive services, are covered. The plan also does not cover Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services, Private Duty Nursing Services, Case Management (Long Term Care), Institution for Mental Disease Services for Individuals 65 or Older, Services in an Intermediate Care Facility for Individuals with Intellectual Disabilities, Case Management, Tobacco Cessation Counseling for Pregnant Women, Freestanding Birth Center Services, Respiratory Care Services, Family Planning Services, Nursing Home Services, Home and Community Based Services, Personal Care Services, or Self-Directed Personal Assistance Services.
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