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Devoted DUAL PLUS Greater Houston (HMO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Devoted DUAL PLUS Greater Houston (HMO 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 PLUS Greater Houston (HMO D-SNP) in 2025, please refer to our full plan details page.
Devoted DUAL PLUS Greater Houston (HMO D-SNP) is a HMO D-SNP plan offered by Devoted Health, Inc. available for enrollment in 2025 to people living in Houston. This plan received an overall rating of 4.5 out of 5 stars in 2025.
It's important to know that Devoted DUAL PLUS Greater Houston (HMO 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 PLUS Greater Houston (HMO 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 PLUS Greater Houston (HMO 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 PLUS Greater Houston (HMO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $12.90. 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 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 $9350.00 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 DUAL PLUS Greater Houston (HMO D-SNP) plan has a $590 deductible for prescription drugs. After meeting the deductible, you will pay the costs for drugs in each tier until your total drug costs reach $2000, at which point you enter the next coverage phase. If you qualify for the low-income subsidy (LIS), your monthly premium for Part D is $12.90. The plan's formulary will provide specific details on the cost-sharing for each drug tier.
Additional Benefits
The Devoted DUAL PLUS Greater Houston (HMO D-SNP) plan offers a wide array of benefits with varying costs. For hospital stays, there is a $2,000 copay per admission, while outpatient services have coinsurance between 40% to 49%. Emergency services have a $110 copay, and primary care services are covered with no copay. Preventive services, home health services, and many other services are available with no copay or coinsurance, including vision and dental services. Hearing services are covered with coinsurance, and hearing aids have a copay. This plan also includes coverage for medical equipment, diagnostic services, and dialysis with varying coinsurance.
Inpatient Hospital See details
Inpatient Hospital benefits are covered, including Inpatient Hospital-Acute and Inpatient Hospital Psychiatric, both with a $2,000 copay per admission or stay, and with Prior Authorization required. Additional Days for Inpatient Hospital-Acute are covered, but Non-Medicare-covered Stay and Upgrades for Inpatient Hospital-Acute, and Additional Days and Non-Medicare-covered Stay for Inpatient Hospital Psychiatric are not covered.
Outpatient Services See details
Outpatient Services, including all outpatient hospital services, observation services, and ambulatory surgical center services, are covered with coinsurance ranging from 40% to 49%. Outpatient substance abuse services are also covered with a 49% coinsurance for both individual and group sessions. Outpatient blood services are covered, and the plan waives the three-pint deductible.
Partial Hospitalization See details
Partial Hospitalization is covered by the Devoted DUAL PLUS Greater Houston (HMO D-SNP) plan. This plan requires prior authorization, and has a 35% coinsurance for this benefit.
Ambulance and Transportation Services See details
The Devoted DUAL PLUS Greater Houston (HMO D-SNP) plan covers ambulance services with no copay, but has a coinsurance of 0% to 49% for ground ambulance services and a 49% coinsurance for air ambulance services. 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 DUAL PLUS Greater Houston (HMO D-SNP) plan. Emergency Services have a $110 copay, Urgently Needed Services have 35% coinsurance, and Worldwide Emergency Services has a maximum plan benefit of $25,000.
Primary Care See details
The Devoted DUAL PLUS Greater Houston (HMO D-SNP) plan covers primary care physician services, occupational therapy, physician specialist services, other health care professionals, physical therapy and speech-language pathology services, opioid treatment program services, and additional telehealth benefits, with no copay or coinsurance for occupational therapy and physical therapy services. Chiropractic, mental health specialty, and psychiatric services are covered, but individual and group sessions for mental health and psychiatric services are not covered, and routine chiropractic care is not covered. Podiatry services are not covered.
Preventive Services See details
The Devoted DUAL PLUS Greater Houston (HMO D-SNP) plan covers preventive services, including Medicare-covered preventive services, annual physical exams, health education, weight management programs, alternative therapies, nutritional/dietary benefits, fitness benefits, home and bathroom safety devices, glaucoma screenings, diabetes self-management training, barium enemas, digital rectal exams, and EKGs following a welcome visit, with no copay or coinsurance. However, in-home safety assessments, personal emergency response systems, medical nutrition therapy, 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, and counseling services are not covered.
Hearing Services See details
Hearing Services are covered by the Devoted DUAL PLUS Greater Houston (HMO D-SNP) plan, with Routine Hearing Exams covered at a coinsurance of at most 49%. Prescription Hearing Aids are covered with a copay between $399 and $699, but Inner Ear, Outer Ear, and Over the Ear hearing aids are not covered.
Vision Services See details
Vision services include eye exams with a 49% coinsurance, and routine eye exams are limited to one per year. Eyewear is covered with a combined maximum benefit of $500.00 every year, and contact lenses, eyeglasses (lenses and frames), eyeglass lenses, eyeglass frames, and upgrades are also covered.
Dental Services See details
The Devoted DUAL PLUS Greater Houston (HMO D-SNP) plan covers a variety of dental services, including oral exams, dental x-rays, and other diagnostic services, with no copay. The plan has a maximum annual benefit of $500 for other dental services, and orthodontic services are covered under Diagnostic and Preventive Dental. Maxillofacial Prosthetics, Implant Services, and Orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered, but require prior authorization. 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 DUAL PLUS Greater Houston (HMO D-SNP) plan. There is a 20% coinsurance for these services.
Medical Equipment See details
Medical equipment, including Durable Medical Equipment (DME), is covered with no copay and a coinsurance of 0-20%. Prosthetic devices are covered with no copay and a coinsurance of 0-20%, while medical supplies have a 20% coinsurance. Diabetic supplies have a 20% coinsurance, and Diabetic Therapeutic Shoes/Inserts are not covered.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered, including all diagnostic services, with no copay and coinsurance up to 49%, and all radiological services, with no copay and coinsurance up to 49%. Therapeutic Radiological Services have a coinsurance of up to 20%, and Outpatient X-Ray Services have a coinsurance of up to 35%.
Home Health Services See details
Home Health Services are covered by the Devoted DUAL PLUS Greater Houston (HMO D-SNP) plan, with no copay or coinsurance. Additional Hours of Care and Personal Care Services are not covered.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered by the Devoted DUAL PLUS Greater Houston (HMO D-SNP) plan. The plan does not cover Cardiac Rehabilitation Services, 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 DUAL PLUS Greater Houston (HMO D-SNP) plan, but require prior authorization. There is no copay for days 1-20, but there is a $214 copay for days 21-100; additional days beyond Medicare-covered and non-Medicare-covered stays are not covered.
Other Services See details
Other Services in the Devoted DUAL PLUS Greater Houston (HMO D-SNP) plan include $0 preventive services, but acupuncture, over-the-counter items, meal benefits, Dual Eligible SNPs with Highly Integrated Services, 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, and Self-Directed Personal Assistance Services are not covered. There is no coinsurance or copay for preventive services.
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