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Devoted DUAL PLUS San Antonio (HMO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Devoted DUAL PLUS San Antonio (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 San Antonio (HMO D-SNP) in 2025, please refer to our full plan details page.
Devoted DUAL PLUS San Antonio (HMO D-SNP) is a HMO D-SNP plan offered by Devoted Health, Inc. available for enrollment in 2025 to people living in San Antonio. This plan received an overall rating of 4.5 out of 5 stars in 2025.
It's important to know that Devoted DUAL PLUS San Antonio (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 San Antonio (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 San Antonio (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 San Antonio (HMO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $12.60. 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 San Antonio (HMO D-SNP) plan has a $590 deductible for prescription drugs. After the deductible is met, you will pay the costs for your drugs based on the tier and pharmacy type, until your total drug costs reach $2000. Once your yearly out-of-pocket drug costs reach $2000, you will enter the catastrophic coverage phase, where you pay nothing for covered Part D drugs. If you qualify for low-income subsidy (LIS), your monthly Part D premium will be $12.60.
Additional Benefits
The Devoted DUAL PLUS San Antonio (HMO D-SNP) plan offers coverage for a range of services, including inpatient and outpatient hospital care, emergency services, and primary care. This plan has a $2,000 copay for inpatient hospital stays and a $110 copay for emergency services. Additional benefits include coverage for hearing, vision, and dental services with varying cost-sharing, as well as home health services with no copay. This plan also provides coverage for ambulance, home infusion bundled services, and dialysis services.
Inpatient Hospital See details
Inpatient Hospital benefits are covered, including Inpatient Hospital-Acute and Inpatient Hospital Psychiatric, with a copay of $2000 per admission or stay. Additional Days for Inpatient Hospital-Acute are covered. Non-Medicare-covered Stay for Inpatient Hospital-Acute, Upgrades for Inpatient Hospital-Acute, Additional Days for Inpatient Hospital Psychiatric, and Non-Medicare-covered Stay for Inpatient Hospital Psychiatric are not covered.
Outpatient Services See details
Outpatient services, including all outpatient hospital services, are covered by this plan. Outpatient hospital services and observation services have a coinsurance of 40% to 45%, while Ambulatory Surgical Center (ASC) services and outpatient substance abuse services have a coinsurance of 40% to 45% for some services. Outpatient blood services are also covered, with three pints of blood deductible waived.
Partial Hospitalization See details
Partial Hospitalization is covered by the Devoted DUAL PLUS San Antonio (HMO D-SNP) plan, but requires prior authorization. The plan has a 35% coinsurance for this benefit.
Ambulance and Transportation Services See details
The Devoted DUAL PLUS San Antonio (HMO D-SNP) plan covers ambulance services with no copay and coinsurance of 0-45%, depending on the service. 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. For Emergency Services, there is a $110 copay. For Urgently Needed Services, there is a 35% 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, Occupational Therapy Services, Physician Specialist Services, Physical Therapy and Speech-Language Pathology Services, Additional Telehealth Benefits, Opioid Treatment Program Services, and Other Health Care Professional. Chiropractic Services, Mental Health Specialty Services, and Psychiatric Services are partially covered, and Routine Chiropractic Care, Individual Sessions for Mental Health Specialty Services, Group Sessions for Mental Health Specialty Services, Individual Sessions for Psychiatric Services, and Group Sessions for Psychiatric Services are not covered.
Preventive Services See details
Preventive Services, including Medicare-covered services, annual physical exams, and additional preventive services, are covered. Some additional preventive services, such as In-Home Safety Assessment, Personal Emergency Response System (PERS), 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, 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 include hearing exams and prescription hearing aids. Hearing exams have a coinsurance of at most 45%, and routine hearing exams are covered once per year. Prescription hearing aids have a copay between $399 and $699 per year, but inner ear, outer ear, and over-the-ear hearing aids are not covered.
Vision Services See details
Vision services include coverage for eye exams with a 45% coinsurance, as well as coverage for eyewear, contact lenses, eyeglasses (lenses and frames), eyeglass lenses, eyeglass frames, and upgrades. The plan offers a combined maximum of $500.00 per year for eyewear.
Dental Services See details
The Devoted DUAL PLUS San Antonio (HMO D-SNP) plan covers a range of dental services, including oral exams, dental x-rays, and other diagnostic dental services, with no copay, as well as prophylaxis (cleaning), fluoride treatment, other preventive dental services, restorative services, adjunctive general services, endodontics, periodontics, prosthodontics (removable and fixed), and oral and maxillofacial surgery. 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. For Medicare Part B Insulin Drugs, there is a $35 copay and 20% coinsurance. For Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs, there is between 0% and 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered by the Devoted DUAL PLUS San Antonio (HMO D-SNP) plan. You will pay a coinsurance of 20% for these services.
Medical Equipment See details
The Devoted DUAL PLUS San Antonio (HMO D-SNP) plan covers Durable Medical Equipment (DME) with a coinsurance between 0% and 20%, and no copay. Prosthetic devices are covered with a coinsurance between 0% and 20%, and medical supplies have a 20% coinsurance, both with no copay. Diabetic supplies have a coinsurance of 20%, with no copay, while diabetic therapeutic shoes/inserts and Durable Medical Equipment for use outside the home are not covered.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered with no copay. Diagnostic Procedures/Tests and Lab Services have a coinsurance of at most 45%, with a minimum coinsurance of 0% and 45% respectively. Diagnostic Radiological Services have a coinsurance of at most 45% with a minimum coinsurance of 45%, while Therapeutic Radiological Services have a coinsurance of at most 20% with a minimum coinsurance of 20%. Outpatient X-Ray Services have a coinsurance of at most 35% with a minimum coinsurance of 35%.
Home Health Services See details
Home Health Services are covered by the Devoted DUAL PLUS San Antonio (HMO D-SNP) plan with no copay and no coinsurance, but additional hours of care and personal care services are not covered. Authorization is required for this benefit.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered by the Devoted DUAL PLUS San Antonio (HMO D-SNP) plan, including Cardiac Rehabilitation Services, Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, and SET for PAD Services.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by the Devoted DUAL PLUS San Antonio (HMO D-SNP) plan, with a $0 copay for days 1-20 and a $214 copay for days 21-100, but additional days beyond Medicare-covered and non-Medicare-covered stays are not covered. Prior authorization is required.
Other Services See details
Other Services are not covered by the Devoted DUAL PLUS San Antonio (HMO D-SNP) plan. Specifically, 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.
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