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DEVOTED C-SNP 027 TX (HMO C-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for DEVOTED C-SNP 027 TX (HMO C-SNP). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on DEVOTED C-SNP 027 TX (HMO C-SNP) in 2026, please refer to our full plan details page.
DEVOTED C-SNP 027 TX (HMO C-SNP) is a HMO C-SNP plan offered by Devoted Health, Inc. available for enrollment in 2026 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 C-SNP 027 TX (HMO C-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Important:
DEVOTED C-SNP 027 TX (HMO C-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 C-SNP 027 TX (HMO C-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 C-SNP 027 TX (HMO C-SNP), 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 $325.00 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 $3750.00 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 C-SNP 027 TX (HMO C-SNP) plan features an annual drug deductible of $325. For Tier 1 preferred generic and Tier 2 generic drugs, members enjoy no copay for one, two, or three-month supplies filled at standard pharmacies or through standard mail order. This ensures affordable access to everyday maintenance medications. For brand-name and specialty prescriptions, costs are calculated as a percentage of the drug cost. Tier 3 preferred brand drugs require a 20% coinsurance, and Tier 4 non-preferred drugs require a 25% coinsurance. Tier 5 specialty drugs carry a 27% coinsurance for a one-month supply at standard pharmacies and mail-order facilities.
Additional Benefits
The DEVOTED C-SNP 027 TX (HMO C-SNP) plan offers robust medical coverage with no copay for primary care visits and preventive services. Specialist visits and outpatient services are highly affordable, requiring copays ranging from $25 to $50 and no copay to $275, respectively, with no coinsurance. For inpatient hospital stays, members pay a $175 daily copay for the first five days and no copay for days 6 through 90. This plan also provides valuable dental, vision, and hearing benefits to lower your out-of-pocket costs. Members enjoy no copay for preventive dental care and routine eyewear up to a $400 annual limit, alongside a $3,500 annual allowance for comprehensive dental services. Additionally, the plan includes a $50 quarterly allowance for over-the-counter items and no copay for home health services.
Inpatient Hospital See details
Inpatient hospital services are covered by DEVOTED C-SNP 027 TX (HMO C-SNP) with no coinsurance, requiring a $175 daily copay for days 1 through 5 and no copay for days 6 through 90. Prior authorization is required, and while acute stays include unlimited additional days, upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
DEVOTED C-SNP 027 TX (HMO C-SNP) covers outpatient services with no coinsurance, including outpatient hospital services with a $0 to $275 copay and observation services with a $175 copay per stay. Ambulatory surgical center and blood services are covered with no copay, while individual and group outpatient substance abuse sessions require a $25 copay.
Partial Hospitalization See details
DEVOTED C-SNP 027 TX (HMO C-SNP) covers partial hospitalization services with a $55.00 copay and no coinsurance. Prior authorization is required for this covered benefit.
Ambulance and Transportation Services See details
DEVOTED C-SNP 027 TX (HMO C-SNP) covers ground ambulance services with a copay ranging from no copay to $315 and air ambulance services with a 20% coinsurance, with prior authorization required for both. Transportation services to health-related locations are not covered under this plan.
Emergency Services See details
Emergency services are covered by DEVOTED C-SNP 027 TX (HMO C-SNP) with a $150 copay and no coinsurance, which is waived if admitted to the hospital within 24 hours. Urgently needed services feature a copay ranging from no copay to $45 with no coinsurance, while worldwide emergency services are covered up to $25,000 with copays up to $315 and a 20% coinsurance for emergency transportation.
Primary Care See details
DEVOTED C-SNP 027 TX (HMO C-SNP) covers primary care physician services with no copay and no coinsurance, while specialist visits, mental health services, and physical therapies require copays ranging from $25 to $50 with no coinsurance. Telehealth services are available with copays between $0 and $45 and no coinsurance, but routine and other chiropractic services are not covered.
Preventive Services See details
Preventive Services are covered by DEVOTED C-SNP 027 TX (HMO C-SNP) with no copay and no coinsurance, including annual physicals, kidney disease education, and fitness programs. However, these benefits are only partially covered, excluding in-home safety assessments, PERS, post-discharge medication reconciliation, re-admission prevention, chemotherapy 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
Hearing Services are partially covered by DEVOTED C-SNP 027 TX (HMO C-SNP), featuring a $25 copay and no coinsurance for routine exams, and up to two prescription hearing aids per year with no coinsurance and a copay ranging from $0 to $299. OTC hearing aids, along with inner ear, outer ear, and over the ear prescription hearing aids, are not covered.
Vision Services See details
DEVOTED C-SNP 027 TX (HMO C-SNP) vision services are partially covered, offering one routine eye exam per year with a copay ranging from no copay to $25 and no coinsurance, while other eye exam services are not covered. Eyewear is covered with no copay, no coinsurance, and a $400 annual maximum benefit for contacts, eyeglasses, frames, lenses, and upgrades.
Dental Services See details
Dental services are partially covered by DEVOTED C-SNP 027 TX (HMO C-SNP) up to a $3,500 annual maximum, featuring no copay and no coinsurance for preventive care, and no copay with 0% to 50% coinsurance for most comprehensive services. Medicare-covered dental requires a $25 copay and no coinsurance, while maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
DEVOTED C-SNP 027 TX (HMO C-SNP) covers home infusion bundled services 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 no coinsurance to 20% coinsurance, while Part B insulin has a $35 copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered by DEVOTED C-SNP 027 TX (HMO C-SNP) with no copay and a 20% coinsurance, although prior authorization is required.
Medical Equipment See details
DEVOTED C-SNP 027 TX (HMO C-SNP) covers medical equipment with no copays, though prior authorization is required. Covered services include durable medical equipment with 20% to 30% coinsurance, prosthetics and medical supplies with no coinsurance to 20% coinsurance, and diabetic supplies with no coinsurance to 35% coinsurance, while diabetic therapeutic shoes and inserts are not covered.
Diagnostic and Radiological Services See details
DEVOTED C-SNP 027 TX (HMO C-SNP) covers diagnostic and radiological services, with prior authorization required for both. Diagnostic lab services and outpatient X-rays have no copay, diagnostic procedures and tests have no coinsurance with copays ranging from $0 to $95, and therapeutic radiological services require a minimum 20% coinsurance.
Home Health Services See details
DEVOTED C-SNP 027 TX (HMO C-SNP) covers Home Health Services with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered under DEVOTED C-SNP 027 TX (HMO C-SNP) with no coinsurance, although prior authorization is required. While some services are covered, standard cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) rehabilitation services are not covered in practice and require a $25 copay.
Skilled Nursing Facility (SNF) See details
DEVOTED C-SNP 027 TX (HMO C-SNP) covers Skilled Nursing Facility (SNF) services with no coinsurance, requiring prior authorization but no prior three-day inpatient hospital stay. There is no copay for days 1 through 20, followed by a $218 daily copay for days 21 through 100, though additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
Other services are partially covered by DEVOTED C-SNP 027 TX (HMO C-SNP), featuring no copay and no coinsurance for over-the-counter (OTC) items up to $50 every three months, non-Medicare covered diabetic shoes, and additional preventive services. Acupuncture and meal benefits are not covered.
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