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DEVOTED CORE 001 AZ (HMO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for DEVOTED CORE 001 AZ (HMO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on DEVOTED CORE 001 AZ (HMO) in 2026, please refer to our full plan details page.
DEVOTED CORE 001 AZ (HMO) is a HMO plan offered by Devoted Health, Inc. available for enrollment in 2025 to people living in Maricopa and Pinal Counties. This plan received an overall rating of 3.5 out of 5 stars in 2026.
It's important to know that DEVOTED CORE 001 AZ (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 001 AZ (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 001 AZ (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 $430.00 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 $4500.00 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 001 AZ (HMO) Medicare plan offers an Enhanced Alternative prescription drug benefit with an annual drug deductible of $430.00. After meeting this deductible, you will pay a $5.00 copay for Tier 1 preferred generic drugs at standard pharmacies or through standard mail delivery. For higher tiers, your cost-sharing during the initial coverage phase consists of coinsurance ranging from 24% to 27% until total drug costs reach $2,100.00. Once your yearly out-of-pocket drug costs reach $2,100.00, you enter the catastrophic coverage phase and have no copay for covered Part D prescriptions. Additionally, individuals who qualify for the full Low-Income Subsidy (Extra Help) will experience no cost for their Part D premium. Make sure to review the plan's formulary to see how your specific prescription medications are classified and covered.
Additional Benefits
The DEVOTED CORE 001 AZ (HMO) plan offers robust medical coverage with predictable out-of-pocket costs, featuring no coinsurance for inpatient hospital stays and no copay for ambulatory surgical services. Emergency care is available with a $130 copay, which is waived upon hospital admission, while specialist visits and physical therapy require no coinsurance and copays up to $65. Standard Medicare-covered preventive services are also fully covered with no copay or coinsurance. For everyday wellness, the plan includes a $200 annual eyewear allowance with no copay and up to two prescription hearing aids per year with copays ranging from $399 to $699. Additionally, members receive a $50 quarterly over-the-counter allowance and coverage for skilled nursing facility stays with no copay or coinsurance for the first 20 days. While some services like transportation and cardiac rehabilitation are not covered, the plan provides strong coverage for essential diagnostic, dental, and medical equipment needs.
Inpatient Hospital See details
Inpatient hospital benefits are partially covered by DEVOTED CORE 001 AZ (HMO) with no coinsurance, requiring a daily copay of $375 for days 1-7 of acute stays (no copay for days 8-90) and days 1-6 of psychiatric stays (no copay for days 7-90). Prior authorization is required, and upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
Outpatient services are covered by DEVOTED CORE 001 AZ (HMO) with no coinsurance, featuring no copay for ambulatory surgical center services and a $0 to $475 copay for outpatient hospital services. Observation services require a $375 copay per stay, outpatient substance abuse sessions have a $35 copay, and there is no deductible for outpatient blood services.
Partial Hospitalization See details
Partial hospitalization benefits are covered by DEVOTED CORE 001 AZ (HMO) with a $70 copay and no coinsurance. Prior authorization is required for these services.
Ambulance and Transportation Services See details
DEVOTED CORE 001 AZ (HMO) covers ambulance services with prior authorization, offering ground transport with a copay ranging from no copay to $350 and no coinsurance, and air transport with a 20% coinsurance and no copay. Transportation services to health-related locations are not covered under this plan.
Emergency Services See details
DEVOTED CORE 001 AZ (HMO) covers emergency services with a $130 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services feature no copay to a $45 copay and no coinsurance, while worldwide emergency services are covered up to $25,000 with a $130 copay and no coinsurance for emergency or urgent care, and a $350 copay with 20% coinsurance for emergency transportation.
Primary Care See details
Primary Care benefits are partially covered by DEVOTED CORE 001 AZ (HMO), as podiatry services and routine chiropractic care are not covered. Covered services, including specialist visits, physical therapy, and telehealth, require no coinsurance and feature copays ranging from no copay up to $65.
Preventive Services See details
Preventive Services are partially covered by DEVOTED CORE 001 AZ (HMO) with no copay or coinsurance for Medicare-covered zero-dollar preventive services. Uncovered services under this benefit include in-home safety assessments, personal emergency response systems (PERS), medical nutrition therapy, post-discharge medication reconciliation, readmission prevention, wigs for chemotherapy-related hair loss, therapeutic massage, adult day health, home-based palliative care, in-home support, caregiver support, additional tobacco cessation sessions, enhanced disease management, telemonitoring, remote access technologies, and counseling.
Hearing Services See details
DEVOTED CORE 001 AZ (HMO) partially covers hearing services, including routine hearing exams and fitting evaluations for a $35 copay and no coinsurance. Up to two prescription hearing aids (all types) are covered per year with a copay ranging from $399 to $699 and no coinsurance, while OTC hearing aids and inner ear, outer ear, and over the ear prescription hearing aids are not covered.
Vision Services See details
DEVOTED CORE 001 AZ (HMO) covers vision services, including one annual routine eye exam with a copay ranging from no copay to $35 and no coinsurance. The plan also offers a $200 annual allowance for eyewear, including contacts, lenses, frames, and upgrades, with no copay, no coinsurance, and no deductible.
Dental Services See details
DEVOTED CORE 001 AZ (HMO) partially covers dental services, excluding maxillofacial prosthetics, implant services, and orthodontics. Medicare-covered dental services require a $35 copay and no coinsurance, while other covered dental benefits feature no copay and coinsurance ranging from no coinsurance to 50% up to a $1,000 annual limit.
Home Infusion bundled Services See details
DEVOTED CORE 001 AZ (HMO) covers Home Infusion bundled Services with prior authorization, offering chemotherapy, radiation, and other Part B drugs with no copay and coinsurance ranging from no coinsurance to 20%. Medicare Part B insulin drugs are also covered with a $35 copay and coinsurance ranging from no coinsurance to 20%.
Dialysis Services See details
Dialysis Services are covered by DEVOTED CORE 001 AZ (HMO) with no copay and a 20% coinsurance. Prior authorization is required to receive these services.
Medical Equipment See details
DEVOTED CORE 001 AZ (HMO) partially covers medical equipment, offering no copays and coinsurance ranging from no coinsurance up to 50% with prior authorization. Covered items include durable medical equipment, prosthetic devices, medical supplies, and diabetic supplies, while diabetic therapeutic shoes and inserts are not covered.
Diagnostic and Radiological Services See details
DEVOTED CORE 001 AZ (HMO) covers diagnostic and radiological services with prior authorization. Members pay no copay for lab services and outpatient X-rays, while diagnostic procedures cost between $0 and $95, diagnostic radiological services cost up to a $275 copay, and therapeutic radiological services require a 20% coinsurance.
Home Health Services See details
Home health services are covered under the DEVOTED CORE 001 AZ (HMO) plan, though prior authorization is required. Specific copayment and coinsurance costs for these services are not detailed in the plan information.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered under the DEVOTED CORE 001 AZ (HMO) plan, as cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are all excluded from coverage.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are partially covered by DEVOTED CORE 001 AZ (HMO), requiring prior authorization but requiring no prior 3-day hospital stay. Patients pay no copay and no coinsurance for days 1 through 20, and a $218 daily copay with no coinsurance for days 21 through 100, though additional days beyond the Medicare-covered limit are not covered.
Other Services See details
Other Services are partially covered by DEVOTED CORE 001 AZ (HMO), which provides a $50 quarterly over-the-counter allowance and additional preventive services with no copay or coinsurance listed. Acupuncture, meal benefits, and highly integrated dual-eligible SNP services are not covered.
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