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DEVOTED CORE 007 AZ (HMO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for DEVOTED CORE 007 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 007 AZ (HMO) in 2026, please refer to our full plan details page.
DEVOTED CORE 007 AZ (HMO) is a HMO plan offered by Devoted Health, Inc. available for enrollment in 2025 to people living in Rural Arizona. This plan received an overall rating of 3.5 out of 5 stars in 2026.
It's important to know that DEVOTED CORE 007 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 007 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 007 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 $375.00 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 $6750.00 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 007 AZ (HMO) Medicare plan offers an enhanced alternative drug benefit with an annual prescription drug deductible of $375.00. If you qualify for the low-income subsidy, your Part D premium is reduced to no cost. During the initial coverage phase, you will pay for your prescriptions until the total drug costs reach $2,100.00. For standard pharmacy and standard mail options, Tier 1 preferred generic drugs have a $5.00 copay, while Tier 2 standard generics require 24% coinsurance. Tier 3 preferred brands and Tier 4 non-preferred drugs carry coinsurance rates of 25% and 28%, respectively. After your yearly out-of-pocket drug costs reach $2,100.00, you enter the catastrophic coverage phase and pay nothing for covered Medicare Part D drugs.
Additional Benefits
The DEVOTED CORE 007 AZ (HMO) plan offers structured coverage for core medical needs, featuring a $450 copay for days 1 through 5 of inpatient hospital stays and no copay for days 6 through 90. Outpatient hospital services range from no copay to a $550 copay, while primary care visits cost between no copay and $65. Emergency room visits require a $130 copay, which is waived if you are admitted, and urgent care services range from no copay to $45. For supplemental care, the plan provides a $200 annual eyewear allowance with no copay, and dental services are covered with no copay up to a $750 annual maximum. Hearing exams carry a $45 copay, while prescription hearing aids require a copay between $399 and $699. Additionally, diagnostic labs and X-rays have no copay, whereas dialysis services and durable medical equipment generally require a 20% to 50% coinsurance.
Inpatient Hospital See details
DEVOTED CORE 007 AZ (HMO) partially covers inpatient hospital services, requiring a $450 copay for days 1 through 5, no copay for days 6 through 90, and no coinsurance. Prior authorization is required, and non-Medicare-covered stays, acute hospital upgrades, and additional psychiatric stay days are not covered.
Outpatient Services See details
Outpatient services are covered by DEVOTED CORE 007 AZ (HMO), featuring copays ranging from no copay to $550 for outpatient hospital services and a $450 copay per stay for observation services, with no coinsurance. Additionally, ambulatory surgical center services require no copay or coinsurance, while outpatient substance abuse sessions carry a $45 copay and no coinsurance.
Partial Hospitalization See details
DEVOTED CORE 007 AZ (HMO) covers partial hospitalization services with a $105.00 copay and no coinsurance. Prior authorization is required for this benefit.
Ambulance and Transportation Services See details
DEVOTED CORE 007 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 are not covered under this plan.
Emergency Services See details
Emergency services are covered by DEVOTED CORE 007 AZ (HMO) for a $130 copay and no coinsurance, with the copay waived if you are admitted to the hospital within 24 hours. Urgently needed services require no copay to a $45 copay and no coinsurance, while worldwide emergency benefits are covered up to $25,000 with copays ranging from $130 to $350 and up to 20% coinsurance.
Primary Care See details
Primary Care benefits are partially covered by DEVOTED CORE 007 AZ (HMO), with copays ranging from no copay up to $65 and no coinsurance for covered services. While most services are covered under this plan, podiatry services and routine chiropractic care are not covered.
Preventive Services See details
Preventive services are partially covered by DEVOTED CORE 007 AZ (HMO) with no copay and no coinsurance for Medicare-covered zero-dollar services, annual physicals, and fitness benefits. However, sub-services such as in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge medication reconciliation, readmission 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 are not covered.
Hearing Services See details
Hearing services are partially covered by DEVOTED CORE 007 AZ (HMO), featuring a $45 copay and no coinsurance for hearing exams, and a $399 to $699 copay and no coinsurance for covered prescription hearing aids. Over-the-counter hearing aids, as well as inner ear, outer ear, and over-the-ear prescription hearing aids, are not covered.
Vision Services See details
DEVOTED CORE 007 AZ (HMO) covers vision services, including eye exams with a copay ranging from $0 to $45 and no coinsurance. The plan also provides a $200 annual allowance for eyewear, including contact lenses and eyeglasses, with no copay, coinsurance, or deductible.
Dental Services See details
DEVOTED CORE 007 AZ (HMO) dental services are partially covered, excluding maxillofacial prosthetics, implant services, and orthodontics. Medicare-covered dental services require a $45 copay and no coinsurance, while other covered dental services have no copay or coinsurance up to a $750 annual maximum.
Home Infusion bundled Services See details
DEVOTED CORE 007 AZ (HMO) covers Home Infusion bundled Services with prior authorization, requiring no copay and ranging from no coinsurance to 20% coinsurance for chemotherapy, radiation, and other Part B drugs. Medicare Part B insulin drugs are covered with a $35 copay, ranging from no coinsurance to 20% coinsurance, and no deductible.
Dialysis Services See details
Dialysis Services are covered under the DEVOTED CORE 007 AZ (HMO) plan with no copay and a 20% coinsurance. Prior authorization is required to receive these services.
Medical Equipment See details
DEVOTED CORE 007 AZ (HMO) partially covers medical equipment, as diabetic therapeutic shoes and inserts are not covered. Covered benefits require no copay, with coinsurance ranging from 20% to 50% for durable medical equipment, no coinsurance to 20% for prosthetics and medical supplies, and no coinsurance to 50% for diabetic supplies.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by DEVOTED CORE 007 AZ (HMO) with prior authorization. Lab services and outpatient X-rays have no copay or coinsurance, diagnostic tests carry a $0 to $95 copay with no coinsurance, diagnostic radiology has a $0 to $300 copay with no coinsurance, and therapeutic radiology requires a 20% coinsurance.
Home Health Services See details
Home health services are covered under the DEVOTED CORE 007 AZ (HMO) plan, though prior authorization is required to access these benefits.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered under DEVOTED CORE 007 AZ (HMO), as none of the sub-services—including standard cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation—are covered. Consequently, there is no copay or coinsurance coverage available for these services under this plan.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) benefits are partially covered under DEVOTED CORE 007 AZ (HMO), which requires prior authorization but does not cover additional days beyond the Medicare-covered limit. Covered stays require a $10 copay and no coinsurance for days 1 through 20, and a $218 copay and no coinsurance for days 21 through 100.
Other Services See details
Other Services are partially covered by DEVOTED CORE 007 AZ (HMO), which provides coverage for additional preventive services not covered by Medicare with no maximum benefit limit. However, acupuncture, over-the-counter (OTC) items, meal benefits, and dual-eligible SNP services are not covered, and specific copay or coinsurance details are not specified.
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