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Devoted CORE Arizona (HMO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Devoted CORE Arizona (HMO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Devoted CORE Arizona (HMO) in 2025, please refer to our full plan details page.
Devoted CORE Arizona (HMO) is a HMO plan offered by Devoted Health, Inc. available for enrollment in 2025 to people living in Pima County. This plan received an overall rating of 4 out of 5 stars in 2025.
It's important to know that Devoted CORE Arizona (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 Arizona (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 Arizona (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 $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 $2700.00 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 Arizona (HMO) plan has an "Enhanced Alternative" drug benefit. The plan has a $590 deductible for prescription drugs. After the deductible is met, you will pay a copay or coinsurance depending on the drug tier and pharmacy. For example, you'll pay a $5 copay for a preferred generic drug at a standard or mail-order pharmacy, and 25% coinsurance for a standard generic drug. After your total drug costs reach $2000, you will enter the catastrophic coverage phase.
Additional Benefits
The Devoted CORE Arizona (HMO) plan offers a range of benefits, including inpatient hospital stays with a copay, outpatient services with varying copays, and coverage for ambulance services with a copay or coinsurance. You'll also find coverage for emergency services, primary care visits with no copay, and preventive services, as well as hearing, vision, and dental services with copays and maximum annual benefits. This plan also includes coverage for home infusion, dialysis, medical equipment, and diagnostic services with varying copays and coinsurance. Home health services are covered with no copay, and skilled nursing facility stays have a copay structure. However, this plan does not cover cardiac rehabilitation services, and other services such as acupuncture, over-the-counter items, and private duty nursing are not covered.
Inpatient Hospital See details
Inpatient Hospital benefits, including Inpatient Hospital-Acute and Inpatient Hospital Psychiatric, are covered. For Inpatient Hospital-Acute, you pay a $225 copay for days 1-7, and no copay for days 8-90; for Inpatient Hospital Psychiatric, you pay a $225 copay for days 1-7, and no copay for days 8-90. Non-Medicare-covered stays and upgrades for Inpatient Hospital-Acute, and additional days and non-Medicare-covered stays for Inpatient Hospital Psychiatric are not covered.
Outpatient Services See details
Outpatient Services include coverage for outpatient hospital services with a copay between $0 and $325, observation services with a $225 copay, and Ambulatory Surgical Center (ASC) services with no copay. Outpatient Substance Abuse services are covered with a $20 copay for both individual and group sessions. Outpatient blood services are also covered.
Partial Hospitalization See details
Partial Hospitalization is covered by the Devoted CORE Arizona (HMO) plan with a $55 copay, and prior authorization is required.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered by the Devoted CORE Arizona (HMO) plan, with prior authorization required for all ambulance services. Ground ambulance services have a copay of $0-$325, while air ambulance services have a 20% coinsurance. 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 by the Devoted CORE Arizona (HMO) plan. Emergency Services have a $140 copay, and Worldwide Emergency Coverage has a $140 copay, while Worldwide Emergency Transportation has a $325 copay and 20% coinsurance. Urgently Needed Services have a copay between $0 and $45.
Primary Care See details
The Devoted CORE Arizona (HMO) plan covers primary care physician services with no copay, chiropractic services with a $20 copay, occupational therapy services with a $20-$50 copay, and physician specialist services with a $0-$20 copay. Mental health specialty services, psychiatric services, and other health care professionals have varying copays, and routine chiropractic care is not covered.
Preventive Services See details
Preventive Services include coverage for services such as Health Education, Personal Emergency Response System, Weight Management Programs, Alternative Therapies, Nutritional/Dietary Benefits, Fitness Benefits, Home and Bathroom Safety Devices and Modifications, Glaucoma Screenings, Diabetes Self-Management Training, Barium Enemas, Digital Rectal Exams, and EKGs. In-Home Safety Assessment, 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 include hearing exams with a $20 copay, and prescription hearing aids with a copay between $399 and $699, though inner ear, outer ear, and over the ear hearing aids are not covered. Routine hearing exams are covered with a $20 copay for 1 visit every year, and fitting/evaluation for hearing aids are covered. Over-the-counter hearing aids are not covered.
Vision Services See details
Vision services include coverage for eye exams with a $20 copay, and eyewear with a combined maximum benefit of $1000 every year. Contact lenses, eyeglasses (lenses and frames), eyeglass lenses, eyeglass frames, and upgrades are also covered.
Dental Services See details
Dental Services include coverage for Medicare Dental Services with a $20 copay, as well as other dental services, including oral exams, dental x-rays, other diagnostic dental services, 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, and orthodontic services are covered under Diagnostic and Preventive Dental. There is a maximum plan benefit of $1,000 per year.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered by the Devoted CORE Arizona (HMO) plan, including Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs. Medicare Part B Insulin Drugs have a $35 copay and 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered by the Devoted CORE Arizona (HMO) plan. You will pay 20% coinsurance for these services.
Medical Equipment See details
Medical Equipment benefits include Durable Medical Equipment (DME) with 0% to 35% coinsurance and no copay, Prosthetic Devices with 0% to 20% coinsurance and no copay, and Medical Supplies with 20% coinsurance and no copay. Durable Medical Equipment for use outside the home, Diabetic Supplies, and Diabetic Therapeutic Shoes/Inserts are not covered.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services include coverage for all diagnostic services with a copay ranging from $0 to $95, lab services with no copay, and diagnostic radiological services with a copay of up to $275. Therapeutic Radiological Services have a 20% coinsurance, and outpatient X-ray services have no copay.
Home Health Services See details
Home Health Services are covered by the Devoted CORE Arizona (HMO) plan with no copay and no coinsurance, but additional hours of care and personal care services are not covered. Prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered by the Devoted CORE Arizona (HMO) plan. This plan does not cover Medicare-covered Intensive Cardiac Rehabilitation Services, Medicare-covered Pulmonary Rehabilitation Services, Medicare-covered Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD) Services, and Additional Cardiac Rehabilitation Services.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by the Devoted CORE Arizona (HMO) plan, requiring prior authorization. For days 1-20 and 61-100, there is no copay, while days 21-60 have a $214 copay. Additional days beyond Medicare-covered and non-Medicare-covered stays are not covered.
Other Services See details
Other Services are not covered, as acupuncture, over-the-counter (OTC) 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. However, Other 2 benefits are covered, including preventive services.
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