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DEVOTED CORE 020 AZ (HMO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for DEVOTED CORE 020 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 020 AZ (HMO) in 2026, please refer to our full plan details page.
DEVOTED CORE 020 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 020 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 020 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 020 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 $595.00 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 $5900.00 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 020 AZ (HMO) Medicare plan features an Enhanced Alternative drug benefit with an annual prescription drug deductible of $595.00. After meeting this deductible, you will enjoy no copay for Tier 1 preferred generic drugs filled at standard pharmacies or through standard mail order. For other tiers, you will pay a 24% coinsurance for Tier 2 standard generic drugs and a 25% coinsurance for both Tier 3 preferred brand and Tier 4 non-preferred drugs. These cost-sharing rates apply during the initial coverage phase until your total drug costs reach $2,100.00. Once your yearly out-of-pocket drug spending reaches this $2,100.00 threshold, you enter the catastrophic coverage phase and will pay nothing for covered Medicare Part D prescription drugs.
Additional Benefits
The DEVOTED CORE 020 AZ (HMO) plan offers comprehensive coverage for essential medical services with predictable cost-sharing and no coinsurance for most primary care and hospital visits. For inpatient hospital stays, members pay a daily copay of $335 for the first several days and no copay for subsequent days, while routine preventive services require no copay. Emergency room visits carry a $130 copay that is waived upon admission, and outpatient services feature copays ranging from no copay up to $435. This plan also includes key supplemental benefits to help manage your health costs, such as a $1,500 annual limit for dental services and a $200 yearly allowance for eyewear. Routine hearing exams are available for a $40 copay, and prescription hearing aids require copays ranging from $399 to $699. Additionally, members can take advantage of a $30 quarterly over-the-counter allowance and home health services, though some specialized services like cardiac rehabilitation are not covered.
Inpatient Hospital See details
DEVOTED CORE 020 AZ (HMO) partially covers inpatient hospital services with no coinsurance, though prior authorization is required. Acute stays require a $335 daily copay for days 1 to 7 and no copay for days 8 to 90, while psychiatric stays require a $335 daily copay for days 1 to 6 and no copay for days 7 to 90. Upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
Outpatient services are covered under DEVOTED CORE 020 AZ (HMO) with no coinsurance, featuring no copay for ambulatory surgical center services and a $40 copay for outpatient substance abuse sessions. Outpatient hospital services require a copay of $0 to $435, and observation services carry a $335 copay per stay.
Partial Hospitalization See details
Partial hospitalization benefits are covered by DEVOTED CORE 020 AZ (HMO) with a $70 copay and no coinsurance. Prior authorization is required for these services.
Ambulance and Transportation Services See details
Ambulance and transportation services are partially covered by DEVOTED CORE 020 AZ (HMO), since transportation services to plan-approved or any health-related locations are not covered. Covered ground ambulance services require a copay of $0 to $350 and no coinsurance, while air ambulance services require a 20% coinsurance and no copay.
Emergency Services See details
DEVOTED CORE 020 AZ (HMO) covers emergency services with a $130 copay and no coinsurance, with the copay waived if admitted to the hospital within 24 hours. Urgently needed services require no coinsurance and range from no copay to a $45 copay, while worldwide emergency services are covered up to a $25,000 limit with copays up to $350 and coinsurance up to 20%.
Primary Care See details
DEVOTED CORE 020 AZ (HMO) offers partially covered Primary Care benefits, with podiatry services and routine chiropractic care not covered. Covered services require no coinsurance and feature copayments ranging from no copay up to $65.
Preventive Services See details
Preventive services are partially covered by DEVOTED CORE 020 AZ (HMO) with no copay and no coinsurance for covered services like annual physicals, fitness benefits, and health education. Sub-services that are not covered under this plan include in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge medication reconciliation, readmission prevention, wigs, therapeutic massage, adult day health, home-based palliative care, in-home support, caregiver support, tobacco cessation counseling, disease management, telemonitoring, remote access, and counseling.
Hearing Services See details
Hearing Services are partially covered by DEVOTED CORE 020 AZ (HMO), as OTC hearing aids and inner ear, outer ear, and over-the-ear prescription hearing aids are not covered. Covered routine hearing exams require a $40 copay and no coinsurance, while covered prescription hearing aids require a $399 to $699 copay and no coinsurance.
Vision Services See details
DEVOTED CORE 020 AZ (HMO) covers comprehensive vision services, including one routine eye exam per year with a copay ranging from no copay to $40 and no coinsurance. Additionally, members receive a $200 annual allowance for eyewear, contact lenses, and upgrades with no deductible, no copay, and no coinsurance.
Dental Services See details
DEVOTED CORE 020 AZ (HMO) dental services are partially covered up to a $1,500 yearly limit, excluding maxillofacial prosthetics, implant services, and orthodontics. Medicare-covered dental services require a $40 copay and no coinsurance, while other covered services feature no copay and coinsurance ranging from 0% to 50%.
Home Infusion bundled Services See details
Home infusion bundled services are covered under the DEVOTED CORE 020 AZ (HMO) plan, with prior authorization required. Covered Part B chemotherapy, radiation, and other Part B drugs carry no copay and a coinsurance ranging from no coinsurance to 20%, while Part B insulin drugs require a $35 copay and a coinsurance ranging from no coinsurance to 20%.
Dialysis Services See details
Dialysis Services are covered by DEVOTED CORE 020 AZ (HMO) with a 20% coinsurance and no copay. Prior authorization is required to receive these services.
Medical Equipment See details
Medical equipment is partially covered by DEVOTED CORE 020 AZ (HMO), with diabetic therapeutic shoes and inserts excluded from coverage. Covered medical equipment requires prior authorization and has no copay, with coinsurance ranging from 20% to 50% for durable medical equipment, and no coinsurance up to 20% or 50% for prosthetics, medical supplies, and diabetic supplies.
Diagnostic and Radiological Services See details
DEVOTED CORE 020 AZ (HMO) covers diagnostic and radiological services with prior authorization, offering lab and outpatient X-ray services with no copay and no coinsurance. Diagnostic procedures require a copay of $0 to $95 with no coinsurance, diagnostic radiology has a copay of $0 to $275 with no coinsurance, and therapeutic radiology requires a 20% coinsurance with no copay.
Home Health Services See details
Home Health Services are covered under the DEVOTED CORE 020 AZ (HMO) plan, though prior authorization is required before you can receive these services.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered under the DEVOTED CORE 020 AZ (HMO) plan, meaning there is no copay or coinsurance, as cardiac, intensive cardiac, pulmonary, and SET for PAD services are all not covered.
Skilled Nursing Facility (SNF) See details
DEVOTED CORE 020 AZ (HMO) partially covers Skilled Nursing Facility (SNF) services with prior authorization, featuring no copay for days 1 through 20 and a $218 daily copay for days 21 through 100, with no coinsurance. While additional days beyond the Medicare-covered limit are not covered, a prior 3-day inpatient hospital stay is not required.
Other Services See details
Other services are partially covered by DEVOTED CORE 020 AZ (HMO), which excludes acupuncture, meal benefits, and dual eligible SNPs with highly integrated services. Covered benefits include additional preventive services and a $30 quarterly over-the-counter (OTC) allowance with no copay or coinsurance.
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