DEVOTED CORE 021 AZ (HMO)

DEVOTED CORE 021 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 021 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 021 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.

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:

Drug Coverage

The DEVOTED CORE 021 AZ (HMO) Medicare plan features an Enhanced Alternative drug benefit with an annual prescription drug deductible of $595.00. During the initial coverage phase, you will pay a $3.00 copay for Tier 1 preferred generics at standard pharmacies and through standard mail. For other tiers, standard coverage costs include a 21% coinsurance for Tier 2 standard generics, and a 25% coinsurance for Tier 3 preferred brands and Tier 4 non-preferred drugs. Once 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. Additionally, beneficiaries who qualify for the low-income subsidy, or Extra Help, will have no copay for their Part D drugs. Ensure you review the plan formulary to confirm how your specific prescription medications are classified.

Additional Benefits

The DEVOTED CORE 021 AZ (HMO) plan offers affordable coverage for core medical services, featuring daily copays of $195 for the first week of inpatient hospital stays and no copay for remaining days. Primary care and preventive services range from no copay up to $65 with no coinsurance, while emergency room visits carry a $150 copay that is waived if you are admitted. Outpatient services require no coinsurance, with copays ranging from no copay for ambulatory surgical center services up to $295 for outpatient hospital services. This plan also includes valuable supplemental benefits, such as dental coverage up to a $3,500 annual limit and a $250 annual eyewear allowance with no copay or coinsurance. Hearing exams require a $25 copay, prescription hearing aids range from a $399 to $699 copay, and members receive an $80 quarterly allowance for over-the-counter items. Durable medical equipment is covered with no copay and a 20% to 50% coinsurance, while dialysis services require a 20% coinsurance and no copay.