DEVOTED C-SNP CHOICE PREMIUM 011 IL (PPO C-SNP)

DEVOTED C-SNP CHOICE PREMIUM 011 IL (PPO C-SNP) is a PPO C-SNP plan offered by Devoted Health, Inc. available for enrollment in 2026 to people living in Central Illinois. The overall rating for this plan is not yet available for 2026.

It's important to know that DEVOTED C-SNP CHOICE PREMIUM 011 IL (PPO C-SNP) 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 C-SNP CHOICE PREMIUM 011 IL (PPO C-SNP).

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 C-SNP CHOICE PREMIUM 011 IL (PPO C-SNP) plan features an annual drug deductible of $615. For Tier 1 preferred generics, standard pharmacy and standard mail-order options require an $18 copay for a 1-month supply, while Tier 2 generics have a $19 copay. Notably, Tier 6 select care drugs are highly accessible with no copay for 1-month, 2-month, and 3-month fills. Higher-tier medications under this plan are covered via coinsurance rather than flat copays. For standard pharmacy and standard mail-order services, Tier 3 preferred brands require 21% coinsurance, Tier 4 non-preferred drugs require 33% coinsurance, and Tier 5 specialty drugs require 25% coinsurance for a 1-month supply. These structured costs help you plan your healthcare expenses based on your specific prescription needs.

Additional Benefits

The DEVOTED C-SNP CHOICE PREMIUM 011 IL (PPO C-SNP) plan offers robust medical coverage, featuring no copay and no coinsurance for primary care visits, home health services, and annual preventive exams. Inpatient hospital stays require a $410 daily copay for days one through five and no copay for days six through ninety, while specialist visits carry a $40 copay. Emergency care is available with a $130 copay, which is waived upon hospital admission, and urgent care costs range from no copay to $45. Additional benefits include dental cleanings and exams with no copay up to a $2,000 annual limit, and a $300 annual allowance for eyewear with no copay. Routine hearing exams require a $40 copay, with prescription hearing aids costing between a $399 and $699 copay. Members also receive up to $50 every three months for over-the-counter items with no copay, though cardiac rehabilitation and transportation services are not covered.