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DEVOTED C-SNP CHOICE PREMIUM 018 TN (PPO C-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for DEVOTED C-SNP CHOICE PREMIUM 018 TN (PPO C-SNP). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on DEVOTED C-SNP CHOICE PREMIUM 018 TN (PPO C-SNP) in 2026, please refer to our full plan details page.
DEVOTED C-SNP CHOICE PREMIUM 018 TN (PPO C-SNP) is a PPO C-SNP plan offered by Devoted Health, Inc. available for enrollment in 2026 to people living in Nashville. This plan received an overall rating of 3.5 out of 5 stars in 2026.
It's important to know that DEVOTED C-SNP CHOICE PREMIUM 018 TN (PPO C-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Important:
DEVOTED C-SNP CHOICE PREMIUM 018 TN (PPO C-SNP)is a Special Needs Type (SNP) plan. This means you can only enroll in this plan if you meet specific criteria. See our full plan details page for more information.
Key Plan Facts
Below are a few key facts and commonly-asked questions about DEVOTED C-SNP CHOICE PREMIUM 018 TN (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.
For DEVOTED C-SNP CHOICE PREMIUM 018 TN (PPO C-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $27.70. 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 $615.00 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 combined Maximum Out-Of-Pocket cost of $9850.00 (in-network or out-of-network combined). You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $9850.00 for covered services, the plan will pay 100% of covered costs for the rest of the year.
The plan may have separate out-pocket-maximums for in-network and out-of-network services. See our full plan details page for more information.
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:
Sign up for DEVOTED C-SNP CHOICE PREMIUM 018 TN (PPO C-SNP)
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
Drug Coverage
The DEVOTED C-SNP CHOICE PREMIUM 018 TN (PPO C-SNP) Medicare plan has an annual drug deductible of $615. For prescription coverage, Tier 6 select care drugs have no copay for up to a three-month supply through standard pharmacies or standard mail order. Tier 1 preferred generics carry an $18 copay for a one-month supply, while Tier 2 generic drugs have a $19 copay. For higher-tier medications, costs are based on coinsurance rather than flat copays. Tier 3 preferred brands require a 21% coinsurance, and Tier 4 non-preferred drugs require a 33% coinsurance for standard pharmacy and mail order. Tier 5 specialty drugs require a 25% coinsurance for a one-month supply.
Additional Benefits
The DEVOTED C-SNP CHOICE PREMIUM 018 TN (PPO C-SNP) plan offers comprehensive medical coverage with no copay for primary care visits and covered preventive services. Inpatient hospital stays require a daily copay for the first five days but feature no copay for days six through ninety, while emergency room visits carry a flat copay. Outpatient services and diagnostic tests generally feature low to no copays, though specialized needs like dialysis and durable medical equipment require a twenty percent coinsurance. This plan also includes valuable supplemental benefits, such as dental care up to a two thousand dollar annual limit and eyewear up to three hundred dollars yearly with no copays. Hearing exams and prescription hearing aids are covered with set copays and no coinsurance. Additionally, members can access home health services with no copay and receive a fifty dollar allowance every three months for over-the-counter items.
Inpatient Hospital See details
DEVOTED C-SNP CHOICE PREMIUM 018 TN (PPO C-SNP) partially covers inpatient hospital services with no coinsurance, requiring a $405 daily copay for days 1 through 5 and no copay for days 6 through 90. Prior authorization is required, and upgrades, additional psychiatric days, and non-Medicare-covered stays are not covered.
Outpatient Services See details
Outpatient services are covered by DEVOTED C-SNP CHOICE PREMIUM 018 TN (PPO C-SNP) with no coinsurance, featuring a $0 to $505 copay for outpatient hospital services and a $405 copay per stay for observation services. Ambulatory surgical center and outpatient blood services are offered with no copay and no coinsurance, while outpatient substance abuse sessions require a $35 copay and no coinsurance.
Partial Hospitalization See details
DEVOTED C-SNP CHOICE PREMIUM 018 TN (PPO C-SNP) covers partial hospitalization services with a $60.00 copay and no coinsurance. Prior authorization is required to access this benefit.
Ambulance and Transportation Services See details
DEVOTED C-SNP CHOICE PREMIUM 018 TN (PPO C-SNP) covers ground ambulance services with no copay to a $315 copay and no coinsurance, while air ambulance services require a 20% coinsurance and no copay. Prior authorization is required for ambulance services, and although some transportation services are covered, transportation to plan-approved or health-related locations is not covered.
Emergency Services See details
DEVOTED C-SNP CHOICE PREMIUM 018 TN (PPO C-SNP) covers emergency services with a $130 copay and no coinsurance (waived if admitted to the hospital within 24 hours), and urgently needed services with no copay to a $45 copay and no coinsurance. Worldwide emergency and urgent services are covered up to $25,000 with a $130 copay and no coinsurance, while worldwide emergency transportation has a $315 copay and 20% coinsurance.
Primary Care See details
DEVOTED C-SNP CHOICE PREMIUM 018 TN (PPO C-SNP) provides primary care physician services with no copay and no coinsurance, while specialist visits, therapy, and mental health services require copays ranging from $0 to $50 and no coinsurance. Chiropractic services are partially covered with a $15 copay and no coinsurance, though routine and other chiropractic services are not covered.
Preventive Services See details
Preventive services are partially covered by DEVOTED C-SNP CHOICE PREMIUM 018 TN (PPO C-SNP) with no copay and no coinsurance for covered options like annual physicals, fitness benefits, and kidney disease education. However, several sub-services are not covered, including in-home safety assessments, personal emergency response systems, therapeutic massage, in-home support, and counseling.
Hearing Services See details
Hearing services are partially covered by DEVOTED C-SNP CHOICE PREMIUM 018 TN (PPO C-SNP), featuring a $35 copay and no coinsurance for hearing exams, and copays between $399 and $699 with no coinsurance for up to two prescription hearing aids per year. OTC hearing aids and inner, outer, or over-the-ear prescription hearing aids are not covered under this plan.
Vision Services See details
DEVOTED C-SNP CHOICE PREMIUM 018 TN (PPO C-SNP) provides partially covered vision services, featuring eye exams with a $0 to $35 copay, no coinsurance, and no deductible, though other eye exam services are not covered. Eyewear is covered with no copay, no coinsurance, and no deductible, up to a combined maximum benefit of $300 per year for contacts, eyeglasses, frames, and upgrades.
Dental Services See details
DEVOTED C-SNP CHOICE PREMIUM 018 TN (PPO C-SNP) offers partially covered dental services with no copay and no coinsurance for covered preventive and comprehensive care up to a $2,000 annual limit, while Medicare-covered dental services require a $35 copay and no coinsurance. Sub-services not covered under this plan include other diagnostic dental services, other preventive dental services, maxillofacial prosthetics, implant services, and orthodontics.
Home Infusion bundled Services See details
Home infusion bundled services are covered by DEVOTED C-SNP CHOICE PREMIUM 018 TN (PPO C-SNP) with no copay and no coinsurance, but require prior authorization. Associated Medicare Part B drugs, including chemotherapy and insulin, have a coinsurance ranging from no coinsurance to 20% coinsurance, with insulin also carrying a $35 copay.
Dialysis Services See details
Dialysis Services are covered under DEVOTED C-SNP CHOICE PREMIUM 018 TN (PPO C-SNP) with no copay and a 20% coinsurance. Prior authorization is required to receive these covered services.
Medical Equipment See details
DEVOTED C-SNP CHOICE PREMIUM 018 TN (PPO C-SNP) covers medical equipment with no copays, requiring a 20% coinsurance for durable medical equipment and no coinsurance to 20% coinsurance for prosthetics, medical supplies, and diabetic supplies. Diabetic equipment is partially covered by this plan, as diabetic therapeutic shoes and inserts are not covered.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by DEVOTED C-SNP CHOICE PREMIUM 018 TN (PPO C-SNP) with prior authorization, offering lab services and diagnostic radiology with no copays or coinsurance. Outpatient diagnostic tests have no coinsurance and a copay of up to $95, while outpatient X-rays have no copay but require coinsurance, and therapeutic radiology requires a 20% coinsurance and a copay.
Home Health Services See details
Home health services are covered under the DEVOTED C-SNP CHOICE PREMIUM 018 TN (PPO C-SNP) plan with no copay and no coinsurance. Prior authorization is required to receive these services.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered under the DEVOTED C-SNP CHOICE PREMIUM 018 TN (PPO C-SNP) plan with no coinsurance, though prior authorization is required. While some services are covered, cardiac, intensive cardiac, and pulmonary rehabilitation services (which carry a $35 copay) and SET for PAD services (which carry a $25 copay) are not covered in practice.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) care is covered by DEVOTED C-SNP CHOICE PREMIUM 018 TN (PPO C-SNP) with no coinsurance, requiring prior authorization but no prior three-day hospital stay. There is no copay for days 1 through 20, followed by a $218 daily copay for days 21 through 100, though additional days beyond the Medicare-covered limit are not covered.
Other Services See details
Other Services are partially covered by DEVOTED C-SNP CHOICE PREMIUM 018 TN (PPO C-SNP), featuring no copay and no coinsurance for over-the-counter (OTC) items up to $50 every three months, non-Medicare covered diabetic shoes, and additional preventive services. Acupuncture and meal benefits are not covered under this plan.
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