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DEVOTED DUAL CHOICE FULL 008 NE (PPO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for DEVOTED DUAL CHOICE FULL 008 NE (PPO D-SNP). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on DEVOTED DUAL CHOICE FULL 008 NE (PPO D-SNP) in 2026, please refer to our full plan details page.
DEVOTED DUAL CHOICE FULL 008 NE (PPO D-SNP) is a PPO D-SNP plan offered by Devoted Health, Inc. available for enrollment in 2026 to people living in Nebraska. The overall rating for this plan is not yet available for 2026.
It's important to know that DEVOTED DUAL CHOICE FULL 008 NE (PPO D-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Important:
DEVOTED DUAL CHOICE FULL 008 NE (PPO D-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 DUAL CHOICE FULL 008 NE (PPO D-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 DUAL CHOICE FULL 008 NE (PPO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $22.00. 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 has a $790.00 health deductible. This means, every calendar year, you pay this amount towards covered services before your insurance coverage kicks in.
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 $13900.00 (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 $13900.00 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:
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Drug Coverage
The DEVOTED DUAL CHOICE FULL 008 NE (PPO D-SNP) prescription drug plan has an annual drug deductible of $615. You will pay no copay for prescription drugs across all tiers when filling your prescriptions through the plan's preferred pharmacies or preferred mail-order services. This plan offers an affordable way to manage your medication costs when utilizing these preferred network providers. For standard pharmacies and standard mail-order services, a 25% coinsurance applies to Tier 1 preferred generics, Tier 2 generics, Tier 3 preferred brands, Tier 4 non-preferred drugs, and 1-month supplies of Tier 5 specialty drugs. Tier 6 select care drugs are highly accessible, featuring no copay at both standard and preferred pharmacies for all supply durations.
Additional Benefits
The DEVOTED DUAL CHOICE FULL 008 NE (PPO D-SNP) plan offers robust medical coverage with no copay and no coinsurance for primary care visits and routine preventive services. For more intensive care, inpatient hospital admissions require a copay of $2,080 to $2,230 with no coinsurance, while outpatient hospital services feature no copay and a coinsurance between 0% and 50%. Emergency room visits are covered with a $115 copay, which is waived if you are admitted to the hospital. Additionally, the plan provides key supplemental benefits to help lower your out-of-pocket costs, including dental care up to $3,000 annually with no copay and no coinsurance for most services. Vision benefits feature no copay and a $400 annual allowance for eyewear, while prescription hearing aids require a copay between $399 and $699. Members also benefit from home health services with no copay and a $50 quarterly allowance for over-the-counter health items.
Inpatient Hospital See details
DEVOTED DUAL CHOICE FULL 008 NE (PPO D-SNP) covers inpatient acute hospital stays with a $2,230 copay per admission and no coinsurance, and inpatient psychiatric stays with a $2,080 copay per admission and no coinsurance. Both services require prior authorization, and while acute care includes unlimited additional days, upgrades and non-Medicare-covered stays are not covered.
Outpatient Services See details
DEVOTED DUAL CHOICE FULL 008 NE (PPO D-SNP) covers outpatient services with no copays, though prior authorization is required for most services. Beneficiaries will pay a coinsurance ranging from 0% to 50% for outpatient hospital and ambulatory surgical center services, and a 30% coinsurance for outpatient substance abuse and blood services.
Partial Hospitalization See details
DEVOTED DUAL CHOICE FULL 008 NE (PPO D-SNP) covers partial hospitalization services with no copay and a 30% coinsurance. Prior authorization is required to access this covered benefit.
Ambulance and Transportation Services See details
DEVOTED DUAL CHOICE FULL 008 NE (PPO D-SNP) covers ambulance services with prior authorization, featuring no copay and a coinsurance of 0% to 50% for ground services and 50% for air services. Transportation services to plan-approved or health-related locations are not covered under this plan.
Emergency Services See details
DEVOTED DUAL CHOICE FULL 008 NE (PPO D-SNP) covers emergency services with a $115 copay and no coinsurance, with the copay waived if you are admitted to the hospital within 24 hours. Urgently needed services are covered with no copay and a 0% to 30% coinsurance (up to $40 per visit), while worldwide emergency, urgent, and transportation services are covered up to a $25,000 limit with no copay and no coinsurance.
Primary Care See details
DEVOTED DUAL CHOICE FULL 008 NE (PPO D-SNP) offers primary care physician services with no copay and no coinsurance. Other covered services, including specialists, physical therapy, occupational therapy, mental health, and telehealth, feature no copay and a 30% coinsurance (0% to 30% for some services) with prior authorization, while chiropractic and podiatry services are not covered.
Preventive Services See details
Preventive Services are partially covered by DEVOTED DUAL CHOICE FULL 008 NE (PPO D-SNP) with no copay and no coinsurance for covered options like annual physicals, kidney disease education, and fitness benefits. Uncovered sub-services include in-home safety assessments, PERS, medical nutrition therapy, post-discharge medication reconciliation, re-admission prevention, chemotherapy wigs, therapeutic massage, adult day health, home-based palliative care, in-home support, caregiver support, tobacco cessation counseling, enhanced disease management, telemonitoring, remote access technologies, and counseling services.
Hearing Services See details
Hearing services are partially covered by DEVOTED DUAL CHOICE FULL 008 NE (PPO D-SNP), offering exams with no copay and a 50% coinsurance for routine visits, plus prescription hearing aids with no coinsurance and a $399 to $699 copay. OTC hearing aids, as well as inner ear, outer ear, and over the ear prescription hearing aids, are not covered.
Vision Services See details
DEVOTED DUAL CHOICE FULL 008 NE (PPO D-SNP) provides partially covered vision services, offering one annual routine eye exam with no copay, 0% to 50% coinsurance, and no deductible, while other eye exam services are not covered. Eyewear is covered with no copay, no coinsurance, and no deductible, up to a combined maximum plan benefit of $400 per year for contacts, frames, lenses, and upgrades.
Dental Services See details
DEVOTED DUAL CHOICE FULL 008 NE (PPO D-SNP) partially covers dental services up to a $3,000 annual maximum, with no copay and no coinsurance for most preventive and comprehensive benefits, though Medicare-covered dental services require a 30% coinsurance and no copay. While exams, cleanings, x-rays, and restorative care are covered, other diagnostic services, other preventive services, maxillofacial prosthetics, implants, and orthodontics are not covered.
Home Infusion bundled Services See details
DEVOTED DUAL CHOICE FULL 008 NE (PPO D-SNP) covers Home Infusion bundled services with no copay, subject to prior authorization. Medicare Part B chemotherapy, radiation, and other drugs have no copay and a coinsurance ranging from no coinsurance to 20%. Covered insulin requires a $35 copay and a coinsurance ranging from no coinsurance to 20%, which counts toward the plan-level deductible.
Dialysis Services See details
Dialysis Services are covered by DEVOTED DUAL CHOICE FULL 008 NE (PPO D-SNP) with no copay and a 20% coinsurance. Prior authorization is required to receive this benefit.
Medical Equipment See details
Medical equipment is covered by DEVOTED DUAL CHOICE FULL 008 NE (PPO D-SNP) with no copay and coinsurance ranging from no coinsurance to 20% depending on the item. Prior authorization is required for durable medical equipment, prosthetics, and diabetic supplies, which may also be subject to vendor or manufacturer limitations.
Diagnostic and Radiological Services See details
DEVOTED DUAL CHOICE FULL 008 NE (PPO D-SNP) covers diagnostic and radiological services with prior authorization required and no copays for any services. Diagnostic procedures and tests have no coinsurance, but patients will pay a 50% coinsurance for lab services, 30% coinsurance for diagnostic radiological and outpatient X-ray services, and 20% coinsurance for therapeutic radiological services.
Home Health Services See details
Home Health Services are covered by the DEVOTED DUAL CHOICE FULL 008 NE (PPO D-SNP) plan with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered with no copay under the DEVOTED DUAL CHOICE FULL 008 NE (PPO D-SNP) plan, though in practice only some services are covered. Specifically, cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered and require a 30% coinsurance.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are partially covered by DEVOTED DUAL CHOICE FULL 008 NE (PPO D-SNP) with no coinsurance and require prior authorization, with no prior 3-day inpatient hospital stay required. There is no copay for days 1 through 20 and a $218 daily copay for days 21 through 100, but additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
Other Services are partially covered by the DEVOTED DUAL CHOICE FULL 008 NE (PPO D-SNP) plan, featuring no copay and no coinsurance for additional preventive services and over-the-counter (OTC) items up to $50 every three months. Acupuncture, meal benefits, and dual eligible SNPs with highly integrated services are not covered.
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