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DEVOTED CHOICE MA ONLY 007 AL (PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for DEVOTED CHOICE MA ONLY 007 AL (PPO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on DEVOTED CHOICE MA ONLY 007 AL (PPO) in 2026, please refer to our full plan details page.
DEVOTED CHOICE MA ONLY 007 AL (PPO) is a PPO plan offered by Devoted Health, Inc. available for enrollment in 2025 to people living in Alabama. This plan received an overall rating of 3.5 out of 5 stars in 2026.
It's important to know that DEVOTED CHOICE MA ONLY 007 AL (PPO) is a Medicare Advantage (MA) Plan without drug coverage. That means that this plan covers medical services but doesn't cover prescription drugs. If you are looking for a plan with prescription drug coverage, please search for other MA and PDP plans offered in your area.
Key Plan Facts
Below are a few key facts and commonly-asked questions about DEVOTED CHOICE MA ONLY 007 AL (PPO).
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 CHOICE MA ONLY 007 AL (PPO), 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. Additionally, this plan comes with a Part B Premium reduction of $184.70. You must continue to pay paying your reduced Part B Premium.
Deductibles
This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.
Drugs are not covered by this plan, so a prescription drug deductible is not applicable.
Out-of-Pocket Maximums
This plan has a combined Maximum Out-Of-Pocket cost of $10000.00 (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 $10000.00 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
Prescription drugs are not covered by DEVOTED CHOICE MA ONLY 007 AL (PPO).
Additional Benefits
The DEVOTED CHOICE MA ONLY 007 AL (PPO) plan offers comprehensive coverage for essential medical services, featuring no copays for preventive care and primary care visits, while specialist visits require a copay up to $50. Inpatient hospital stays require a $425 daily copay for the first four days followed by no copay, and emergency room visits carry a $115 copay that is waived if you are admitted. Outpatient services and diagnostic tests are widely covered with low-to-moderate copays, though specialized services like dialysis and durable medical equipment require a 20% coinsurance. For supplemental care, this plan provides a $1,000 annual dental benefit and a $400 annual allowance for eyewear with no copay. Routine hearing exams require a $45 copay, with prescription hearing aids covered at copays between $599 and $899. Note that this plan does not cover transportation, over-the-counter items, or cardiac rehabilitation services.
Inpatient Hospital See details
Inpatient hospital benefits are partially covered by DEVOTED CHOICE MA ONLY 007 AL (PPO), requiring a $425 daily copay for days 1 through 4, no copay for days 5 through 90, and no coinsurance. Non-Medicare-covered stays, acute care upgrades, and additional psychiatric days are not covered under this plan.
Outpatient Services See details
DEVOTED CHOICE MA ONLY 007 AL (PPO) covers outpatient services with no coinsurance, featuring no copay for ambulatory surgical center services and no deductible for outpatient blood services. Outpatient hospital service copays range from no copay to $475, while observation services carry a $425 copay per stay and outpatient substance abuse sessions require a $45 copay.
Partial Hospitalization See details
DEVOTED CHOICE MA ONLY 007 AL (PPO) covers partial hospitalization benefits with a $70.00 copay and no coinsurance. Prior authorization is required for this covered service.
Ambulance and Transportation Services See details
DEVOTED CHOICE MA ONLY 007 AL (PPO) partially covers ambulance and transportation services, as transportation to plan-approved or any health-related locations is not covered. Prior-authorized ground ambulance services require a copay ranging from no copay to $350 with no coinsurance, while air ambulance services require a 20% coinsurance with no copay.
Emergency Services See details
DEVOTED CHOICE MA ONLY 007 AL (PPO) covers emergency services with a $115 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services range from no copay to a $40 copay with no coinsurance, and worldwide emergency services are covered up to $25,000 with copays up to $350 and up to 20% coinsurance.
Primary Care See details
DEVOTED CHOICE MA ONLY 007 AL (PPO) partially covers Primary Care benefits, as routine chiropractic care and podiatry services are not covered. Covered services require no coinsurance, with copays ranging from no copay up to $50 for services such as physical therapy, occupational therapy ($35 copay), and specialist visits ($45 copay).
Preventive Services See details
Preventive services are covered by DEVOTED CHOICE MA ONLY 007 AL (PPO) with no copay and no coinsurance for Medicare-covered preventive services, annual physical exams, and kidney disease education. Additional preventive benefits are partially covered, including fitness and nutritional programs, while services like in-home safety assessments and personal emergency response systems are not covered.
Hearing Services See details
DEVOTED CHOICE MA ONLY 007 AL (PPO) partially covers hearing services, featuring routine hearing exams for a $45 copay and up to two prescription hearing aids per year with a copay between $599 and $899, with no coinsurance required. OTC hearing aids and specific prescription hearing aid types, including inner ear, outer ear, and over-the-ear models, are not covered.
Vision Services See details
DEVOTED CHOICE MA ONLY 007 AL (PPO) covers vision services, offering eye exams with no coinsurance and a copay ranging from no copay to $20. Eyewear is also covered with no copay or coinsurance, providing a combined annual maximum benefit of $400 for contacts, lenses, frames, and upgrades.
Dental Services See details
Dental services are partially covered by DEVOTED CHOICE MA ONLY 007 AL (PPO), excluding maxillofacial prosthetics, implant services, and orthodontics. The plan features a $1,000 annual maximum benefit, with a $45 copay and no coinsurance for Medicare-covered dental, and no copay with coinsurance ranging from no coinsurance to 50% for other covered services.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered under DEVOTED CHOICE MA ONLY 007 AL (PPO) with prior authorization, offering no copay and no coinsurance to 20% coinsurance for chemotherapy, radiation, and other Part B drugs. Covered Part B insulin drugs require a $35 copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
DEVOTED CHOICE MA ONLY 007 AL (PPO) covers Dialysis Services with no copay and a 20% coinsurance. Prior authorization is required to receive these covered services.
Medical Equipment See details
Medical Equipment is partially covered by DEVOTED CHOICE MA ONLY 007 AL (PPO) with no copays, though diabetic therapeutic shoes and inserts are not covered. Durable medical equipment requires a 20% coinsurance, while covered prosthetics, medical supplies, and diabetic supplies range from no coinsurance to 20% coinsurance, with prior authorization required.
Diagnostic and Radiological Services See details
DEVOTED CHOICE MA ONLY 007 AL (PPO) covers diagnostic and radiological services with prior authorization, offering lab services and outpatient X-rays with no copay or coinsurance. Diagnostic tests and radiological services have copays ranging from $0 to $95 and $0 to $300 respectively with no coinsurance, while therapeutic radiological services require a 20% coinsurance and no copay.
Home Health Services See details
Home health services are covered under the DEVOTED CHOICE MA ONLY 007 AL (PPO) plan, although prior authorization is required. Specific copay and coinsurance costs are not detailed in the plan summary.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered under the DEVOTED CHOICE MA ONLY 007 AL (PPO) plan, as cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) for peripheral artery disease (PAD) rehabilitation services are all excluded from coverage.
Skilled Nursing Facility (SNF) See details
DEVOTED CHOICE MA ONLY 007 AL (PPO) covers Skilled Nursing Facility (SNF) services with no copay for days 1 through 20, a $218 daily copay for days 21 through 100, and no coinsurance. Prior authorization is required, and additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
Other Services are partially covered by DEVOTED CHOICE MA ONLY 007 AL (PPO), which provides coverage for additional preventive services not covered by Medicare with no specified copay or coinsurance. However, acupuncture, over-the-counter (OTC) items, meal benefits, and dual eligible SNP services are not covered under this plan.
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