Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for DEVOTED C-SNP CHOICE PREMIUM 009 AL (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 009 AL (PPO C-SNP) in 2026, please refer to our full plan details page.
DEVOTED C-SNP CHOICE PREMIUM 009 AL (PPO C-SNP) is a PPO C-SNP plan offered by Devoted Health, Inc. available for enrollment in 2026 to people living in Central and South Alabama. 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 009 AL (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 009 AL (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.
Below are a few key facts and commonly-asked questions about DEVOTED C-SNP CHOICE PREMIUM 009 AL (PPO C-SNP).
The cost of a Medicare Advantage Plan is made up of four main parts.
For DEVOTED C-SNP CHOICE PREMIUM 009 AL (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.
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The DEVOTED C-SNP CHOICE PREMIUM 009 AL (PPO C-SNP) plan features a yearly prescription drug deductible of $615.00, which may be reduced to a $27.70 premium for individuals qualifying for Extra Help. After meeting this deductible, you enter the initial coverage phase where you pay copays or coinsurance for covered medications until your total drug costs reach $2,100.00. During the initial coverage phase at standard retail or mail-order pharmacies, Tier 1 preferred generics require a $19.00 copay, while Tier 5 specialty drugs have no copay. Other tiers require coinsurance, ranging from 21% for standard generics to 33% for preferred brands. Once your yearly out-of-pocket drug costs reach $2,100.00, you enter the catastrophic coverage phase and pay nothing for covered Part D drugs.
The DEVOTED C-SNP CHOICE PREMIUM 009 AL (PPO C-SNP) plan offers comprehensive medical coverage with predictable cost-sharing, featuring no copay up to a $50 copay for primary care and specialist visits. Inpatient hospital stays require a $370 daily copay for the first seven days and no copay thereafter, while outpatient services are covered with no coinsurance and copays up to $470. Emergency room visits carry a $130 copay, which is waived if you are admitted, and urgent care ranges from no copay to a $45 copay. For routine care, the plan provides essential vision, dental, and hearing benefits, including a $300 annual eyewear allowance and routine eye exams with no copay or a low copay. Covered dental services are subject to a $2,000 annual maximum limit, while prescription hearing aids require copays between $399 and $699 with no coinsurance. Additionally, members benefit from no copay on lab services and a $50 over-the-counter allowance every three months, though transportation and cardiac rehabilitation are not covered.
DEVOTED C-SNP CHOICE PREMIUM 009 AL (PPO C-SNP) partially covers inpatient hospital services, as upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered. Covered acute stays require a $370 daily copay for days 1 to 7 and no copay for days 8 to 90, while psychiatric stays require a $370 daily copay for days 1 to 5 and no copay for days 6 to 90, with no coinsurance for either service.
Outpatient services are covered by DEVOTED C-SNP CHOICE PREMIUM 009 AL (PPO C-SNP) with no coinsurance, featuring copays ranging from $0 to $470 for outpatient hospital services, a $370 copay per stay for observation services, and a $35 copay for outpatient substance abuse sessions. Ambulatory surgical center and outpatient blood services are covered with no copay, though prior authorization is required for most services.
DEVOTED C-SNP CHOICE PREMIUM 009 AL (PPO C-SNP) covers partial hospitalization benefits with a $60.00 copay and no coinsurance. Prior authorization is required to receive these services.
Ambulance and Transportation Services are partially covered by DEVOTED C-SNP CHOICE PREMIUM 009 AL (PPO C-SNP), as transportation services to plan-approved or any health-related locations are not covered. For covered ambulance services which require prior authorization, ground ambulance costs range from no copay to a $405 copay plus coinsurance, while air ambulance services require a 20% coinsurance and a copay.
Emergency services are covered by DEVOTED C-SNP CHOICE PREMIUM 009 AL (PPO C-SNP) with a $130 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 $45 copay with no coinsurance. Worldwide emergency services are covered up to a $25,000 limit, with a $130 copay and no coinsurance for emergency or urgent care, and a $405 copay with 20% coinsurance for emergency transportation.
Primary care and specialist services are covered by DEVOTED C-SNP CHOICE PREMIUM 009 AL (PPO C-SNP) with copays ranging from no copay up to $50 and no coinsurance. Chiropractic services are partially covered by the plan, as routine chiropractic care is not covered.
DEVOTED C-SNP CHOICE PREMIUM 009 AL (PPO C-SNP) partially covers preventive services, offering Medicare-covered zero-dollar services with no copay, alongside annual physicals and fitness benefits. However, the plan does not cover in-home safety assessments, personal emergency response systems (PERS), post-discharge medication reconciliation, readmission prevention, wigs, therapeutic massage, adult day health, home-based palliative care, in-home support, caregiver support, additional smoking cessation, enhanced disease management, telemonitoring, remote access, or counseling services.
DEVOTED C-SNP CHOICE PREMIUM 009 AL (PPO C-SNP) partially covers hearing services, featuring routine hearing exams with a $35 copay and no coinsurance, and prescription hearing aids (all types) with a $399 to $699 copay and no coinsurance. OTC hearing aids, as well as inner ear, outer ear, and over-the-ear prescription hearing aids, are not covered.
DEVOTED C-SNP CHOICE PREMIUM 009 AL (PPO C-SNP) covers vision services, including one annual routine eye exam with a $0 to $35 copay and no coinsurance. Additionally, members receive a $300 annual allowance for eyewear, contacts, and upgrades with no deductible, no copay, and no coinsurance.
DEVOTED C-SNP CHOICE PREMIUM 009 AL (PPO C-SNP) dental services are partially covered, with Medicare-covered dental services requiring a $35 copay and no coinsurance. Other covered services are subject to a $2,000 annual maximum limit for both in-network and out-of-network care, though maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services are covered by DEVOTED C-SNP CHOICE PREMIUM 009 AL (PPO C-SNP) with prior authorization required. These services, including chemotherapy, radiation, and other Part B drugs, feature no copay and a coinsurance ranging from no coinsurance to 20%, while Medicare Part B insulin drugs require a $35 copay and no coinsurance to 20% coinsurance.
Dialysis Services are covered by DEVOTED C-SNP CHOICE PREMIUM 009 AL (PPO C-SNP) with no copay and a 20% coinsurance. Prior authorization is required to receive this covered benefit.
Medical Equipment is partially covered under the DEVOTED C-SNP CHOICE PREMIUM 009 AL (PPO C-SNP) plan with no copays, though prior authorization is required and diabetic therapeutic shoes or inserts are not covered. Covered services require coinsurance ranging from 20% to 50% for durable medical equipment, no coinsurance to 20% for prosthetics and medical supplies, and no coinsurance to 50% for diabetic supplies.
Diagnostic and Radiological Services are covered under the DEVOTED C-SNP CHOICE PREMIUM 009 AL (PPO C-SNP) plan, with prior authorization required for services. Members pay no copay and no coinsurance for lab and outpatient X-ray services, a $0 to $95 copay with no coinsurance for diagnostic tests, a copay of up to $300 with no coinsurance for diagnostic radiological services, and a 20% coinsurance with no copay for therapeutic radiological services.
DEVOTED C-SNP CHOICE PREMIUM 009 AL (PPO C-SNP) covers Home Health Services, but prior authorization is required to access these benefits. Specific copay and coinsurance details are not provided in the plan summary.
Cardiac Rehabilitation Services are not covered under the DEVOTED C-SNP CHOICE PREMIUM 009 AL (PPO C-SNP) plan. While the plan technically lists this benefit category as covered, in practice, none of the sub-services are covered, including Cardiac Rehabilitation, Intensive Cardiac Rehabilitation, Pulmonary Rehabilitation, and SET for PAD Services.
Skilled Nursing Facility (SNF) services are partially covered by DEVOTED C-SNP CHOICE PREMIUM 009 AL (PPO C-SNP), featuring 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 are partially covered by the DEVOTED C-SNP CHOICE PREMIUM 009 AL (PPO C-SNP) plan, providing no copay or coinsurance for diabetic shoes, additional preventive services, and over-the-counter (OTC) items with a $50 allowance every three months. Acupuncture, meal benefits, and highly integrated dual-eligible services are not covered.
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* Benefit(s) mentioned may be part of a special supplemental program for chronically ill members with one of the following conditions: Diabetes mellitus, Cardiovascular disorders, Chronic and disabling mental health conditions, Chronic lung disorders, Chronic heart failure. This is not a complete list of qualifying conditions. Having a qualifying condition alone does not mean you will receive the benefit(s). Other requirements may apply.
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