A non-government entity
DEVOTED C-SNP CHOICE 010 AL (PPO C-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for DEVOTED C-SNP CHOICE 010 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 010 AL (PPO C-SNP) in 2026, please refer to our full plan details page.
DEVOTED C-SNP CHOICE 010 AL (PPO C-SNP) is a PPO C-SNP plan offered by Devoted Health, Inc. available for enrollment in 2026 to people living in North 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 010 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 010 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.
Key Plan Facts
Below are a few key facts and commonly-asked questions about DEVOTED C-SNP CHOICE 010 AL (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 010 AL (PPO C-SNP), 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.
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 $395.00 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 $9250.00 (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 $9250.00 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 010 AL (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 010 AL (PPO C-SNP) Medicare plan offers an Enhanced Alternative drug benefit with a $395 prescription drug deductible. After meeting this deductible, you enter the initial coverage phase where Tier 1 preferred generic drugs have no copay at standard pharmacies and through standard mail delivery. During this phase, you will pay a 20% coinsurance for Tier 2 standard generic drugs. For Tier 3 preferred brand drugs and Tier 4 non-preferred drugs, the plan requires a 25% and 26% coinsurance respectively. Once your yearly out-of-pocket drug costs reach $2,100, you enter the catastrophic coverage phase and pay nothing for Medicare Part D covered drugs. Individuals qualifying for the low-income subsidy may also see their Part D premiums reduced to zero.
Additional Benefits
The DEVOTED C-SNP CHOICE 010 AL (PPO C-SNP) plan offers comprehensive medical coverage with predictable out-of-pocket costs, featuring no copay for preventive services and annual physicals. For inpatient hospital stays, members pay a $385 daily copay for the first 6 to 7 days and no copay for subsequent days. Primary care doctor visits range from no copay up to a $50 copay, while specialist visits require a $30 copay. This plan also provides robust supplemental benefits, including up to a $3,500 annual dental maximum with no copay for preventive dental services. Vision benefits feature a $350 annual allowance for eyewear with no copay, while routine hearing exams require a $30 copay. Additionally, members receive a $120 allowance every three months for over-the-counter health items.
Inpatient Hospital See details
Inpatient hospital benefits are partially covered by DEVOTED C-SNP CHOICE 010 AL (PPO C-SNP) with no coinsurance, requiring a $385 daily copay for days 1 to 7 of acute stays and days 1 to 6 of psychiatric stays, and no copay for subsequent days. Upgrades, non-Medicare-covered stays, and additional days for psychiatric stays are not covered.
Outpatient Services See details
Outpatient services are covered by DEVOTED C-SNP CHOICE 010 AL (PPO C-SNP) with no coinsurance. Copays range from no copay for ambulatory surgical center services up to $485 for outpatient hospital services, while observation services cost a $385 copay per stay and outpatient substance abuse sessions require a $30 copay.
Partial Hospitalization See details
Partial hospitalization benefits are covered by DEVOTED C-SNP CHOICE 010 AL (PPO C-SNP) with a $70 copay and no coinsurance. Prior authorization is required for these services.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are partially covered by DEVOTED C-SNP CHOICE 010 AL (PPO C-SNP), as transportation services to health-related locations are not covered. Ground ambulance services require a copay ranging from no copay to $405 and no coinsurance, while air ambulance services require 20% coinsurance and no copay.
Emergency Services See details
Emergency services are covered by DEVOTED C-SNP CHOICE 010 AL (PPO C-SNP) for a $130 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services require no copay to a $45 copay and no coinsurance, while worldwide emergency services are covered up to $25,000 with copays up to $405 and coinsurance up to 20%.
Primary Care See details
Primary care benefits are covered by DEVOTED C-SNP CHOICE 010 AL (PPO C-SNP) with copayments ranging from no copay up to $50 and no coinsurance. Most services are covered, including specialist visits ($30 copay) and telehealth (no copay to $45 copay), though routine chiropractic care is not covered.
Preventive Services See details
Preventive services are partially covered by DEVOTED C-SNP CHOICE 010 AL (PPO C-SNP), offering Medicare-covered zero-dollar preventive services, annual physical exams, and fitness benefits with no copay and no coinsurance. However, the plan does not cover in-home safety assessments, personal emergency response systems (PERS), post-discharge medication reconciliation, readmission prevention, chemotherapy wigs, therapeutic massage, adult day health, home-based palliative care, in-home support, caregiver support, additional smoking cessation counseling, enhanced disease management, telemonitoring, remote access technologies, or counseling services.
Hearing Services See details
DEVOTED C-SNP CHOICE 010 AL (PPO C-SNP) partially covers hearing services with no deductibles or coinsurance. Routine hearing exams require a $30 copay (limited to one per year), and covered prescription hearing aids have a copay between $199 and $499 (limited to two per year), but OTC hearing aids as well as inner ear, outer ear, and over the ear prescription hearing aids are not covered.
Vision Services See details
Vision services are covered by DEVOTED C-SNP CHOICE 010 AL (PPO C-SNP), which includes one routine eye exam per year with a copay ranging from no copay to $30 and no coinsurance. Members also receive a $350 annual maximum benefit for eyewear, including contacts and eyeglasses, with no deductible, no copay, and no coinsurance.
Dental Services See details
DEVOTED C-SNP CHOICE 010 AL (PPO C-SNP) partially covers dental services up to a $3,500 annual maximum, excluding maxillofacial prosthetics, implant services, and orthodontics. Medicare-covered dental services require a $30 copay and no coinsurance, while preventive services have no copay and no coinsurance, and comprehensive services require no copay and 0% to 50% coinsurance.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered by DEVOTED C-SNP CHOICE 010 AL (PPO C-SNP) with prior authorization, though Part D home infusion drugs as part of a bundled service are not covered. Covered Medicare Part B insulin drugs require a $35 copay and no coinsurance to 20% coinsurance, while chemotherapy, radiation, and other Part B drugs have no copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
Dialysis services are covered by DEVOTED C-SNP CHOICE 010 AL (PPO C-SNP) with no copay and 20% coinsurance, although prior authorization is required.
Medical Equipment See details
Medical equipment is covered by DEVOTED C-SNP CHOICE 010 AL (PPO C-SNP) with no copays, though diabetic equipment is only partially covered because diabetic therapeutic shoes and inserts are not covered. Covered durable medical equipment requires a 20% to 35% coinsurance, while prosthetics, medical supplies, and diabetic supplies range from no coinsurance up to 20% or 40% coinsurance.
Diagnostic and Radiological Services See details
DEVOTED C-SNP CHOICE 010 AL (PPO C-SNP) covers diagnostic and radiological services, requiring prior authorization for all care. There is no coinsurance for lab services and outpatient X-rays (both have no copay), diagnostic tests ($0 to $95 copay), and diagnostic radiological services ($0 to $300 copay), while therapeutic radiological services require a 20% coinsurance and no copay.
Home Health Services See details
Home Health Services are covered by the DEVOTED C-SNP CHOICE 010 AL (PPO C-SNP) plan, though prior authorization is required. Specific copay and coinsurance information for these services is not detailed in the plan's benefit summary.
Cardiac Rehabilitation Services See details
DEVOTED C-SNP CHOICE 010 AL (PPO C-SNP) does not cover Cardiac Rehabilitation Services, meaning there is no plan coverage, copay, or coinsurance for cardiac, intensive cardiac, pulmonary, or supervised exercise therapy (SET) rehabilitation.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are partially covered by DEVOTED C-SNP CHOICE 010 AL (PPO C-SNP), as additional days beyond the Medicare-covered limit are not covered. Covered stays require prior authorization and feature no copay or coinsurance for days 1 through 20, followed by a $218 daily copay and no coinsurance for days 21 through 100.
Other Services See details
DEVOTED C-SNP CHOICE 010 AL (PPO C-SNP) partially covers Other Services, offering a $120 allowance every three months for over-the-counter (OTC) items, as well as coverage for non-Medicare diabetic shoes and additional preventive services. Acupuncture, meal benefits, and highly integrated dual-eligible services are not covered under this plan.
Get Personalized Help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
*/SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
MedicareAdvantageRX.com is owned and operated by Dog Media Solutions LLC.
This is a promotional communication.
Every year, Medicare evaluates plans based on a 5-star rating system.
Part B premium reduction is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be lower. Deductibles, copays and coinsurance may apply.
* 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.
Enrollment in Medicare/Medicare Advantage may be limited to certain times of the year unless you qualify for a Special Enrollment Period
We do not offer every plan available in your area. Currently, we represent 18 organizations, which offer 52,101 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
We represent Medicare Advantage HMO, PPO and PFFS organizations and stand-alone PDP prescription drug plans that are contracted with Medicare. Enrollment depends on the plan's contract renewal.
Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply.
Please contact Medicare.gov ,1-800-MEDICARE , or your local State Health Insurance Program (SHIP) to get information on all of your options.
Medicare has neither approved nor endorsed any information on this site.
Speak with a licensed insurance agent: 1-877-649-2073 / TTY 711 | 8am - 11pm ET | 7 days a week
© 2023 Dog Media Solutions LLC. All rights reserved