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DEVOTED C-SNP CHOICE PLUS 012 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 PLUS 012 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 PLUS 012 AL (PPO C-SNP) in 2026, please refer to our full plan details page.
DEVOTED C-SNP CHOICE PLUS 012 AL (PPO C-SNP) is a PPO C-SNP plan offered by Devoted Health, Inc. available for enrollment in 2026 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 C-SNP CHOICE PLUS 012 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 PLUS 012 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 PLUS 012 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 PLUS 012 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 has a $990.00 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 C-SNP CHOICE PLUS 012 AL (PPO C-SNP) plan offers a Basic Alternative drug benefit with a $615 prescription drug deductible. Once this deductible is met, you pay set copays or coinsurance until your total drug costs reach $2,100, after which you enter the catastrophic coverage phase and pay nothing for covered Part D drugs. Additionally, beneficiaries who qualify for Extra Help or the low-income subsidy may see their Part D premium reduced to $27.70. Under the initial coverage phase at standard pharmacies or standard mail-order, Tier 1 preferred generics require a $19 copay, while Tier 5 specialty drugs have no copay. Other tiers require coinsurance, specifically 25% for Tier 2 standard generics and Tier 4 non-preferred drugs, and 31% for Tier 3 preferred brands. Reviewing the plan's formulary is highly recommended to confirm the exact tier and cost-sharing for your specific medications.
Additional Benefits
The DEVOTED C-SNP CHOICE PLUS 012 AL (PPO C-SNP) plan offers comprehensive medical coverage with a mix of copays and coinsurance depending on the service. Inpatient hospital stays require a copay of $2,230 for acute care or $2,080 for psychiatric care, while outpatient services and specialist visits feature no copays but require coinsurance up to 50%. Emergency room visits have a $115 copay, which is waived if you are admitted to the hospital, while urgent care visits require no copay and up to 20% coinsurance. For additional care, the plan provides robust dental, vision, and hearing benefits to help lower your out-of-pocket costs. Dental services are covered up to a $3,000 annual limit with no copay and a 30% coinsurance, while routine vision eyewear is covered with no copay or coinsurance up to a $300 yearly limit. Additionally, members benefit from no copays or coinsurance for home health services and receive a $50 quarterly allowance for over-the-counter items.
Inpatient Hospital See details
Inpatient hospital care is partially covered by DEVOTED C-SNP CHOICE PLUS 012 AL (PPO C-SNP), requiring a $2,230 copay per stay with no coinsurance for acute care and a $2,080 copay per stay with no coinsurance for psychiatric care. Prior authorization is required, and upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
Outpatient services are covered by DEVOTED C-SNP CHOICE PLUS 012 AL (PPO C-SNP) with no copays, though prior authorization is required for most services. Members will pay no coinsurance to 50% coinsurance for outpatient hospital and ambulatory surgical center services, 50% coinsurance for observation services, and 30% coinsurance for outpatient blood and substance abuse services.
Partial Hospitalization See details
DEVOTED C-SNP CHOICE PLUS 012 AL (PPO C-SNP) covers partial hospitalization services with a 20% coinsurance and no copay. Prior authorization is required to access these covered benefits.
Ambulance and Transportation Services See details
Ambulance and transportation services are partially covered by DEVOTED C-SNP CHOICE PLUS 012 AL (PPO C-SNP), requiring no copay but a coinsurance of no coinsurance to 50% for ground ambulance and 50% for air ambulance. Transportation services to plan-approved health-related locations and any health-related locations are not covered.
Emergency Services See details
Emergency services are covered by DEVOTED C-SNP CHOICE PLUS 012 AL (PPO C-SNP) with a $115 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services require no copay and a 0% to 20% coinsurance (up to a $40 maximum per visit), while worldwide emergency services, urgent care, and transportation are covered up to a $25,000 maximum plan limit.
Primary Care See details
Primary Care benefits are partially covered by DEVOTED C-SNP CHOICE PLUS 012 AL (PPO C-SNP), as routine chiropractic care is not covered. Most covered services, including specialist, therapy, and mental health visits, require a 30% coinsurance and no copay, while telehealth and other professional services range from no coinsurance to 30% coinsurance with no copay.
Preventive Services See details
Preventive services are partially covered under the DEVOTED C-SNP CHOICE PLUS 012 AL (PPO C-SNP) plan, featuring no copay and no coinsurance for Medicare-covered zero-dollar preventive services. Excluded sub-services that are not covered include 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, extra smoking cessation sessions, enhanced disease management, telemonitoring, remote access technologies, and counseling.
Hearing Services See details
DEVOTED C-SNP CHOICE PLUS 012 AL (PPO C-SNP) partially covers hearing services, including one annual routine exam with a 50% coinsurance, no copay, and no deductible. Up to two prescription hearing aids are covered per year with a copay of $399 to $699 and no coinsurance, but OTC, inner ear, outer ear, and over-the-ear hearing aids are not covered.
Vision Services See details
DEVOTED C-SNP CHOICE PLUS 012 AL (PPO C-SNP) covers vision services, offering annual routine eye exams with no copay and no coinsurance to 50% coinsurance. Eyewear, including lenses, frames, and contacts, is also covered with no copay and no coinsurance up to a $300 yearly maximum limit.
Dental Services See details
DEVOTED C-SNP CHOICE PLUS 012 AL (PPO C-SNP) partially covers dental services, offering up to a $3,000 annual maximum for both in-network and out-of-network care. Medicare-covered dental services require a 30% coinsurance and no copay, while maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
DEVOTED C-SNP CHOICE PLUS 012 AL (PPO C-SNP) covers home infusion bundled services with prior authorization, featuring no copay and coinsurance ranging from none to 20% for chemotherapy, radiation, and other Part B drugs. Medicare Part B insulin drugs are also covered under this benefit with a $35 copay and coinsurance ranging from none to 20%.
Dialysis Services See details
DEVOTED C-SNP CHOICE PLUS 012 AL (PPO C-SNP) covers Dialysis Services with no copay and a 20% coinsurance. Prior authorization is required for these services.
Medical Equipment See details
Medical Equipment is partially covered under the DEVOTED C-SNP CHOICE PLUS 012 AL (PPO C-SNP) plan, as diabetic therapeutic shoes and inserts are not covered. Covered items like durable medical equipment, prosthetics, and diabetic supplies require no copay and feature coinsurance ranging from no coinsurance to 20%.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by DEVOTED C-SNP CHOICE PLUS 012 AL (PPO C-SNP) with no copays, though prior authorization is required. Members will pay no coinsurance to 50% coinsurance for diagnostic tests, 20% coinsurance for therapeutic radiology, and 50% coinsurance for lab services, diagnostic radiology, and outpatient X-rays.
Home Health Services See details
Home health services are covered under the DEVOTED C-SNP CHOICE PLUS 012 AL (PPO C-SNP) plan with no copay and no coinsurance. Prior authorization is required to access these covered services.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered under DEVOTED C-SNP CHOICE PLUS 012 AL (PPO C-SNP). While the plan indicates some services are covered, cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered in practice, meaning there is no copay or coinsurance.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) benefits are covered by DEVOTED C-SNP CHOICE PLUS 012 AL (PPO C-SNP) 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 Medicare-covered limit are not covered.
Other Services See details
Other Services are partially covered by DEVOTED C-SNP CHOICE PLUS 012 AL (PPO C-SNP), offering a $50 quarterly allowance for over-the-counter items, additional preventive services, and non-Medicare diabetic shoes with no copay or coinsurance. Acupuncture, meal benefits, and dual eligible SNPs with highly integrated services are not covered.
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