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DEVOTED DUAL CHOICE FULL 013 AL (PPO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for DEVOTED DUAL CHOICE FULL 013 AL (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 013 AL (PPO D-SNP) in 2026, please refer to our full plan details page.
DEVOTED DUAL CHOICE FULL 013 AL (PPO D-SNP) is a PPO D-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 DUAL CHOICE FULL 013 AL (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 013 AL (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 013 AL (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 013 AL (PPO D-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 $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 013 AL (PPO D-SNP) plan features an annual prescription drug deductible of $615. During the initial coverage phase, which lasts until total drug costs reach $2,100, you will pay a 25% coinsurance for standard pharmacy and standard mail orders across Tiers 1 through 4. For Tier 5 specialty drugs, there is no copay at standard pharmacies or through standard mail. Once your yearly out-of-pocket drug costs reach $2,100, you enter the catastrophic coverage phase and pay nothing for covered Part D drugs. Additionally, individuals who qualify for the low-income subsidy may see their Part D premium reduced to $27.70. This plan provides structured cost-sharing to help beneficiaries manage their prescription medication expenses.
Additional Benefits
The DEVOTED DUAL CHOICE FULL 013 AL (PPO D-SNP) plan offers comprehensive medical coverage, featuring inpatient hospital stays with copays starting at $2,080 and no coinsurance. Outpatient services, primary care, and specialist visits generally feature no copays, though coinsurance ranges from 0% to 20% depending on the service. Emergency care is available with a $115 copay, which is waived upon admission, while urgent care services require no copay. For additional care, the plan provides routine eye exams and eyewear with no copays, alongside dental coverage up to a $3,000 annual limit. Hearing exams require no copay and a 20% coinsurance, while prescription hearing aids carry a copay between $399 and $699. Additionally, members benefit from a $50 quarterly over-the-counter allowance and skilled nursing facility care with no copay for the first 20 days.
Inpatient Hospital See details
Inpatient hospital care is partially covered under the DEVOTED DUAL CHOICE FULL 013 AL (PPO D-SNP) plan, 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. Non-Medicare-covered stays, upgrades, and additional psychiatric days are not covered under this plan.
Outpatient Services See details
DEVOTED DUAL CHOICE FULL 013 AL (PPO D-SNP) covers outpatient services with no copay and a coinsurance ranging from no coinsurance up to 20% depending on the service. These covered benefits include outpatient hospital, observation, ambulatory surgical center, substance abuse, and blood services, most of which require prior authorization.
Partial Hospitalization See details
Partial hospitalization is covered under the DEVOTED DUAL CHOICE FULL 013 AL (PPO D-SNP) plan with a 20% coinsurance and no copay. Prior authorization is required to receive these services.
Ambulance and Transportation Services See details
Ambulance services are covered by DEVOTED DUAL CHOICE FULL 013 AL (PPO D-SNP) with no copay, requiring a 0% to 20% coinsurance for ground transport and a 20% coinsurance for air transport, while transportation services are not covered.
Emergency Services See details
Emergency services are covered by DEVOTED DUAL CHOICE FULL 013 AL (PPO D-SNP) with a $115 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services are covered with no copay and a 0% to 20% coinsurance up to $40 per visit, and worldwide emergency, urgent, and transportation services are covered up to a $25,000 maximum limit.
Primary Care See details
DEVOTED DUAL CHOICE FULL 013 AL (PPO D-SNP) partially covers Primary Care benefits with no copays and coinsurance ranging from 0% to 20% for covered services like specialist visits, physical therapy, and mental health. However, routine chiropractic care and podiatry services are not covered under this plan.
Preventive Services See details
Preventive services under DEVOTED DUAL CHOICE FULL 013 AL (PPO D-SNP) are partially covered with no copays or coinsurance for annual physical exams, fitness benefits, and glaucoma screenings. However, several sub-services are not covered, including in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge medication reconciliation, re-admission prevention, wigs, therapeutic massage, adult day health, home-based palliative care, in-home support, caregiver support, tobacco cessation counseling, disease management, telemonitoring, remote access technologies, and counseling.
Hearing Services See details
Hearing services are partially covered by DEVOTED DUAL CHOICE FULL 013 AL (PPO D-SNP), excluding OTC hearing aids as well as inner ear, outer ear, and over-the-ear prescription hearing aids. Covered routine exams and fitting evaluations require a 20% coinsurance and no copay, while covered prescription hearing aids require a $399 to $699 copay and no coinsurance.
Vision Services See details
DEVOTED DUAL CHOICE FULL 013 AL (PPO D-SNP) covers vision services, including one routine eye exam per year with no copay and coinsurance ranging from no coinsurance to 20%. Covered eyewear, including contacts and eyeglasses, has no copay or coinsurance up to a combined maximum plan benefit of $400 per year.
Dental Services See details
DEVOTED DUAL CHOICE FULL 013 AL (PPO D-SNP) partially covers dental services, excluding maxillofacial prosthetics, implant services, and orthodontics. Medicare-covered dental services require a 20% coinsurance and no copay, while other covered dental services are subject to a $3,000 annual maximum benefit for both in-network and out-of-network care.
Home Infusion bundled Services See details
Home infusion bundled services are covered by DEVOTED DUAL CHOICE FULL 013 AL (PPO D-SNP), with prior authorization required. 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 the DEVOTED DUAL CHOICE FULL 013 AL (PPO D-SNP) plan with 20% coinsurance and no copay. Prior authorization is required to receive these services.
Medical Equipment See details
Medical equipment benefits are covered by DEVOTED DUAL CHOICE FULL 013 AL (PPO D-SNP) with no copays required for any services. Durable medical equipment and diabetic equipment have a 20% coinsurance, while prosthetics and medical supplies range from no coinsurance to 20% coinsurance.
Diagnostic and Radiological Services See details
DEVOTED DUAL CHOICE FULL 013 AL (PPO D-SNP) covers diagnostic and radiological services with no copay, subject to prior authorization. Covered diagnostic procedures and tests require between no coinsurance and 20% coinsurance, while lab, radiological, and outpatient X-ray services carry a 20% coinsurance.
Home Health Services See details
Home Health Services are covered by the DEVOTED DUAL CHOICE FULL 013 AL (PPO D-SNP) plan, though prior authorization is required before receiving care. While these services are covered, specific copay and coinsurance amounts are not detailed in this plan benefit overview.
Cardiac Rehabilitation Services See details
DEVOTED DUAL CHOICE FULL 013 AL (PPO D-SNP) does not cover Cardiac Rehabilitation Services, including intensive cardiac, pulmonary, and supervised exercise therapy (SET) rehabilitation. Since these services are not covered by the plan, there are no copayments or coinsurance benefits available for them.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by DEVOTED DUAL CHOICE FULL 013 AL (PPO D-SNP) with prior authorization, featuring no copay for days 1 to 20, a $218 daily copay for days 21 to 100, and no coinsurance. The benefit is partially covered because additional days beyond the Medicare-covered limit are not covered, though a prior 3-day inpatient hospital stay is not required.
Other Services See details
DEVOTED DUAL CHOICE FULL 013 AL (PPO D-SNP) partially covers Other Services, offering a $50 quarterly allowance for over-the-counter items and coverage for additional non-Medicare preventive services with no copays or coinsurance specified. Acupuncture, meal benefits, and highly integrated dual-eligible SNP services are not covered.
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