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DEVOTED DUAL CHOICE FULL 014 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 014 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 014 AL (PPO D-SNP) in 2026, please refer to our full plan details page.

DEVOTED DUAL CHOICE FULL 014 AL (PPO D-SNP) is a PPO D-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 DUAL CHOICE FULL 014 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 014 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.

Overview IconKey Plan Facts

Below are a few key facts and commonly-asked questions about DEVOTED DUAL CHOICE FULL 014 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 014 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:

Regular visits to your primary care doctor are covered and will have a copay of and coinsurance of 0% (no coinsurance).

Specialist Visits:

Visits to specialists are covered and will have a copay of and coinsurance of 20%. Specialist visits may require a referral from your primary care doctor or prior authorization.

Emergency Room:

Trips to the Emergency Room are covered, and will have a copay of and coinsurance of 0% (no coinsurance). Coverage may vary for in-network and out-of-network hospitals.

Urgent Care:

Trips to Urgent Care arecovered and will have a copay of and coinsurance of 0% - 20%. Coverage may vary for in-network and out-of-network hospitals.

Sign up for DEVOTED DUAL CHOICE FULL 014 AL (PPO D-SNP)

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Drug Coverage IconDrug Coverage

The DEVOTED DUAL CHOICE FULL 014 AL (PPO D-SNP) plan offers an Enhanced Alternative drug benefit with a prescription drug deductible of $615.00 and a Part D premium of $27.70. During the initial coverage phase, you will pay a 25% coinsurance at standard pharmacies and standard mail order for Tier 1 preferred generic, Tier 2 standard generic, Tier 3 preferred brand, and Tier 4 non-preferred drugs. Additionally, there is no copay for Tier 5 specialty tier drugs at standard pharmacies or through standard mail. These initial coverage costs apply until your total drug costs reach $2,100.00. After your yearly out-of-pocket drug costs reach $2,100.00, you enter the catastrophic coverage phase and will pay nothing for Medicare Part D covered drugs.

Additional Benefits IconAdditional Benefits

The DEVOTED DUAL CHOICE FULL 014 AL (PPO D-SNP) plan offers robust core medical coverage with no copay for outpatient services, diagnostic tests, and primary care visits, though a 20% coinsurance typically applies. For hospital stays, members pay a $2,230 copay per acute inpatient stay and a $2,080 copay per psychiatric stay, both with no coinsurance. Emergency care is available with a $115 copay, which is waived if admitted, while skilled nursing facility stays feature no copay for the first 20 days and a $218 daily copay for days 21 through 100. This plan also features valuable supplemental benefits, including a $3,000 annual limit for covered dental services and a $400 annual eyewear allowance with no copay. Routine hearing exams have no copay and a 20% coinsurance, and up to two prescription hearing aids are covered annually with copays between $399 and $699. Additionally, members receive a $50 quarterly allowance for over-the-counter items, though cardiac rehabilitation, routine podiatry, and routine chiropractic care are not covered.

Inpatient Hospital See details

Inpatient hospital services are partially covered by DEVOTED DUAL CHOICE FULL 014 AL (PPO D-SNP), requiring a $2,230 copay per acute stay and a $2,080 copay per psychiatric stay with no coinsurance for either. Non-Medicare-covered stays, acute room upgrades, and additional psychiatric days are not covered.

Outpatient Services See details

DEVOTED DUAL CHOICE FULL 014 AL (PPO D-SNP) covers outpatient services, including outpatient hospital, observation, ambulatory surgical center, substance abuse, and blood services, with no copay. Coinsurance ranges from no coinsurance up to 20% depending on the specific service, and prior authorization is required for most of these treatments.

Partial Hospitalization See details

Partial hospitalization benefits are covered by DEVOTED DUAL CHOICE FULL 014 AL (PPO D-SNP) with no copay and a 20% coinsurance. Prior authorization is required for these services.

Ambulance and Transportation Services See details

Ambulance and Transportation Services are partially covered under the DEVOTED DUAL CHOICE FULL 014 AL (PPO D-SNP) plan, as transportation services to health-related locations are not covered. Covered ground ambulance services require no copay and a 0% to 20% coinsurance, while air ambulance services require no copay and a 20% coinsurance.

Emergency Services See details

DEVOTED DUAL CHOICE FULL 014 AL (PPO D-SNP) 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 are covered with no copay and a 0% to 20% coinsurance up to a maximum of $40, while worldwide emergency services are covered up to a $25,000 maximum limit.

Primary Care See details

Primary Care benefits are partially covered by DEVOTED DUAL CHOICE FULL 014 AL (PPO D-SNP), featuring no copay and a 20% coinsurance for most services, including specialist visits, physical therapy, and psychiatric care. Telehealth and other healthcare professional services range from no coinsurance to 20% coinsurance, while podiatry and routine chiropractic services are not covered.

Preventive Services See details

Preventive services are partially covered by DEVOTED DUAL CHOICE FULL 014 AL (PPO D-SNP) with no copay and no coinsurance for Medicare-covered zero-dollar services. Covered options include annual physicals, fitness programs, and home safety modifications, but the plan does not cover in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge medication reconciliation, re-admission prevention, wigs, therapeutic massage, adult day health, palliative care, in-home support, caregiver support, additional smoking cessation, disease management, telemonitoring, remote access, and counseling.

Hearing Services See details

Hearing services are partially covered by DEVOTED DUAL CHOICE FULL 014 AL (PPO D-SNP), which includes one annual routine hearing exam with a 20% coinsurance and no copay. Up to two prescription hearing aids (all types) are covered each year with a $399 to $699 copay and no coinsurance, while OTC hearing aids and inner-ear, outer-ear, and over-the-ear prescription hearing aids are not covered.

Vision Services See details

DEVOTED DUAL CHOICE FULL 014 AL (PPO D-SNP) covers one routine eye exam per year with no copay and 0% to 20% coinsurance, subject to prior authorization. Additionally, members receive a $400 annual combined maximum benefit for eyewear—including contact lenses, eyeglasses, lenses, frames, and upgrades—with no deductible.

Dental Services See details

DEVOTED DUAL CHOICE FULL 014 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.

Home Infusion bundled Services See details

DEVOTED DUAL CHOICE FULL 014 AL (PPO D-SNP) covers home infusion bundled services with prior authorization, featuring no copay and no coinsurance to 20% coinsurance for chemotherapy, radiation, and other Part B drugs. Medicare Part B insulin drugs are also covered under this benefit with a $35 copay and no coinsurance to 20% coinsurance.

Dialysis Services See details

Dialysis Services are covered by DEVOTED DUAL CHOICE FULL 014 AL (PPO D-SNP) with no copay and a 20% coinsurance. Prior authorization is required to receive these covered services.

Medical Equipment See details

Medical equipment is covered by DEVOTED DUAL CHOICE FULL 014 AL (PPO D-SNP) with no copays, subject to prior authorization. Members will pay a 20% coinsurance for durable medical equipment and diabetic supplies, and between no coinsurance and 20% coinsurance for prosthetics and medical supplies.

Diagnostic and Radiological Services See details

Diagnostic and radiological services are covered by DEVOTED DUAL CHOICE FULL 014 AL (PPO D-SNP) with no copays, though prior authorization is required. Diagnostic procedures and tests range from no coinsurance up to 20% coinsurance, while lab, X-ray, and radiological services require a 20% coinsurance.

Home Health Services See details

Home Health Services are covered under the DEVOTED DUAL CHOICE FULL 014 AL (PPO D-SNP) plan, though prior authorization is required.

Cardiac Rehabilitation Services See details

DEVOTED DUAL CHOICE FULL 014 AL (PPO D-SNP) does not cover Cardiac Rehabilitation Services in practice, as all listed sub-services are excluded from coverage. This means that cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered, and no copayments or coinsurance are available.

Skilled Nursing Facility (SNF) See details

DEVOTED DUAL CHOICE FULL 014 AL (PPO D-SNP) partially 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 while a 3-day inpatient hospital stay is not required before admission, additional days beyond the Medicare-covered limit are not covered.

Other Services See details

DEVOTED DUAL CHOICE FULL 014 AL (PPO D-SNP) partially covers Other Services, offering a $50 quarterly allowance for over-the-counter items and coverage for additional preventive services with no copay or coinsurance. Acupuncture, meal benefits, and dual eligible SNPs with highly integrated services are not covered.

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