A non-government entity
DEVOTED C-SNP CHOICE PLUS 015 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 015 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 015 AL (PPO C-SNP) in 2026, please refer to our full plan details page.
DEVOTED C-SNP CHOICE PLUS 015 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 PLUS 015 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 015 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 015 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 015 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:
Sign up for DEVOTED C-SNP CHOICE PLUS 015 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 PLUS 015 AL (PPO C-SNP) plan features a $615.00 annual prescription drug deductible for its Basic Alternative benefit. Once the deductible is met, you will pay a $19.00 copay for Tier 1 preferred generics, 25% coinsurance for Tier 2 standard generics and Tier 4 non-preferred drugs, and 31% coinsurance for Tier 3 preferred brands. Notably, Tier 5 specialty drugs are available with no copay when filled at standard pharmacies or through standard mail. After your yearly out-of-pocket drug costs reach $2,100.00, you will enter the catastrophic coverage phase and pay nothing for Medicare Part D covered drugs. Additionally, beneficiaries who qualify for the low-income subsidy, or Extra Help, will see their Part D premium reduced to $27.70.
Additional Benefits
The DEVOTED C-SNP CHOICE PLUS 015 AL (PPO C-SNP) plan offers comprehensive medical coverage with a mix of copays and coinsurance to help manage your healthcare expenses. For inpatient hospital stays, members pay a flat copay of $2,230 for acute care and $2,080 for psychiatric care per stay with no coinsurance. Outpatient services, primary care, and preventive care feature no copays, though some outpatient and specialist visits require coinsurance ranging up to 50%. This plan also includes valuable supplemental benefits to help lower your everyday out-of-pocket costs. You will benefit from no copays and no coinsurance for most dental services up to a $3,000 annual limit, alongside a $300 yearly allowance for eyewear. Additionally, routine hearing exams feature no copay, and prescription hearing aids are covered with copays ranging from $399 to $699.
Inpatient Hospital See details
DEVOTED C-SNP CHOICE PLUS 015 AL (PPO C-SNP) offers partially covered inpatient hospital services, requiring a $2,230 copay per stay and no coinsurance for acute care, and a $2,080 copay per stay and no coinsurance for psychiatric care. Upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
DEVOTED C-SNP CHOICE PLUS 015 AL (PPO C-SNP) covers outpatient services with no copays, though coinsurance and prior authorizations are required for most benefits. Members pay a 0% to 50% coinsurance for outpatient hospital and ambulatory surgical center services, 50% for observation services, and 30% for outpatient substance abuse and blood services.
Partial Hospitalization See details
DEVOTED C-SNP CHOICE PLUS 015 AL (PPO C-SNP) covers partial hospitalization services with a 20% coinsurance and no copay. Prior authorization is required for these covered benefits.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are partially covered under DEVOTED C-SNP CHOICE PLUS 015 AL (PPO C-SNP), featuring ambulance coverage with no copay and coinsurance ranging from no coinsurance to 50% for ground transport and a flat 50% for air transport. Prior authorization is required for ambulance services, and transportation services to health-related locations are not covered.
Emergency Services See details
DEVOTED C-SNP CHOICE PLUS 015 AL (PPO C-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, and worldwide emergency services are covered up to a maximum of $25,000.
Primary Care See details
DEVOTED C-SNP CHOICE PLUS 015 AL (PPO C-SNP) covers primary care benefits with a 30% coinsurance and no copay for most specialist, therapy, and psychiatric services. Telehealth and other professional services range from no coinsurance to 30% coinsurance, while chiropractic services are partially covered because routine chiropractic care is not covered.
Preventive Services See details
Preventive services are covered by DEVOTED C-SNP CHOICE PLUS 015 AL (PPO C-SNP) with no copay and no coinsurance, including annual physical exams and kidney disease education. Additional preventive benefits are partially covered, though sub-services such as in-home safety assessments, personal emergency response systems, caregiver support, and therapeutic massages are not covered.
Hearing Services See details
Hearing services are partially covered by DEVOTED C-SNP CHOICE PLUS 015 AL (PPO C-SNP), excluding OTC hearing aids as well as inner ear, outer ear, and over-the-ear prescription hearing aids. Routine exams and fitting evaluations require a 50% coinsurance with no copay, while covered prescription hearing aids (all types) carry a copay of $399 to $699 and no coinsurance.
Vision Services See details
Vision services are covered by DEVOTED C-SNP CHOICE PLUS 015 AL (PPO C-SNP), featuring one routine eye exam per year with no copay and 0% to 50% coinsurance. The plan also provides a $300 yearly allowance for eyewear, including contacts, lenses, and frames, with no deductible.
Dental Services See details
DEVOTED C-SNP CHOICE PLUS 015 AL (PPO C-SNP) partially covers dental services, providing up to a $3,000 yearly benefit for both in-network and out-of-network care with no copay and no coinsurance for most services. Medicare-covered dental services require a 30% coinsurance and no copay, and while many preventive and comprehensive treatments are covered, maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
DEVOTED C-SNP CHOICE PLUS 015 AL (PPO C-SNP) covers home infusion bundled services with prior authorization, featuring 0% to 20% coinsurance and no copay for chemotherapy, radiation, and other Part B drugs. Medicare Part B insulin drugs are covered under this benefit with a $35 copay and 0% to 20% coinsurance, which counts toward the plan-level deductible.
Dialysis Services See details
DEVOTED C-SNP CHOICE PLUS 015 AL (PPO C-SNP) covers dialysis services with a 20% coinsurance and no copay. Prior authorization is required to receive these covered services.
Medical Equipment See details
DEVOTED C-SNP CHOICE PLUS 015 AL (PPO C-SNP) partially covers medical equipment, as diabetic therapeutic shoes and inserts are not covered. Covered durable medical equipment and diabetic supplies require a 20% coinsurance and no copay, while prosthetics and medical supplies require no coinsurance to 20% coinsurance and no copay.
Diagnostic and Radiological Services See details
DEVOTED C-SNP CHOICE PLUS 015 AL (PPO C-SNP) covers diagnostic and radiological services with no copay, though prior authorization is required. Depending on the service, coinsurance ranges from no coinsurance up to 50% for diagnostic procedures, 50% for lab, diagnostic radiological, and outpatient X-rays, and 20% for therapeutic radiological services.
Home Health Services See details
Home Health Services are covered under the DEVOTED C-SNP CHOICE PLUS 015 AL (PPO C-SNP) plan, though prior authorization is required to receive these benefits.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered under the DEVOTED C-SNP CHOICE PLUS 015 AL (PPO C-SNP) plan. Specifically, the plan does not cover cardiac, intensive cardiac, pulmonary, or SET for PAD rehabilitation services.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are partially covered by DEVOTED C-SNP CHOICE PLUS 015 AL (PPO C-SNP) with prior authorization, featuring no copay for days 1 to 20 and a $218 daily copay for days 21 to 100, with no coinsurance. Additional days beyond the Medicare-covered limit are not covered by this plan.
Other Services See details
Other Services are partially covered by DEVOTED C-SNP CHOICE PLUS 015 AL (PPO C-SNP), which provides a $50 maximum benefit every three months for over-the-counter items, as well as coverage for non-Medicare diabetic shoes and additional preventive services. Acupuncture, meal benefits, and highly integrated Dual Eligible SNP 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