A non-government entity
DEVOTED C-SNP 007 NM (HMO C-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for DEVOTED C-SNP 007 NM (HMO 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 007 NM (HMO C-SNP) in 2026, please refer to our full plan details page.
DEVOTED C-SNP 007 NM (HMO C-SNP) is a HMO C-SNP plan offered by Devoted Health, Inc. available for enrollment in 2026 to people living in Southern New Mexico. The overall rating for this plan is not yet available for 2026.
It's important to know that DEVOTED C-SNP 007 NM (HMO 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 007 NM (HMO 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 007 NM (HMO 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 007 NM (HMO 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 $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 Maximum Out-Of-Pocket cost of $4300.00 for out-of-network services. You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $0.00 for in-network covered services, the plan will pay 100% of in-network covered costs for the rest of the year.
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 007 NM (HMO 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 prescription drug coverage for the DEVOTED C-SNP 007 NM (HMO C-SNP) Medicare plan features an annual drug deductible of $615. Under this plan, Tier 6 Select Care Drugs are covered with no copay for standard pharmacy and mail-order prescriptions. For Tier 1 Preferred Generics, you will pay an $18 copay for a 1-month supply, while Tier 2 Generics require a $20 copay per month through standard services. Higher tier medications on this plan are subject to cost-sharing through coinsurance rather than flat copays. Tier 3 Preferred Brands carry a 23% coinsurance, Tier 4 Non-Preferred Drugs require 26% coinsurance, and Tier 5 Specialty Tier drugs have a 25% coinsurance for a 1-month supply. These standard pharmacy and mail-order rates help you estimate your out-of-pocket prescription costs with the DEVOTED C-SNP 007 NM (HMO C-SNP) plan.
Additional Benefits
The DEVOTED C-SNP 007 NM (HMO C-SNP) plan offers robust coverage for core medical services, featuring no copay for primary care physician visits, home health services, and laboratory tests. Inpatient hospital stays require a $230 daily copay for days 1 through 6 followed by no copay for days 7 through 90, while emergency room visits carry a $130 copay. Skilled nursing facility stays are also covered with no copay for the first 20 days and a $218 daily copay for days 21 through 100. For extra wellness benefits, this plan provides comprehensive dental care with no copay up to a $3,000 annual limit, alongside eyewear coverage with no copay up to a $300 annual maximum. Routine hearing exams carry a $30 copay, with prescription hearing aids costing between a $399 and $699 copay. Additionally, members receive an over-the-counter allowance of $50 every three months and pay no copay for medical equipment, though durable medical equipment requires a 20% to 50% coinsurance.
Inpatient Hospital See details
DEVOTED C-SNP 007 NM (HMO C-SNP) covers inpatient hospital services with no coinsurance, requiring a $230 copay per day for days 1 through 6 and no copay for days 7 through 90 per stay. This benefit is partially covered because prior authorization is required, and non-Medicare-covered stays, upgrades, and additional psychiatric days are not covered.
Outpatient Services See details
DEVOTED C-SNP 007 NM (HMO C-SNP) outpatient services are covered with no coinsurance, featuring no copay for ambulatory surgical center and outpatient blood services. Outpatient hospital services require a copay of $0 to $330, observation services have a $230 copay per stay, and outpatient substance abuse sessions carry a $30 copay.
Partial Hospitalization See details
DEVOTED C-SNP 007 NM (HMO C-SNP) covers partial hospitalization services with a $105.00 copay and no coinsurance. Prior authorization is required for this covered benefit.
Ambulance and Transportation Services See details
DEVOTED C-SNP 007 NM (HMO C-SNP) covers ground ambulance services with a copay of $0.00 to $420.00 and no coinsurance, and air ambulance services with a 20% coinsurance and no copay, with prior authorization required for both. While some transportation services are covered, transportation to plan-approved health-related locations and any health-related locations is not covered.
Emergency Services See details
Emergency services are covered by DEVOTED C-SNP 007 NM (HMO C-SNP) with a $130 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services feature no copay to a $45 copay with no coinsurance, while worldwide emergency services are covered up to $25,000 and carry a $130 copay (no coinsurance) for emergency or urgent care and a $420 copay plus 20% coinsurance for emergency transportation.
Primary Care See details
DEVOTED C-SNP 007 NM (HMO C-SNP) provides primary care physician services with no copay and no coinsurance, while specialist visits, mental health, and podiatry services carry a $30 copay with no coinsurance. Physical and occupational therapy services require a $30 to $50 copay with no coinsurance, telehealth benefits range from a $0 to $45 copay, and chiropractic services are not covered.
Preventive Services See details
Preventive Services under the DEVOTED C-SNP 007 NM (HMO C-SNP) are partially covered with no copay and no coinsurance for services like annual physical exams, kidney disease education, and fitness benefits. However, several additional benefits are not covered, including in-home support, personal emergency response systems (PERS), therapeutic massage, and telemonitoring.
Hearing Services See details
Hearing Services are partially covered by DEVOTED C-SNP 007 NM (HMO C-SNP), offering routine hearing exams for a $30 copay and no coinsurance, and up to two prescription hearing aids per year for a $399 to $699 copay and no coinsurance. 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 partially covered by DEVOTED C-SNP 007 NM (HMO C-SNP), offering eye exams with a copay ranging from no copay to $30 and no coinsurance, though other eye exam services are not covered. Eyewear is covered with no copay and no coinsurance up to a $300 annual maximum for contacts, eyeglasses, frames, and upgrades.
Dental Services See details
Dental services are partially covered by DEVOTED C-SNP 007 NM (HMO C-SNP), featuring a $3,000 annual maximum with no copay and no coinsurance for covered preventive and comprehensive services, while Medicare-covered dental has a $30 copay and no coinsurance. Sub-services that are not covered under this plan include other diagnostic dental, other preventive dental, maxillofacial prosthetics, implant services, and orthodontics.
Home Infusion bundled Services See details
DEVOTED C-SNP 007 NM (HMO C-SNP) covers Home Infusion bundled Services with no copay, though prior authorization is required. Associated Medicare Part B drugs—including chemotherapy, insulin, and other drugs—carry a coinsurance ranging from no coinsurance to 20% coinsurance, with insulin also having a $35 copay.
Dialysis Services See details
Dialysis services are covered under the DEVOTED C-SNP 007 NM (HMO C-SNP) plan with no copay and a 20% coinsurance. Prior authorization is required to receive this benefit.
Medical Equipment See details
DEVOTED C-SNP 007 NM (HMO C-SNP) covers medical equipment with no copay, although prior authorization is required. Durable medical equipment requires a 20% to 50% coinsurance, while covered prosthetics, medical supplies, and diabetic supplies range from no coinsurance up to 20% or 50% coinsurance. Diabetic therapeutic shoes and inserts are not covered under this plan.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by DEVOTED C-SNP 007 NM (HMO C-SNP), though prior authorization is required. Lab services and outpatient X-rays feature no copay or coinsurance, diagnostic procedures and tests range from a $0 to $95 copay with no coinsurance, and therapeutic radiological services require a 20% coinsurance.
Home Health Services See details
Home Health Services are covered by DEVOTED C-SNP 007 NM (HMO C-SNP) with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered by DEVOTED C-SNP 007 NM (HMO C-SNP) with no coinsurance and prior authorization required, though only some services are covered. Standard cardiac rehabilitation, intensive cardiac rehabilitation, and pulmonary rehabilitation services (each with a $30 copay), as well as SET for PAD services (with a $25 copay), are not covered.
Skilled Nursing Facility (SNF) See details
DEVOTED C-SNP 007 NM (HMO C-SNP) covers Skilled Nursing Facility (SNF) services with no coinsurance, requiring no copay for days 1 through 20 and a $218 daily copay for days 21 through 100. Prior authorization is required, and additional days beyond the standard Medicare-covered 100 days are not covered.
Other Services See details
DEVOTED C-SNP 007 NM (HMO C-SNP) partially covers other services, offering over-the-counter (OTC) items up to $50 every three months, diabetic shoes, and additional preventive services with no copay and no coinsurance. Acupuncture and meal benefits 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