Health Plan Cost Sharing & Benefits

DEVOTED C-SNP PREMIUM 028 TX is a Health Maintenance Organization (HMO) plan. As an HMO member, you typically receive healthcare services through the plan’s local network of providers, with referrals generally required to see specialists and other providers. However, DEVOTED C-SNP PREMIUM 028 TX does cover out-of-network care for emergencies and out-of-area dialysis.

Prescription Drug Plan Costs & Benefits

Prescription Drug Plan Premium

The following table outlines the prescription drug plan premium details of this plan.

Prescription Drug Plan Deductible

The Medicare Part D annual deductible with this plan is $615.00. This is the amount you must pay at the pharmacy before Devoted Health begins paying its share.

Prescription Drug Plan Out-of-Pocket Costs

In addition to the plan's monthly premium and deductible, DEVOTED C-SNP PREMIUM 028 TX has out-of-pocket costs that you must pay when you pick up your prescriptions. The following table shows you those costs.

5-Star Rating Marks

Each year, Medicare Advantage HMO C-SNPs are rated by the Centers for Medicare & Medicaid Services (CMS) across nine categories using a 5-star system. These star ratings are designed to help you assess the quality of care and service offered by this Devoted Health plan.

Eligibility Criteria for Enrolling in DEVOTED C-SNP PREMIUM 028 TX

To enroll in DEVOTED C-SNP PREMIUM 028 TX, you must meet the following criteria:

1. You are eligible for Medicare;
2. You reside within the plan’s service area; and
3. You have been diagnosed with one or more severe or disabling chronic conditions.

Important Enrollment Periods

Once you’ve confirmed your eligibility for DEVOTED C-SNP PREMIUM 028 TX, it’s crucial to enroll during the appropriate Medicare Enrollment Period to ensure you receive the coverage you need without delay. Depending on your situation, you may need to enroll during one of the following periods:

• Initial Enrollment Period (IEP): The first time you can enroll in Medicare, typically around your 65th birthday.
• Annual Enrollment Period (AEP): Occurs yearly and allows you to make changes to your Medicare coverage.
• Special Enrollment Periods (SEPs): Special circumstances, such as moving or losing other coverage, may qualify you to enroll outside of the usual periods.

For more details on enrollment periods, you can learn more here and make sure you’re well-informed about your Medicare choices.

Contact Devoted Health

If you qualify for Medicare benefits but have not yet enrolled or verified your status, visit Social Security Administration website or Medicare.gov.