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Special Needs Plan (Medicare Advantage) · HMO C-SNP · Plan ID H2697-024

DEVOTED C-SNP GIVEBACK EXTRAS 024 OH (HMO C-SNP)

Offered by Devoted Health (Devoted Health, Inc.) · available in 36 counties in OH

Only for people with a qualifying chronic condition the plan names.

Monthly premium$0health + drug coverage
Yearly out-of-pocket max$6,350in network
Drug deductible$700Enhanced Alternative
Star Rating★★★★ 4 out of 52027 CMS rating

Extra benefits listed in the CMS file

Part B premium reductionGives back $110 a month toward your Part B premium
DentalPreventive and comprehensive dental
Visionroutine eye exam; eyewear
Hearingroutine hearing exam; hearing aids
Over-the-counter items$186 per quarter allowance
FitnessFitness benefit (gym membership or program)
Home safetyHome and bathroom safety devices or modifications

Allowances and limits come from the plan's filing with CMS and are simplified here. Some benefits are only for members with certain chronic conditions. The plan's Evidence of Coverage is the final word.

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