Special Needs Plan (Medicare Advantage) · HMO C-SNP · Plan ID H5397-007
DEVOTED C-SNP GIVEBACK EXTRAS 007 HI (HMO C-SNP)
Offered by Devoted Health (Devoted Health, Inc.) · available in 3 counties in HI
Only for people with a qualifying chronic condition the plan names.
Monthly premium$0health + drug coverage
Yearly out-of-pocket max$7,700in network
Drug deductible$700Enhanced Alternative
Star RatingPlan Too New To Be Measured2027 CMS rating
Extra benefits listed in the CMS file
| Part B premium reduction | Gives back $90 a month toward your Part B premium |
|---|---|
| Dental | Preventive and comprehensive dental |
| Vision | routine eye exam; eyewear |
| Hearing | routine hearing exam; hearing aids |
| Over-the-counter items | $110 per quarter allowance |
| Fitness | Fitness benefit (gym membership or program) |
| Home safety | Home 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.
Check the details that matter most
- Is my doctor in the network? (plan's provider directory)
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- Is my pharmacy in the network?
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- See this plan on Medicare.gov, where you can add your prescriptions and compare estimated yearly costs.
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