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Special Needs Plan (Medicare Advantage) · PPO C-SNP · Plan ID H7471-013

DEVOTED C-SNP CHOICE PLUS 013 IN (PPO C-SNP)

Offered by Devoted Health (Devoted Health, Inc.) · available in 70 counties in IN

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

Monthly premium$0health + drug coverage
Yearly out-of-pocket max$9,850in network
Drug deductible$461Enhanced Alternative
Star RatingNot Enough Data Available2027 CMS rating

Extra benefits listed in the CMS file

DentalPreventive and comprehensive dental
Visionroutine eye exam; eyewear
Hearingroutine hearing exam; hearing aids
Over-the-counter items$50 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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