DEVOTED C-SNP CHOICE PREMIUM 003 UT (PPO C-SNP)

MAPD
Devoted Health
Monthly Premium
$37.60
Part C
$0.00
Part D
$37.60
Out-of-Pocket Max
$7,800.00
/yr

Key Benefits at a Glance

Dental Up to 

$0

/yr

Vision 

 eyewear allowance

Hearing 

$399

/yr hearing aids

OTC 

$50

/quarter credit

Transport 

Not covered

 rides/year

Fitness 

SilverSneakers

Meals After Hosp 

{meal benefit}

Overall Rating
Part C Rating
Part D Rating

Plan Benefits —
Copays & Cost Sharing

Benefit
In-Network Cost
Primary Care Visit
$0
Specialist Visit
$15 copay
Emergency Room
$130 copay
Urgent Care
Hospital Inpatient (day 1-5)
Mental Health Outpatient
Telehealth
Preventive Visit
$0

Drug Formulary Tiers

404

Medicare Questions About 

Medicare Advantage Prescription Drug HMO

 Plans

Understanding 

Medicare Advantage Prescription Drug HMO

A MAPD HMO bundles your Medicare Advantage coverage with Part D prescription drug coverage into one plan. You get coordinated care through a primary care doctor, network-based coverage, and drug benefits all in one premium. Most Medicare Advantage plans in Utah include drug coverage. This is the HMO version.

Go to Plan Type

HMO vs PPO — Which Is Right for You?

Not sure if this plan is right for you?

Peter Abilla is a licensed Utah Medicare agent. He can walk you through this plan's costs, coverage, and whether your doctors are in-network.

Independent agent. Not affiliated with any insurance carrier.