DEVOTED GIVEBACK 015 PA (HMO) — 2026 Medicare Advantage Prescription Drug Plan
Devoted Health
Plan ID: H6852_015
Very Stable
Monthly Premium
$0
Medical Deductible
N/A
Drug Deductible
$605
Max Out-of-Pocket
$9,250
Key Copays
—
Primary Care
—
Specialist
$115
Emergency Room
$0
Urgent Care
Supplemental Benefits
OTC Allowance: $87/quarter
Benefit Details
Drug Coverage Summary
Drug Deductible
$605
Drug Premium
$0/mo
This plan includes Part D prescription drug coverage. Drug costs depend on which tier your medications fall under. Use our comparison tool to estimate your specific drug costs.
Medical Benefits
Inpatient Hospital
inpatient
Emergency Room
emergency
Urgent Care
urgent_care
Primary Care
primary_care
Specialist
specialist
Outpatient Hospital
outpatient
Dental - Preventive
dental
Dental - Comprehensive
dental
Vision - Eye Exams
vision
Hearing - Exams & Aids
hearing
Counties Served (14)
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