Devoted CHOICE DUAL Arkansas (PPO D-SNP)

Arkansas Medicare-Medicaid Dual Eligible D-SNP Plan (2025 Plan)


Monthly Premium

Your Cost
$21
by Devoted Health

Additional Coverage

HearingVisionDental

Overall Government Star Rating

(coming soon)

Ready to Enroll Online?


Plan Name
Devoted CHOICE DUAL Arkansas (PPO D-SNP)
Insurance Carrier
Devoted Health
Plan Type
Medicare-Medicaid Dual Eligible Medicare Advantage Plan (D-SNP)
Network Type
PPO

Devoted CHOICE DUAL Arkansas (PPO D-SNP) is a Medicare-Medicaid Dual Eligible Medicare Advantage Plan (D-SNP), which is available in Arkansas and offered by the health insurance company Devoted Health. This plan’s network type is PPO which determines in-network doctors who accept the health plan and whether a referral is needed.

Monthly Premium
$21
Annual Deductible
$0
Max Out-of-Pocket
$5,400
Primary doctor visit
$0 copay
Specialist visit
$0 or $35 copay per visit
ER visit
$0 or $125 copay per visit (always covered)
Ambulance
$0 or $0-350 copay

Devoted CHOICE DUAL Arkansas (PPO D-SNP) has a monthly premium cost of $21 per month, with an annual deductible of $0 and a maximum out of pocket cost sharing of $9,550 In and Out-of-network $5,400 In-network. The most common benefit costs which people evaluate when choosing a plan are costs for a primary doctor visit, specialist doctor visit, emergency room visit, and ambulance. These costs are listed in this summary section and a full list of benefit costs for Devoted CHOICE DUAL Arkansas (PPO D-SNP) are defined below.

Yes
Part D Prescription Drug Coverage
Yes
Dental
Yes
Vision
Yes
Hearing

Devoted CHOICE DUAL Arkansas (PPO D-SNP) is a Medicare Advantage plan which does include Medicare Part D Prescription Drug coverage. Other common benefits included with Medicare Advantage plans are coverage for dental, vision, and hearing. Devoted CHOICE DUAL Arkansas (PPO D-SNP) includes coverage for hearing, vision, dental.

Medicare Advantage health plans can offer even more additional benefits. Devoted CHOICE DUAL Arkansas (PPO D-SNP) includes coverage for the following additional benefits:

Other benefits

Fitness benefit
Limited coverage
Over the counter drug benefits
Not covered
In-home support services
Not covered
Home and bathroom safety devices
Limited coverage
Meals for short duration
Not covered
Annual physical exams
Limited coverage
Telehealth
Limited coverage

Monthly Premium
$21
Health Portion of Premium
$0
Drug Portion of Premium
$21
Health Plan Deductible
$0
Health Plan Max Out-of-Pocket
$9,550 In and Out-of-network
$5,400 In-network
Nationwide Coverage included
No
Hearing Coverage included
Yes
Vision Coverage included
Yes
Dental Coverage included
Yes
Doctor Lookup Link

Doctor Services

Primary doctor visit
In-network: $0 copay
Out-of-network: $0 copay
Specialist visit
In-network: $0 or $35 copay per visit
Out-of-network: $0-35 copay per visit

Tests, labs, & imaging

Diagnostic tests & procedures
In-network: $0 or $0-95 copay
Out-of-network: $0-95 copay
Lab services
In-network: $0 or $0-20 copay
Out-of-network: $0-20 copay or 20% coinsurance
Diagnostic radiology services (like MRI)
In-network: $0 or $0-300 copay
Out-of-network: $0-300 copay
Outpatient x-rays
In-network: $0 or $0-75 copay
Out-of-network: $0-75 copay
Emergency care
$0 or $125 copay per visit (always covered)
Urgent care
$0 or $0-45 copay per visit (always covered)

Hospital Services

Inpatient hospital coverage
In-network: $0 or $360 per day for days 1 through 6
$0 per day for days 7 through 90
Out-of-network: $360 per day for days 1 through 6
$0 per day for days 7 through 90
Outpatient hospital coverage
In-network: $0 or $0-435 copay per visit
Out-of-network: $0-435 copay per visit

Skilled nursing facility

Skilled nursing facility
In-network: $0 per day for days 1 through 20
$0 or $214 per day for days 21 through 100
Out-of-network: 40% per stay

Preventive services

Preventive services
In-network: $0 copay
Out-of-network: $0 copay

Ambulance

Ground ambulance
In-network: $0 or $0-350 copay
Out-of-network: $0-350 copay or 20% coinsurance

Therapy services

Occupational therapy visit
In-network: $0 or $35-45 copay
Out-of-network: $35-45 copay
Physical therapy & speech & language therapy visit
In-network: $0 or $35-50 copay
Out-of-network: $35-50 copay

Mental health services

Outpatient group therapy with a psychiatrist
In-network: $0 or $35 copay
Out-of-network: $35 copay
Outpatient individual therapy with a psychiatrist
In-network: $0 or $35 copay
Out-of-network: $35 copay
Outpatient group therapy visit
In-network: $0 or $35 copay
Out-of-network: $35 copay
Outpatient individual therapy visit
In-network: $0 or $35 copay
Out-of-network: $35 copay

Opioid treatment services

Opioid treatment services
Covered

Other services

Durable medical equipment (like wheelchairs & oxygen)
In-network: 0% or 0-20% coinsurance per item
Out-of-network: 0-50% coinsurance per item
Prosthetics (like braces, artificial limbs)
In-network: 0% or 0-20% coinsurance per item
Out-of-network: 40% coinsurance per item
Diabetes supplies
In-network: $0 copay
Out-of-network: 40% coinsurance per item

Tier drug costs for: Standard retail pharmacy drug cost for 1-month

TiersInitial coverage phaseCatastrophic coverage phase
Preferred Generic


Generic drugs :
25% coinsurance

Brand-name drugs :
25% coinsurance


Generic drugs :
0% coinsurance

Brand-name drugs :
0% coinsurance

Generic
Preferred Brand
Non-Preferred Drug
Specialty Tier

Part B Drugs

Chemotherapy drugs
In-network: 0% or 0-20% coinsurance
Out-of-network: 40% coinsurance
Other Part B drugs
In-network: 0% or 0-20% coinsurance
Out-of-network: 40% coinsurance

Hearing

Hearing exam
In-network: $0 or $35 copay
Out-of-network: $35 copay
Fitting/evaluation
In-network: $0 copay
Out-of-network: $0 copay
Hearing aids - All types
In-network: $399-699 copay
Out-of-network: $399-699 copay

Preventive Dental

Oral exam
In-network: $0 copay
Out-of-network: $0 copay
Cleaning
In-network: $0 copay
Out-of-network: $0 copay
Fluoride treatment
In-network: $0 copay
Out-of-network: $0 copay
Dental x-rays
In-network: $0 copay
Out-of-network: $0 copay

Comprehensive dental

Restorative services
In-network: $0 copay
Out-of-network: $0 copay
Endodontics
In-network: $0 copay
Out-of-network: $0 copay
Periodontics
In-network: $0 copay
Out-of-network: $0 copay
Prosthodontics, removable
In-network: $0 copay
Out-of-network: $0 copay
Prosthodontics, fixed
In-network: $0 copay
Out-of-network: $0 copay
Maxillofacial prosthetics
Not covered
Implant services
Not covered
Oral and maxillofacial surgery
In-network: $0 copay
Out-of-network: $0 copay
Orthodontics
Not covered
Adjunctive general services
In-network: $0 copay
Out-of-network: $0 copay

Vision

Routine eye exam
In-network: $0 copay
Out-of-network: $0 copay
Contact lenses
In-network: $0 copay
Out-of-network: $0 copay
Eyeglasses (frames & lenses)
In-network: $0 copay
Out-of-network: $0 copay
Eyeglass frames (only)
In-network: $0 copay
Out-of-network: $0 copay
Eyeglass lenses (only)
In-network: $0 copay
Out-of-network: $0 copay
Upgrades
In-network: $0 copay
Out-of-network: $0 copay

When Can I Sign Up for Medicare?

Enter your birthday month and year to learn when you can sign up for different Medicare plan options.

 

 


Ready to Enroll Online?

Please Support Our Sponsor

Advertisement

Medicare Health Plans

Get Advice & Sign Up Help

TTY 711

Speak with a Licensed Insurance Agent

Mon-Fri: 8am - 10pm ET
Sat-Sun: 8am - 9pm ET

Medicare65quote

  • Medicare Advantage Plans
  • Medicare Prescription Drug Plans
  • Medicare Supplement Insurance Plans

No obligation to enroll. Find your plan online or speak with a licensed insurance agent to get help signing up for the right plan for you! See www.medicare65quote.com for our Third-Party Marketing Organization disclaimer.
Insurance Ad -No Government Affiliation

Related Articles
Best Arkansas Medicare Advantage Health Insurance Companies for 2025

In this article we rank Arkansas Medicare Advantage plans based on our evaluation of government 5-star quality scores. Each year the government rates the quality of Medicare Advantage health insurance plans with a 5-star quality score. An overall quality score is assigned to each plan which is based on the scores of various quality metrics.

Read more →