DEVOTED DUAL FULL 041 TX (HMO D-SNP)
Texas Medicare-Medicaid Dual Eligible D-SNP Plan (2026 Plan)
Additional Coverage
HearingVisionDental
Overall Government Star Rating
5.0
out of 5 stars
Plan Name
DEVOTED DUAL FULL 041 TX (HMO D-SNP)
Plan Type
Medicare-Medicaid Dual Eligible Medicare Advantage Plan (D-SNP)
DEVOTED DUAL FULL 041 TX (HMO D-SNP) is a Medicare-Medicaid Dual Eligible Medicare Advantage Plan (D-SNP), which is available in Texas and offered by the health insurance company Devoted Health. This plan’s network type is HMO which determines in-network doctors who accept the health plan and whether a referral is needed.
Annual Deductible
Coming soon
Primary doctor visit
$0 copay
Specialist visit
20% coinsurance
Ambulance
0%-20% coinsurance
DEVOTED DUAL FULL 041 TX (HMO D-SNP) has a monthly premium cost of $5 per month, with an annual deductible of Coming soon and a maximum out of pocket cost sharing of $9,250 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 DUAL FULL 041 TX (HMO D-SNP) are defined below.
Yes
Part D Prescription Drug Coverage
DEVOTED DUAL FULL 041 TX (HMO 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 DUAL FULL 041 TX (HMO D-SNP) includes coverage for hearing, vision, dental.
Medicare Advantage health plans can offer even more additional benefits. DEVOTED DUAL FULL 041 TX (HMO D-SNP) includes coverage for the following additional benefits:
Other benefits
Over the counter drug benefits
Home and bathroom safety devices
Each year the federal government evaluates the quality of Medicare Advantage and Part D Prescription Drug plans based on a 5-star scoring system. For 2026, DEVOTED DUAL FULL 041 TX (HMO D-SNP) received an overall government quality rating of 5.0 stars out of 5 stars.
DEVOTED DUAL FULL 041 TX (HMO D-SNP) performed better than Texas’s State average overall quality score of 4.0 stars.
This Plan’s 5-star Gov’t Quality Score
Texas State Average Score
Overall Government 5 Star Quality Rating
5.0
4.0
Summary rating of health plan quality
Staying healthy: screenings, tests, & vaccines
Managing chronic (long term) conditions
Member experience with health plan
Member complaints & changes in the health plan's performance
Health plan customer service
Summary rating of drug plan quality
Drug plan customer service
Member complaints & changes in the drug plan's performance
Member experience with the drug plan
Drug safety & accuracy of drug pricing
The government calculates an “Overall star rating” based on ratings for sub components including “Health plan star rating” and “Drug plan star rating”, which includes further subcomponents of each.
DEVOTED DUAL FULL 041 TX (HMO D-SNP) received 5 stars for its health plan quality score which is better than the Texas State average health plan quality score of 4.0 stars.
DEVOTED DUAL FULL 041 TX (HMO D-SNP) received 4 stars for its drug plan quality score which is better than the Texas State average drug plan quality score of 3.5 stars.
Health Portion of Premium
Health Plan Max Out-of-Pocket
Nationwide Coverage included
Hearing Coverage included
Doctor Services
Primary doctor visit
In-network: $0 copay
Out-of-network: $0 copay
Specialist visit
In-network: 20% coinsurance
Out-of-network: 20% coinsurance
Tests, labs, & imaging
Diagnostic tests & procedures
In-network: 0%-20% coinsurance
Out-of-network: 0%-20% coinsurance
Lab services
In-network: 20% coinsurance
Out-of-network: 20% coinsurance
Diagnostic radiology services (like MRI)
In-network: 20% coinsurance
Out-of-network: 20% coinsurance
Outpatient x-rays
In-network: 20% coinsurance
Out-of-network: 20% coinsurance
Emergency care
In-network: No Data
Out-of-network: No Data
Urgent care
In-network: No Data
Out-of-network: No Data
Hospital Services
Inpatient hospital coverage
In-network: No Data
Out-of-network: No Data
Outpatient hospital coverage
In-network: 0%-20% coinsurance
Out-of-network: 0%-20% coinsurance
Skilled nursing facility
Skilled nursing facility
In-network: No Data
Out-of-network: No Data
Preventive services
Preventive services
In-network: $0 copay
Out-of-network: $0 copay
Ambulance
Ground ambulance
In-network: 0%-20% coinsurance
Out-of-network: 0%-20% coinsurance
Therapy services
Occupational therapy visit
In-network: 20% coinsurance
Out-of-network: 20% coinsurance
Physical therapy & speech & language therapy visit
In-network: 20% coinsurance
Out-of-network: 20% coinsurance
Mental health services
Outpatient group therapy with a psychiatrist
In-network: 20% coinsurance
Out-of-network: 20% coinsurance
Outpatient individual therapy with a psychiatrist
In-network: 20% coinsurance
Out-of-network: 20% coinsurance
Outpatient group therapy visit
In-network: 20% coinsurance
Out-of-network: 20% coinsurance
Outpatient individual therapy visit
In-network: 20% coinsurance
Out-of-network: 20% coinsurance
Opioid treatment services
Opioid treatment services
Other services
Durable medical equipment (like wheelchairs & oxygen)
In-network: 20% coinsurance
Out-of-network: 20% coinsurance
Prosthetics (like braces, artificial limbs)
In-network: 0%-20% coinsurance
Out-of-network: 0%-20% coinsurance
Diabetes supplies
In-network: 20% coinsurance
Out-of-network: 20% coinsurance
Tier drug costs for: Standard retail pharmacy drug cost for 1-month
| Tiers | Initial coverage phase | Catastrophic coverage phase |
|---|
| Preferred Generic | 25% coinsurance | $0 copay |
| Generic | 25% coinsurance | $0 copay |
| Preferred Brand | 25% coinsurance | $0 copay |
| Non-Preferred Drug | 25% coinsurance | $0 copay |
| Specialty Tier | 25% coinsurance | $0 copay |
Part B Drugs
Chemotherapy drugs
In-network: 0%-20% coinsurance
Out-of-network: 0%-20% coinsurance
Other Part B drugs
In-network: 0%-20% coinsurance
Out-of-network: 0%-20% coinsurance
Hearing
Hearing exam
In-network: $0 copay
Out-of-network: $0 copay
Fitting/evaluation
In-network: $0 copay
Out-of-network: $0 copay
Hearing aids - prescription
In-network: $399-$699 copay
Out-of-network: $399-$699 copay
Hearing aids - over the counter
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
Oral and maxillofacial surgery
In-network: $0 copay
Out-of-network: $0 copay
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
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