Devoted BEWELL PLUS Arizona (C-SNP HMO), Maricopa County, AZ
Devoted BEWELL PLUS Arizona, plan H8173-014-0, is a C-SNP Medicare Advantage plan, by Devoted Health. It has a HMO provider network. Delivery of healthcare services and costs are significantly different than in Original Medicare, and the plan offers additional benefits that are not included with Medicare Part A and Part B.
This plan has an overall rating of 4.0 (Good) out of 5 stars. See MedicareWire's review below. You must meet all qualification requirements to join this C-SNP plan.
GET NOTIFIED: 2024 Medicare Special Needs Plan Notification.
What You Need to Know
- Devoted BEWELL PLUS Arizona a private health plan that restricts enrollment to people with special needs based on severe or disabling chronic health conditions.
- To qualify to join this Medicare SNP, you must be diagnosed with the condition(s) above, you must live in Maricopa County, and you must be enrolled in Medicare Part A and Part B.
- This Devoted Health C-SNP plan has a HMO healthcare provider network and includes a Medicare Part D plan for prescription drug coverage.
- The annual Part D deductible is $505.00. You pay this amount before cost-sharing begins.
- As required by Medicare, the plan covers all of the same benefits offered by Medicare Part A and Part B (Original Medicare) but also includes additional benefits not available through Original Medicare.
- Even though Devoted BEWELL PLUS Arizona is required to cover all Medicare Part A and Part B benefits, it is not required to charge the same deductibles and copayments. In some cases, costs may be higher.
- 2024 costs and benefits for Devoted BEWELL PLUS Arizona will be available in early October. Get Notification.
| H8173-014-0 Plan Basics | |
|---|---|
| Plan ID: | H8173-014-0 |
| Plan Type: | C-SNP |
| Network Type: | HMO |
| Plan Year: | 2023 |
| Premium: | $37.50/mo Plus your Part B premium. |
| Health Plan Deductible: | $0.00 |
| Out-of-Pocket Maximum: | $3,200 In-network |
| Drug Plan Benefit: | Enhanced $505.00 deductible |
| Rx Gap Coverage: | Yes |
| Supplemental Benefits: | None |
| Availability: | Maricopa County, AZ |
| Insured By: | Devoted Health |
Health Plan Costs & Benefits
Devoted BEWELL PLUS Arizona is a Health Maintenance Organization (HMO) plan. HMO plan members usually receive health care services through the plan’s local network of providers. Referrals are almost always required to see a specialist and other providers. However, Devoted BEWELL PLUS Arizona does allow out-of-network care for emergencies and out-of-area dialysis.
Premiums, deductibles, and copays vary widely from plan to plan. It is very important to compare costs and apply them to your personal financial and healthcare needs.
Monthly Premium
Devoted BEWELL PLUS Arizona's total monthly premium in Maricopa County is $37.50. This includes your prescription coverage, as well. Plus, you must continue to pay your monthly Medicare Part B premium.
Annual Deductible
Devoted BEWELL PLUS Arizona's annual health plan deductible is $0.00. This does not include the deductible for the prescription drug plan (if any), which is detailed below.
Maximum Out-of-Pocket Limit
The Maximum Out-of-Pocket (MOOP) with this Devoted Health plan is $3,200 in-network. Unlike Original Medicare, Medicare Advantage plans must set an annual Maximum Out-of-Pocket (MOOP) limit on inpatient and outpatient healthcare services. Once you reach this amount of spending on your copayments, all of your Medicare Part A and Part B services will be covered at no additional charge for the remainder of the year. MOOP does not include monthly premiums, prescriptions, or other extra benefits.
Health Plan Out-of-Pocket Costs
The following table is a summary of the most common out-of-pocket costs you will incur if you join this Devoted Health plan:
| Healthcare Service | Member Cost |
|---|---|
| Health plan deductible | $0 |
| Maximum out-of-pocket enrollee responsibility (does not include prescription drugs) | $3,200 In-network |
| Doctor Visits | |
| Specialist | $0-15 copay per visit (referral required) |
| Wellness programs (e.g., fitness, nursing hotline) | Covered |
| Preventive care | $0 copay |
| Mental Health Services | |
| Outpatient individual therapy visit | $0-15 copay (authorization required) |
| Outpatient group therapy visit with a psychiatrist | $0-15 copay (authorization required) |
| Inpatient hospital - psychiatric | $175 per day for days 1 through 7 $0 per day for days 8 through 90 (authorization required) |
| Outpatient individual therapy visit with a psychiatrist | $0-15 copay (authorization required) |
| Rehabilitation Services | |
| Occupational therapy visit | $10-20 copay (referral required) |
| Medical Equipment / Supplies | |
| Durable medical equipment (e.g., wheelchairs, oxygen) | 0-20% coinsurance per item (authorization required) |
| Diabetes supplies | $0 copay (authorization required) |
| Diagnostic Procedures / Lab Services / Imaging | |
| Diagnostic radiology services (e.g., MRI) | $0-100 copay (referral required, authorization required) |
| Outpatient x-rays | $0-15 copay (referral required, authorization required) |
| Lab services | $0 copay (authorization required) |
| Medicare Part B Drugs | |
| Other Part B drugs | 0-20% coinsurance (authorization required) |
| Foot Care (podiatry Services) | |
| Routine foot care | $0 copay |
| Hearing | |
| Hearing aids | $399-699 copay (limits may apply) |
| Fitting/evaluation | $0 copay |
| Preventive Dental | |
| Oral exam | $0 copay (limits may apply) |
| Cleaning | $0 copay (limits may apply) |
| Fluoride treatment | $0 copay (limits may apply) |
| Comprehensive Dental | |
| Diagnostic services | $0 copay (referral required, authorization required, limits may apply) |
| Extractions | $0 copay (referral required, authorization required, limits may apply) |
| Endodontics | $0 copay (referral required, authorization required, limits may apply) |
| Prosthodontics, other oral/maxillofacial surgery, other services | $0 copay (referral required, authorization required, limits may apply) |
| Periodontics | $0 copay (referral required, authorization required, limits may apply) |
| Restorative services | $0 copay (referral required, authorization required, limits may apply) |
| Vision | |
| Routine eye exam | $0 copay (limits may apply) |
| Eyeglass frames | $0 copay (limits may apply) |
| Contact lenses | $0 copay (limits may apply) |
| Upgrades | $0 copay (limits may apply) |
| Other | Not covered |
| Eyeglasses (frames and lenses) | $0 copay (limits may apply) |
| Emergency Care / Urgent Care | |
| Urgent care | $0-15 copay per visit (always covered) |
| Ground ambulance | $225 copay |
| Inpatient hospital coverage | $175 per day for days 1 through 7 $0 per day for days 8 through 90 |
| Outpatient hospital coverage | $0-175 copay per visit |
| Skilled Nursing Facility | $0 per day for days 1 through 20 $184 per day for days 21 through 40 $0 per day for days 41 through 100 |
| Optional supplemental benefits | No |
Feel free to download our Devoted BEWELL PLUS Arizona Summary of Benefits information.
Prescription Drug Plan Costs & Benefits
Devoted BEWELL PLUS Arizona includes an enhanced benefit Medicare Part D plan (PDP). Enhanced plans have a higher actuarial value than basic plans. Actuarial value simply refers to the percentage of cost that's covered by the plan.
Enhanced plans generally have higher monthly premiums than basic benefit plans but offer more benefits. For example, many enhanced PDPs do not have an annual deductible, may offer additional coverage during the coverage gap (aka, "donut hole"), and may have a broader list of supported drugs, known as a formulary. Some enhanced PDPs even cover excluded drugs. It's important to remember that benefits vary from plan to plan.
Prescription Drug Plan Premium
Although the prescription drug plan (Part D) premium is bundled with the total plan cost, some plans have supplemental costs and/or offer low-income subsidy (LIS) assistance. The following table outlines the prescription drug plan premium details of this plan.
| Basic Part D Premium: | $37.50 |
| Supplemental Part D Premium: | $0.00 |
| Total Part D Premium: | $37.50 |
| Part D Premium with Full LIS Assistance: | $0.00 |
| Part D Premium with 75% LIS Assistance: | $9.40 |
| Part D Premium with 50% LIS Assistance: | $18.70 |
| Part D Premium with 25% LIS Assistance: | $28.10 |
For more information about the Low-Income Subsidy (aka, "Extra Help") program, refer to the Social Security Extra Help page.
Prescription Drug Plan Deductible
The Medicare Part D annual deductible with this plan is $505.00. This is the amount you must pay at the pharmacy before Devoted Health begins paying its share.
Prescription Drug Plan Out-of-Pocket Costs
In addition to the plan's monthly premium and deductible, Devoted BEWELL PLUS Arizona has copayments (a fixed dollar amount) and/or coinsurances (a percentage amount) that you must pay when you pick up your prescriptions. The following table shows you those costs.
| Tier | Preferred | Standard |
|---|---|---|
| 1 (Preferred Generic) | N/A | 25% |
| 2 (Generic) | N/A | 25% |
| 3 (Preferred Brand) | N/A | 25% |
| 4 (Non-Preferred Drug) | N/A | 25% |
| 5 (Specialty Tier) | N/A | 25% |
Our Review & 2023 CMS Rating Marks
Each year the Centers for Medicare & Medicaid Services (CMS) rates Medicare Advantage C-SNP's in nine broad categories. MedicareWire does not recommend joining a plan with an overall rating of less than 3.0. (3 stars)
It's not a 5-star C-SNP plan, but its quality of care is better than most Medicare Advantage plans in Arizona. The member experience with this Devoted Health plan is average. Complaints and changes in performance with this plan are average. The plan shines at customer service with an overall excellent mark on this important metric.
| CMS Measure | Star Rating |
|---|---|
| 2023 Overall Rating | |
| Staying Healthy: Screenings, Tests, Vaccines | Plan too new to be measured |
| Managing Chronic (Long Term) Conditions | Plan too new to be measured |
| Member Experience with Health Plan | |
| Complaints and Changes in Plans Performance | |
| Health Plan Customer Service | |
| Drug Plan Customer Service | |
| Complaints and Changes in the Drug Plan | |
| Member Experience with the Drug Plan | |
| Drug Safety and Accuracy of Drug Pricing |
How to Qualify to Enroll in
Devoted BEWELL PLUS Arizona
To be eligible to enroll in Devoted BEWELL PLUS Arizona, you must meet these requirements:
- You are eligible for Medicare;
- You live in Maricopa County (the plan’s service area); and
- You have been diagnosed with one or more severe or disabling chronic conditions.
A disabiling chronic condition (disease) is one that lasts one or more years and requires ongoing medical attention and/or limits activities of daily living. They include:
- Autoimmune disorders
- End-stage renal disease
- Cancer
- Cardiovascular disorders
- Hematologic disorders
- HIV/AIDS
- Chronic heart failure
- Chronic lung disorders
- Neurologic disorders
- Dementia
- Diabetes
- End-stage liver disease
- Neurologic disorders
- Stroke
- Mental health conditions
Additional C-SNP Plan Options
Here are some additional Medicare SNP plans that might be worth reviewing:
- Wellcare Specialty No Premium
- Alignment Health Heart & Diabetes
- UnitedHealthcare Chronic Complete
- SCAN Heart First
- Dialysis Plus
Contact Devoted Health
Call 1-855-728-0510 (TTY 711) to speak with a licensed insurance agent (Mon-Fri, 8am-9pm , Sat 8am-8pm EST) and learn more about this Special Needs Plan and other plans on this site. You may also Enroll Online using our safe and secure online enrollment website or take advantage of the following plan resources:
| Plan Website: | http://www.Devoted.com |
|---|---|
| Formulay Information: | http://www.Devoted.com |
| Pharmacy Information: | Devoted Health Pharmacy Page |
| Prospective Members: | (800)376-5889 |
| TTY Users: | (711)- |
If you qualify for Medicare but have not yet enrolled or verified your enrollment status, you can do so on the Social Security Administration website. You can learn more about the Medicare Advantage program on www.medicare.gov.
Plans Offered
Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross Blue Shield, Aspire Health Plan, Centene Corporation, Dean Health Plan, Devoted Health, GlobalHealth, Health Care Service Corporation, Cigna-HealthSpring, Humana, Molina Healthcare, Mutual of Omaha, Oscar Health Insurance, Premera Blue Cross, Medica Central Health Plan, SCAN Health Plan, Scott and White Health Plan now part of Baylor Scott & White Health, and UnitedHealthcare.
Citations & References
- Devoted Health, http://www.Devoted.com, Last Accessed October 13, 2022
- Medicaid.gov, "Medicaid & CHIP in Arizona", Last Accessed January 20, 2023
- CMS.gov, "Chronic Condition Special Needs Plans (C-SNPs)", Last Accessed January 20, 2023
- CMS.gov, Landscape Source Files, Last Accessed January 21, 2023
- CMS.gov, Medicare Part C & D Performance, Last Accessed January 21, 2023
- CMS.gov, Plan Benefits Package, Last Accessed January 21, 2023