DEVOTED MA ONLY 020 TX (HMO) Medicare Advantage Plan H7993-020 • 2026 • Guadalupe County, TX

DEVOTED MA ONLY 020 TX Overview

Plan Details for DEVOTED MA ONLY 020 TX

This Medicare Advantage HMO plan provides Medicare Part A and Part B coverage through a network of participating providers. The monthly premium is $0.00, and services are generally covered when received from in-network providers, except in emergency situations.

Primary care visits have a $0 copay, specialist visits come with a $45 copay, urgent care services carry a $0-$40 copay, and ambulance transportation is $0-$350 copay. These costs apply toward the annual out-of-pocket maximum (MOOP) of $9250.00. Once this limit is reached, in-network services are fully covered for the remainder of the year.

This plan is listed by CMS under Plan ID H7993-020. Cost-sharing details are provided below.

Cost Sharing Expenses

DEVOTED MA ONLY 020 TX has cost-sharing, meaning there are out-of-pocket costs when receiving covered healthcare services. The table below details the most common in-network out-of-pocket expenses for plan H7993-020.

Certain preventive services are covered 100% by DEVOTED MA ONLY 020 TX as a Part B benefit.

Prescription Drug Coverage

This plan does not include a Medicare Part D plan for prescriptions.

Medicare Plan Star Ratings

Medicare Advantage (Part C) and Part D plans are rated each year by CMS on a 5-star scale. Ratings summarize plan performance across clinical care and member experience measures.