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DEVOTED MA ONLY 020 TX (HMO) Medicare Advantage Plan H7993-020 • 2027 • Wilson County, TX

CMS Rating: ☆☆☆☆☆ (4.5 out of 5 stars*)
Monthly Premium
$0.00Plus Part B premium.
Medical Deductible
$200
Maximum Out-of-Pocket
$9250.00In-network
Part B Giveback
−$184.70 reduction
Prescription Coverage
Not Included
Additional Benefits
Dental, Vision, Hearing
Service Area
Wilson County, TX
Local Enrollment
0 beneficiaries in Wilson County
Last update:

DEVOTED MA ONLY 020 TX (HMO) Introduction

DEVOTED MA ONLY 020 TX is a Medicare Advantage HMO plan offered by Devoted Health. It uses a Health Maintenance Organization (HMO) provider network and comes without prescription drug coverage. For the 2027 plan year it has a $0.00 monthly premium, $200 medical deductible, and $9250.00 in-network maximum out-of-pocket. CMS Plan ID H7993-020 identifies this plan.

This plan is available to eligible residents of Wilson County, Texas. CMS reports 0 beneficiaries enrolled in this plan in Wilson County. For assistance with this plan, new members can call (844)978-2770 (TTY 711).

Compare Similar Plans in Wilson County

Compare this plan with the two most-enrolled HMO plans available in Wilson County, Texas. Enrollment is based on CMS local enrollment data.

HMO plan comparison for Wilson County, Texas
Plan Detail DEVOTED MA ONLY 020 TX Humana Gold Plus H0028-030 HealthSpring Preferred Savings
CMS Plan ID H7993-020-0 H0028-030-0 H4513-083-4
Local Enrollment 0 516 167
Monthly Premium $0.00 $0.00 $0.00
Medical Deductible $200 $0.00 $0.00
Maximum Out-of-Pocket $9,250.00 $3,900.00 $7,150.00
Part B Giveback −$184.70 reduction −$22.00 reduction −$127.00 reduction
Primary Care $0 copay $0 copay $0 copay
Specialist $45 copay $20 copay $35 copay
Part D Deductible Not Applicable $700.00 $300.00
CMS Star Rating 4.5 4.5 3.5
Dental $0 copay $0 copay $0 copay
Vision $0 copay $0 copay $0 copay
Hearing $0 copay $0 copay $0 copay

Plan Benefits

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

You can also compare 2027 costs and coverage with last year, side-by-side: Plan H7993-020-0 Cost Compare.

Office Visits

Primary care
In-network: $0 copay
Specialist
In-network: $45 copay

Preventive and Wellness Services

Annual wellness exam
In-network: $0 copay
Telehealth benefit
In-network: $0-$45 copay
Routine chiropractic
Not covered
Fitness benefits
Coming soon
Health education
In-network: $0 copay
Counseling services
Not covered
Over-the-counter drug benefits
Not covered
Health transportation (non-emergency)
Coming soon

Diagnostic, Lab, and Imaging Services

Diagnostic radiology services
In-network: $25-$300 copay
Lab services
In-network: $0-$45 copay, 20% coinsurance
Outpatient x-rays
In-network: $0-$75 copay
Diagnostic tests and procedures
In-network: $0-$95 copay

Emergency and Urgent Care Services

Emergency room care
$115 copay
Worldwide emergency care
Coming soon
Urgent care
$0-$40 copay
Inpatient hospital care
Tier 1
$425 per day for days 1-4
$0 per day for days 5-90
$0 per stay
Skilled Nursing Facility
Tier 1
$0 per day for days 1-20
$221 per day for days 21-100
Ground ambulance
In-network: $0-$350 copay

Mental Health Services

Outpatient individual therapy
In-network: $45 copay
Outpatient group therapy
In-network: $45 copay
Inpatient psychiatric hospital care
Tier 1
$425 per day for days 1-4
$0 per day for days 5-90
$0 per stay

Rehabilitation Services

Physical therapy and speech and language therapy
In-network: $5-$50 copay
Occupational therapy
In-network: $35 copay

Medical Equipment and Supplies

Diabetes supplies
In-network: $0 copay
Durable medical equipment
In-network: 20% coinsurance
Prosthetics
In-network: 0%-20% coinsurance

Medicare Part B Drugs

Chemotherapy
In-network: 0%-20% coinsurance
Other Part B drugs (Medicare-covered)
In-network: 0%-20% coinsurance

Dental Services

Oral exam
In-network: $0 copay
Dental x-rays
In-network: $0 copay
Cleaning
In-network: $0 copay
Periodontics
In-network: 50% coinsurance
Endodontics
In-network: 50% coinsurance
Restorative services
In-network: 50% coinsurance
Implant services
In-network: 50% coinsurance
Orthodontics
Not covered
Oral/Maxillofacial surgery
In-network: 50% coinsurance

Vision Services

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

Hearing Services

Hearing exam
In-network: $0 copay
Fitting/evaluation
In-network: $0 copay
Prescription hearing aids
In-network: $599-$899 copay
OTC hearing aids
Not covered

Additional and Special Needs Services

Adult day health services
Not covered
Home-based palliative care
Not covered
Personal emergency response system
Coming soon
Weight management programs
In-network: $0 copay
Wigs for chemotherapy-related hair loss
Coming soon
Alternative therapies
In-network: $0 copay
Massage therapy
Not covered
Home/bathroom safety devices
In-network: $0 copay

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.

CMS 5-Star Performance Ratings (Contract ID: H7993)

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.

2027 Medicare Star Ratings for Contract H7993
CMS Measure Star Rating
2027 Overall Rating ☆☆☆☆☆
Staying Healthy: Screenings, Tests, Vaccines ☆☆☆☆☆
Managing Chronic (Long Term) Conditions ☆☆☆☆☆
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 ☆☆☆☆☆
Medicare Plan Data Sources and Methodology
Primary CMS datasets used for this Medicare Advantage Plan resource.
Data Source Publisher CMS Version
Landscape Source Files Centers for Medicare & Medicaid Services CY2027 Landscape (202609.1)
Medicare Part C & D Performance Centers for Medicare & Medicaid Services 2027 Star Ratings Data Tables
Plan Benefits Package Centers for Medicare & Medicaid Services PBP Benefits-2027
Monthly Enrollment by Contract/Plan/State/County Centers for Medicare & Medicaid Services 2026-09

Data sources and methodology documentation.

Official plan information and secondary Medicare references.
Publisher Reference Last Accessed
Devoted Health (official source) http://www.Devoted.com October 4, 2026
Medicare.gov Understanding Medicare Advantage Plans 25 May, 2025
NCOA.org 5 Steps to Choosing the Right Medicare Plan for You 25 May, 2025
Medicare.gov Explore your Medicare coverage options 25 May, 2025

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Data provenance is documented in accordance with the U.S. Core Data for Interoperability (USCDI) Provenance standard.