DEVOTED C-SNP CHOICE PLUS 031 TN (PPO C-SNP) H7028-031 • 2027 • Davidson County, TN
- Monthly Premium
- $0.00Plus Part B premium.
- Medical Deductible
- Coming soon
- Maximum Out-of-Pocket
- $9850.00In-network
- Part B Giveback
- Coming soon
- Prescription Coverage
- Enhanced, $650.00 deductible
- Additional Benefits
- None
- Service Area
- Davidson County, TN
- Local Enrollment
- 0 beneficiaries in Davidson County
Introduction
CMS Plan ID H7028-031 identifies DEVOTED C-SNP CHOICE PLUS 031 TN, a Medicare Advantage Chronic Condition Special Needs Plan (C-SNP) offered by Devoted Health. Its provider network is a Preferred Provider Organization (PPO), and Medicare Part D prescription drug coverage is included. For 2027, the plan has a $0.00 monthly premium, Coming soon medical deductible, and $9850.00 in-network maximum out-of-pocket. The 2027 Part D prescription drug deductible is $650.00.
Enrollment in this plan requires you to live in Davidson County, Tennessee. CMS reports 0 beneficiaries enrolled in this plan in Davidson County. New members can call the plan directly at (844)978-2770 (TTY 711) for assistance.
Eligibility
DEVOTED C-SNP CHOICE PLUS 031 TN is a Chronic Condition Special Needs Plan (C-SNP) designed for people with qualifying health conditions.
- Special Needs Plan Type
- Chronic Condition Special Needs Plan (C-SNP)
- Medicare Requirement
- Must have Medicare Part A and Part B
- Special Needs Requirement
- This plan is for individuals with cardiovascular disorders, chronic heart failure, and/or diabetes mellitus.
- Service Area Requirement
- Must live in the plan's service area
- Prescription Drug Coverage
- Medicare Part D prescription drug coverage is included.
Compare Similar Plans in Davidson County
Compare this plan with the two most-enrolled PPO C-SNP plans available in Davidson County, Tennessee. Enrollment is based on CMS local enrollment data.
| Plan Detail | DEVOTED C-SNP CHOICE PLUS 031 TN | DEVOTED C-SNP CHOICE ENHANCED 018 TN | BlueAdvantage Total Heart and Diabetes |
|---|---|---|---|
| CMS Plan ID | H7028-031-0 |
H9231-018-0 |
H7917-045-0 |
| Local Enrollment | 0 | 109 | 102 |
| Monthly Premium | $0.00 | $0.00 | $0.00 |
| Medical Deductible | Coming soon | $0.00 | $0.00 |
| Maximum Out-of-Pocket | $9,850.00 | $6,900.00 | $9,850.00 |
| Part B Giveback | Coming soon | Not offered | Not offered |
| Primary Care | Coming soon | $0 copay | $0 copay |
| Specialist | Coming soon | $55 copay | $30 copay |
| Part D Deductible | $650.00 | $461.00 | $700.00 |
| CMS Star Rating | 4.5 | 3.5 | 3.5 |
| Dental | Coming soon | $0 copay | $0 copay |
| Vision | Coming soon | $0 copay | $0 copay |
| Hearing | Coming soon | $0 copay | $0 copay |
Want to explore more options? Browse all Medicare Special Needs plans in Davidson County, or compare Medicare Advantage SNP plans across Tennessee, including premiums, out-of-pocket costs, CMS ratings, and enrollment.
Plan Benefits
DEVOTED C-SNP CHOICE PLUS 031 TN 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 H7028-031.
You can also compare 2027 costs and coverage with last year, side-by-side: Plan H7028-031-0 Cost Compare.
Office Visits
- Primary care
- Coming soon
- Specialist
- Coming soon
Preventive and Wellness Services
- Annual wellness exam
- Coming soon
- Telehealth benefit
- Coming soon
- Routine chiropractic
- Coming soon
- Fitness benefits
- Coming soon
- Health education
- Coming soon
- Counseling services
- Coming soon
- Over-the-counter drug benefits
- Coming soon
- Health transportation (non-emergency)
- Coming soon
Diagnostic, Lab, and Imaging Services
- Diagnostic radiology services
- Coming soon
- Lab services
- Coming soon
- Outpatient x-rays
- Coming soon
- Diagnostic tests and procedures
- Coming soon
Emergency and Urgent Care Services
- Emergency room care
- Coming soon
- Worldwide emergency care
- Coming soon
- Urgent care
- Coming soon
- Inpatient hospital care
- Coming soon
- Skilled Nursing Facility
- Coming soon
- Ground ambulance
- Coming soon
Mental Health Services
- Outpatient individual therapy
- Coming soon
- Outpatient group therapy
- Coming soon
- Inpatient psychiatric hospital care
- Coming soon
Rehabilitation Services
- Physical therapy and speech and language therapy
- Coming soon
- Occupational therapy
- Coming soon
Medical Equipment and Supplies
- Diabetes supplies
- Coming soon
- Durable medical equipment
- Coming soon
- Prosthetics
- Coming soon
Medicare Part B Drugs
- Chemotherapy
- Coming soon
- Other Part B drugs (Medicare-covered)
- Coming soon
Dental Services
- Oral exam
- Coming soon
- Dental x-rays
- Coming soon
- Cleaning
- Coming soon
- Periodontics
- Coming soon
- Endodontics
- Coming soon
- Restorative services
- Coming soon
- Implant services
- Coming soon
- Orthodontics
- Coming soon
- Oral/Maxillofacial surgery
- Coming soon
Vision Services
- Routine eye exam
- Coming soon
- Contact lenses
- Coming soon
- Eyeglass frames only
- Coming soon
- Eyeglass lenses only
- Coming soon
- Eyeglasses (frames & lenses)
- Coming soon
- Upgrades
- Coming soon
Hearing Services
- Hearing exam
- Coming soon
- Fitting/evaluation
- Coming soon
- Prescription hearing aids
- Coming soon
- OTC hearing aids
- Coming soon
Additional and Special Needs Services
- Adult day health services
- Coming soon
- Home-based palliative care
- Coming soon
- Personal emergency response system
- Coming soon
- Weight management programs
- Coming soon
- Wigs for chemotherapy-related hair loss
- Coming soon
- Alternative therapies
- Coming soon
- Massage therapy
- Coming soon
- Home/bathroom safety devices
- Coming soon
Certain preventive services are covered 100% by DEVOTED C-SNP CHOICE PLUS 031 TN as a Part B benefit.
Prescription Drug Coverage
DEVOTED C-SNP CHOICE PLUS 031 TN includes a Medicare Part D prescription drug plan (PDP). Plan type and coverage level are defined by CMS and may vary between basic and enhanced benefit designs.
Prescription Drug Plan Premium
The Part D prescription drug plan premium is included in the overall Medicare Advantage plan cost. Additional adjustments may apply through the Low-Income Subsidy (LIS) program, also known as Extra Help, administered by Social Security. LIS benefits are separate from Medicare Special Needs Plan coverage.
| Part D Premium Component | Amount |
|---|---|
| Basic Part D Premium: | ($16.40) |
| Supplemental Part D Premium: | $16.40 |
| Total Part D Premium: | $0.00 |
| Low-Income Premium Subsidy: | $13.65 |
| Low-Income Premium Subsidy Paid by CMS: | $0.00 |
| Low-Income Subsidy Premium: | $0.00 |
For more details, visit the Social Security Extra Help program .
Prescription Drug Plan Deductible
This plan has a $650.00 annual Part D deductible. You'll pay this deductible at the pharmacy before Devoted Health starts contributing towards your prescription costs.
Prescription Drug Plan Out-of-Pocket Costs
Beyond premiums and deductibles, DEVOTED C-SNP CHOICE PLUS 031 TN may have additional costs at pharmacies. The table below outlines out-of-pocket expenses by drug tier.
| Drug Tier | Retail | Mail Order |
|---|---|---|
| Cost data not available. | ||
| *Deductible does not apply. | ||
CMS 5-Star Performance Ratings (Contract ID: H7028)
Medicare assigns star ratings to plans based on quality and performance across multiple measures, including customer service, member experience, and health outcomes. Ratings are updated annually by the Centers for Medicare & Medicaid Services (CMS) and are shown on a 1 to 5 star scale, with 5 stars representing the highest quality.
| CMS Measure | Star Rating |
|---|---|
| 2027 Overall Rating | |
| Staying Healthy: Screenings, Tests, Vaccines | Not enough data available |
| 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 |
Contact Information for Devoted Health
- Website
- Devoted Health Plan Page
- Providers
- Devoted Health Providers Page
- Formulary
- Devoted Health Formulary Page
- Pharmacy
- Devoted Health Pharmacy Page
- New Member Health Plan Help
- (844)978-2770
- New Member Health Plan TTY
- 711
- New Member Part D Help
- (844)978-2770
- New Member Part D TTY Users
- 711
Enrollment status and eligibility information are available through the Social Security Administration. Additional information about Medicare Advantage is available at Medicare.gov.
Medicare Plan Data Sources and Methodology
| Data Source | Publisher | Last Accessed |
|---|---|---|
| Landscape Source Files | Centers for Medicare & Medicaid Services | October 5, 2026 |
| Medicare Part C & D Performance | Centers for Medicare & Medicaid Services | October 5, 2026 |
| Plan Benefits Package | Centers for Medicare & Medicaid Services | October 5, 2026 |
| Monthly Enrollment by Contract/Plan/State/County | Centers for Medicare & Medicaid Services | October 5, 2026 |
Data sources and methodology documentation.
| Publisher | Reference | Last Accessed |
|---|---|---|
| Devoted Health (official source) | http://www.Devoted.com | October 4, 2026 |
| CMS.gov | Chronic Condition Special Needs Plans (C-SNPs) | April 28, 2026 |
| Medicare.gov | Understanding Medicare Advantage Plans | April 28, 2026 |
| NCOA.org | 5 Steps to Choosing the Right Medicare Plan for You | April 28, 2026 |
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