DEVOTED CHOICE GIVEBACK EXTRAS 011 KY (PPO) CY2027
Offered by Devoted Health, Inc. (company name as listed by CMS) · Plan ID H5718-011-000 · Medicare Advantage with drug coverage
Available in 2027 in: 87 counties in Kentucky. See full service area
2027 Overall Star Rating: 4 out of 5 stars What star ratings mean
We do not offer every plan available in your area. Currently we represent 11 organizations which offer 45 products in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options. 1-800-MEDICARE (1-800-633-4227) is open 24 hours a day, 7 days a week. TTY users call 1-877-486-2048.
Medicare evaluates plans every year based on a 5-star rating system. Star Ratings shown are 2027 Star Ratings released by CMS on October 8, 2026.
This plan's 2027 documents
Summary of Benefits (PDF, carrier document, 2027)
The Summary of Benefits is the plan's own description of its costs and benefits. It comes from the plan company.
Key numbers from CMS files
- Monthly plan premium
- $0. You still pay your Part B premium.
- Most you pay in-network in a year (MOOP)
- $7,850
- Drug deductible
- $700
- Part B giveback
- $85 a month
- Over-the-counter or benefit card
- OTC allowance: $84 every 3 months
- Extra benefits listed
- Dental, Vision, OTC
These numbers come from CMS files. For what each benefit covers and costs, read the Summary of Benefits above. We do not write our own descriptions of plan benefits.
See all benefits
- Preventive dental, most the plan pays
- $2,000 per year (in and out of network)
- Comprehensive dental, most the plan pays
- one limit shared with preventive dental (amount above)
- Eyewear, most the plan pays
- $400 per year (in and out of network)
Amounts are the most the plan pays, as listed in CMS benefit files.
Service area
Kentucky (87)
Adair County, Allen County, Anderson County, Ballard County, Barren County, Bath County, Bell County, Bourbon County, Boyd County, Boyle County, Breathitt County, Breckinridge County, Bullitt County, Butler County, Carlisle County, Carroll County, Casey County, Christian County, Clark County, Clay County, Clinton County, Cumberland County, Edmonson County, Elliott County, Estill County, Fayette County, Floyd County, Franklin County, Fulton County, Garrard County, Graves County, Green County, Greenup County, Harlan County, Harrison County, Hart County, Henry County, Hickman County, Jackson County, Jefferson County, Jessamine County, Johnson County, Knott County, Knox County, Larue County, Lawrence County, Lee County, Leslie County, Letcher County, Lincoln County, Livingston County, Logan County, Lyon County, Magoffin County, Marion County, Martin County, McCracken County, McCreary County, Meade County, Menifee County, Metcalfe County, Monroe County, Montgomery County, Morgan County, Nelson County, Ohio County, Owsley County, Perry County, Powell County, Pulaski County, Rockcastle County, Rowan County, Russell County, Scott County, Shelby County, Simpson County, Spencer County, Taylor County, Todd County, Trigg County, Trimble County, Warren County, Washington County, Wayne County, Whitley County, Wolfe County, Woodford County
Data used on this page
- CMS CY2027 Landscape Source File, November 2026 release (202611)
- CMS CY2027 plan benefit files and the Medicare Plan Finder benefit summary file dated October 15, 2026
- 2027 Star Ratings data tables dated October 8, 2026
- Summary of Benefits files collected from plan company websites, October 28 to November 11, 2026
- How we build these pages