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DEVOTED C-SNP PLUS 022 PA (HMO C-SNP) CY2027

Offered by Devoted Health, Inc. (company name as listed by CMS) · Plan ID H6852-022-000 · Medicare Advantage with drug coverage, Special Needs Plan (C-SNP)

Available in 2027 in: 52 counties in Pennsylvania. See full service area

2027 Overall Star Rating: 3.5 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)
$9,850
Drug deductible
$461
Part B giveback
None
Over-the-counter or benefit card
OTC allowance: $50 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
$3,500 per year
Comprehensive dental, most the plan pays
one limit shared with preventive dental (amount above)
Eyewear, most the plan pays
$300 per year

Amounts are the most the plan pays, as listed in CMS benefit files.

Compared with 2026

Compared with DEVOTED C-SNP PLUS 022 PA (HMO C-SNP) (H6852-022-0), the 2026 plan.

2026 and 2027 values from CMS files
Item20262027
Monthly premium$32.70$0
Most you pay in-network (MOOP)$9,250$9,850
Drug deductible$615$461
Overall star ratingNot enough data available3.5 out of 5

Service area

Pennsylvania (52)

Adams County, Allegheny County, Armstrong County, Beaver County, Bedford County, Berks County, Blair County, Bradford County, Butler County, Cambria County, Cameron County, Carbon County, Clarion County, Clearfield County, Clinton County, Crawford County, Elk County, Erie County, Forest County, Franklin County, Fulton County, Greene County, Huntingdon County, Indiana County, Jefferson County, Juniata County, Lackawanna County, Lancaster County, Lawrence County, Lebanon County, Lehigh County, Luzerne County, Mercer County, Mifflin County, Monroe County, Montour County, Northampton County, Perry County, Schuylkill County, Snyder County, Somerset County, Sullivan County, Susquehanna County, Tioga County, Union County, Venango County, Warren County, Washington County, Wayne County, Westmoreland County, Wyoming County, York County

Compare this plan

Data used on this page

Researched and reviewed by , Licensed Insurance Agent, NPN 18910035, Senior Benefit Assistance. Last reviewed: November 11, 2026.