DEVOTED DUAL CHOICE 004 NE (PPO D-SNP) CY2027
Offered by Devoted Health, Inc. (company name as listed by CMS) · Plan ID H9802-004-000 · Medicare Advantage with drug coverage, Special Needs Plan (D-SNP)
Available in 2027 in: 42 counties in Nebraska. See full service area
2027 Star Rating: Plan too new to be measured 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)
- $4,900
- Drug deductible
- $700
- 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
- $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.
Compared with 2026
Compared with DEVOTED DUAL CHOICE 004 NE (PPO D-SNP) (H9802-004-0), the 2026 plan.
| Item | 2026 | 2027 |
|---|---|---|
| Monthly premium | $14.40 | $0 |
| Most you pay in-network (MOOP) | $4,400 | $4,900 |
| Drug deductible | $615 | $700 |
| Overall star rating | Plan too new to be measured | Plan too new to be measured |
Service area
Nebraska (42)
Adams County, Boone County, Buffalo County, Burt County, Butler County, Cass County, Clay County, Custer County, Douglas County, Fillmore County, Franklin County, Frontier County, Furnas County, Gage County, Gosper County, Greeley County, Hall County, Hamilton County, Harlan County, Howard County, Kearney County, Lancaster County, Merrick County, Nance County, Nemaha County, Nuckolls County, Otoe County, Pawnee County, Phelps County, Richardson County, Saline County, Sarpy County, Saunders County, Seward County, Sherman County, Thayer County, Thurston County, Valley County, Washington County, Webster County, Wheeler County, York 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