DEVOTED C-SNP CHOICE PLUS 016 GA (PPO C-SNP) (2027)

Chronic Condition Special Needs Plan (Medicare Advantage) from Devoted Health, plan ID H5453-016-000. Sold in 133 counties in Georgia.

★★★★★4.0

Who can join

Only for people with certain chronic conditions; the plan checks your diagnosis.

2027 costs

Monthly premium$0

Drug deductible$461

Medical deductible$990

Out-of-pocket maximum (in network)$9,850

Plan typeChronic Condition Special Needs Plan (Medicare Advantage), PPO

Referral needed to see a specialistNo

Plan IDH5453-016-000

With a Medicare Advantage plan you also keep paying your Medicare Part B premium.

What this plan would cost for your prescriptions

Add your prescriptions to see this plan's estimated yearly cost for them, which of them are on its drug list, and how each compares with Cost Plus Drugs prices.

See this plan with my prescriptions

What you pay for medical care

Primary care visit$0

Specialist visit30%

Preventive care$0

Urgent care0%–20%

Emergency room$115

Hospital stay$0

Outpatient surgery15%–50%

Lab tests$0

X-rays and scans40%

Mental health visit30%

Physical therapy30%

Medical equipment20%

TelehealthCovered

In-network amounts. A range means it depends on the service or provider.

Extra benefits

DentalCovered — up to $3000 allowance

VisionCovered — up to $250/yr allowance

HearingCovered — $399–$699 copay per aid

Over-the-counter itemsCovered — up to $50/quarter allowance

FitnessCovered

Rides to appointmentsNot covered

Drug costs by tier

Tier	30 days, standard pharmacy	30 days, preferred pharmacy	90 days by mail
1 Preferred Generic	$0	$0	$0
2 Generic	$0	$0	$0
3 Preferred Brand	15%	15%	15%
4 Non-Preferred Drug	25%	25%	25%
5 Specialty Tier	26%	26%	N/A

A percentage is coinsurance: your share of the drug's price. The drug deductible may apply first, depending on the tier. Your Part D out-of-pocket costs are capped at $2,400 for 2027.

Where it's sold

Georgia (133 counties)

Plan costs and benefits are from CMS's 2027 Medicare plan data (data as of October 27, 2026). Star ratings are CMS's 2027 Star Ratings. Every year, Medicare evaluates plans based on a 5-star rating system. Benefits, premiums and copays can change from year to year; check the plan's Evidence of Coverage, call the plan, or use Medicare.gov before you enroll.