HMO Not Available SNP Includes Rx
Plan Details
Plan NameDevoted GIVEBACK San Antonio (HMO)
OrganizationDevoted Health
Legal EntityDEVOTED HEALTH PLAN OF TEXAS, INC.
Plan TypeHMO
Service AreaSan Antonio
Contract IDH7993
Plan ID021
In-Network MOOP$9,350
Prescription Drug CoverageYes (Part D Included)
About This Plan
Devoted GIVEBACK San Antonio (HMO) is a HMO Medicare plan offered by Devoted Health (DEVOTED HEALTH PLAN OF TEXAS, INC.). This plan is available to eligible Medicare beneficiaries in San Antonio.
This is a Special Needs Plan (SNP) designed for Not Available beneficiaries. This plan includes Medicare Part D prescription drug coverage.
The in-network maximum out-of-pocket (MOOP) for this plan is $9,350, which is the most you would pay for covered services in a plan year. After reaching this amount, the plan pays 100% of covered services.
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