DEVOTED CHOICE 005 OK (PPO)
Medicare Advantage PPO with drug coverage · Devoted Health
Plan IDH2845-005-0
$0monthly premium, 2026
$4,900in-network out-of-pocket max
$375drug deductible
–plan too new to be measured
Costs
- Part C premium
- $0
- Part D premium
- $0 (basic −$30.20, supplemental $30.20)
- Total monthly premium
- $0
- Out-of-pocket maximum
- $4,900.00
- Drug deductible
- $375
- Extra Help premium subsidy
- $28.24
Plan details
- Plan type
- PPO
- Drug coverage
- Yes (enhanced alternative)
- Organization
- Devoted Health, Inc. · DEVOTED HEALTH INSURANCE COMPANY OF OKLAHOMA
- Region
- Kansas and Oklahoma
Where this plan is available
Oklahoma: Adair, Craig, Creek, Nowata, Okfuskee, Okmulgee, Osage, Ottawa, Pawnee, Tulsa
Other plans under contract H2845
| Plan | Monthly premium | Out-of-pocket max | Drug deductible | Star rating |
|---|---|---|---|---|
| DEVOTED CHOICE 001 OK (PPO)Devoted Health · H2845-001-0 · PPO | $0 | $5,700 | $375 | Plan Too New To Be Measured |
| DEVOTED CHOICE GIVEBACK 002 OK (PPO)Devoted Health · H2845-002-0 · PPO | $0 | $9,250 | $605 | Plan Too New To Be Measured |
| DEVOTED DUAL CHOICE FULL 003 OK (PPO D-SNP)Devoted Health · H2845-003-0 · PPO D-SNP | $28.20 | $9,250 | $615 | Plan Too New To Be Measured |
| DEVOTED CHOICE GIVEBACK 006 OK (PPO)Devoted Health · H2845-006-0 · PPO | $0 | $9,250 | $605 | Plan Too New To Be Measured |
| DEVOTED C-SNP CHOICE PLUS 008 OK (PPO C-SNP)Devoted Health · H2845-008-0 · PPO C-SNP | $28.20 | $9,250 | $615 | Plan Too New To Be Measured |
| DEVOTED C-SNP CHOICE PREMIUM 009 OK (PPO C-SNP)Devoted Health · H2845-009-0 · PPO C-SNP | $28.20 | $6,000 | $615 | Plan Too New To Be Measured |
| DEVOTED C-SNP CHOICE PREMIUM 010 OK (PPO C-SNP)Devoted Health · H2845-010-0 · PPO C-SNP | $28.20 | $5,200 | $615 | Plan Too New To Be Measured |
Questions and answers
What is the monthly premium for DEVOTED CHOICE 005 OK (PPO)?
For 2026 the plan premium is $0 a month in addition to the Medicare Part B premium.
What is the maximum out-of-pocket for DEVOTED CHOICE 005 OK (PPO)?
The in-network maximum out-of-pocket limit is $4,900.00.
What is the drug deductible?
The annual Part D deductible is $375.
What is the star rating of DEVOTED CHOICE 005 OK (PPO)?
No overall rating: plan too new to be measured.
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