DEVOTED C-SNP CHOICE PREMIUM 018 GA (PPO C-SNP)
Available to residents of Macon County, GA for 2026. Contract H5453, plan 018, segment 0.
Plan details
| Monthly drug premium | $25.40 |
|---|---|
| Drug deductible | $615.00Tier 6 exempt |
| Plan type | Chronic-condition SNP |
| Special needs plan | Chronic-condition SNP |
| Contract / plan | H5453-018-0 |
| Offered by | Devoted Health |
| Parent organization | Devoted Health, Inc. |
| Formulary drugs | 3,377 |
CMS star ratings
- Overall
- —
- Health plan (Part C)
- —
- Drug plan (Part D)
- —
Published per contract — every plan under contract H5453 shares this rating.
Drug tiers — preferred pharmacy, initial coverage
| Tier | Cost-sharing |
|---|---|
| Tier 1 | $18.00 |
| Tier 2 | $19.00 |
| Tier 3 | 21% |
| Tier 4 | 33% |
| Tier 5 | 25% |
| Tier 6 | $0.00 |
Also available in 82 other GA counties
- Appling
- Atkinson
- Bacon
- Baldwin
- Barrow
- Ben Hill
- Berrien
- Brooks
- Butts
- Candler
- Catoosa
- Charlton
- Chattahoochee
- Chattooga
- Clinch
- Colquitt
- Cook
- Crawford
- Dade
- Dawson
- Dodge
- Dooly
- Echols
- Elbert
- Emanuel
- Evans
- Fannin
- Franklin
- Gilmer
- Glascock
- Greene
- Hancock
- Haralson
- Harris
- Hart
- Heard
- Irwin
- Jasper
- Jeff Davis
- Jefferson
- Johnson
- Jones
- Lamar
- Lanier
- Lowndes
- Lumpkin
- Meriwether
- Monroe
- Montgomery
- Morgan
- Murray
- Muscogee
- Oconee
- Oglethorpe
- Peach
- Pike
- Polk
- Pulaski
- Putnam
- Rabun
Plan facts come from the CMS quarterly prescription drug plan public use files.