MedicarePartD.guide

A non-government resource built from CMS public data

DEVOTED C-SNP CHOICE PREMIUM 015 GA (PPO C-SNP)

Available to residents of Rockdale County, GA for 2026. Contract H5453, plan 015, segment 0.

Plan details

Monthly premium$25.40
Drug deductible$615.00Tier 6 exempt
Plan typeChronic-condition SNP
Contract / planH5453-015-0
Offered byDevoted Health
Parent organizationDevoted Health, Inc.
Formulary drugs3,377

CMS star ratings

Overall
—
Health plan (Part C)
—
Drug plan (Part D)
—

Drug tiers — preferred pharmacy, initial coverage

TierCost-sharing
Tier 1$18.00
Tier 2$19.00
Tier 321%
Tier 433%
Tier 525%
Tier 6$0.00

Also available in 15 other GA counties