DEVOTED CHOICE GIVEBACK 002 KY (PPO)
Available to residents of Wolfe County, KY for 2026. Contract H5718, plan 002, segment 0.
Plan details
| Monthly drug premium | $0.00 |
|---|---|
| Drug deductible | $605.00Tier 1 and 2 exempt |
| Plan type | Medicare Advantage |
| Contract / plan | H5718-002-0 |
| 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 H5718 shares this rating.
Drug tiers — preferred pharmacy, initial coverage
| Tier | Cost-sharing |
|---|---|
| Tier 1 | $0.00 |
| Tier 2 | $3.00 |
| Tier 3 | 21% |
| Tier 4 | 25% |
| Tier 5 | 25% |
Also available in 86 other KY counties
- Adair
- Allen
- Anderson
- Barren
- Bath
- Bell
- Boone
- Bourbon
- Boyle
- Bracken
- Breathitt
- Breckinridge
- Bullitt
- Butler
- Campbell
- Carroll
- Carter
- Casey
- Clark
- Clay
- Clinton
- Cumberland
- Edmonson
- Elliott
- Estill
- Fayette
- Fleming
- Franklin
- Gallatin
- Garrard
- Grant
- Green
- Greenup
- Harlan
- Harrison
- Hart
- Henry
- Jackson
- Jefferson
- Jessamine
- Johnson
- Kenton
- Knott
- Knox
- Larue
- Lawrence
- Lee
- Leslie
- Letcher
- Lewis
- Lincoln
- Logan
- McCreary
- Magoffin
- Martin
- Mason
- Meade
- Menifee
- Metcalfe
- Monroe
Plan facts come from the CMS quarterly prescription drug plan public use files.