MedicarePartD.guide

A non-government resource built from CMS public data

DEVOTED DUAL CHOICE 004 NE (PPO D-SNP)

Available to residents of Boone County, NE for 2026. Contract H9802, plan 004, segment 0.

Plan details

Monthly premium$14.40
Drug deductible$615.00Tier 6 exempt
Plan typeDual-eligible SNP
Contract / planH9802-004-0
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 125%
Tier 225%
Tier 325%
Tier 425%
Tier 525%
Tier 6$0.00

Also available in 13 other NE counties