DEVOTED DUAL PLUS 005 PA (HMO D-SNP)
Available to residents of Butler County, PA for 2026. Contract H6852, plan 005, segment 0.
Plan details
| Monthly drug premium | $22.50 |
|---|---|
| Drug deductible | $615.00Tier 6 exempt |
| Plan type | Dual-eligible SNP |
| Special needs plan | Dual-eligible SNP |
| Contract / plan | H6852-005-0 |
| 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)
- 3 out of 5 stars for Drug plan (Part D)
Published per contract — every plan under contract H6852 shares this rating.
Drug tiers — preferred pharmacy, initial coverage
| Tier | Cost-sharing |
|---|---|
| Tier 1 | 25% |
| Tier 2 | 25% |
| Tier 3 | 25% |
| Tier 4 | 25% |
| Tier 5 | 25% |
| Tier 6 | $0.00 |
Also available in 47 other PA counties
- Adams
- Allegheny
- Armstrong
- Beaver
- Bedford
- Berks
- Blair
- Cambria
- Carbon
- Clarion
- Clearfield
- Clinton
- Crawford
- Elk
- Erie
- Forest
- Franklin
- Fulton
- Greene
- Huntingdon
- Indiana
- Jefferson
- Juniata
- Lackawanna
- Lancaster
- Lawrence
- Lebanon
- Lehigh
- Luzerne
- Mercer
- Mifflin
- Monroe
- Northampton
- Perry
- Schuylkill
- Snyder
- Somerset
- Sullivan
- Susquehanna
- Union
- Venango
- Warren
- Washington
- Wayne
- Westmoreland
- Wyoming
- York
Plan facts come from the CMS quarterly prescription drug plan public use files.