DEVOTED C-SNP CHOICE PREMIUM 005 SC (PPO C-SNP)
Available to residents of Williamsburg County, SC for 2026. Contract H7028, plan 005, segment 0.
Plan details
| Monthly drug premium | $35.70 |
|---|---|
| Drug deductible | $615.00Tier 6 exempt |
| Plan type | Chronic-condition SNP |
| Special needs plan | Chronic-condition SNP |
| Contract / plan | H7028-005-0 |
| Offered by | Devoted Health |
| Parent organization | Devoted Health, Inc. |
| Formulary drugs | 3,377 |
CMS star ratings
- Overall
- 4.5 out of 5 stars for Overall
- Health plan (Part C)
- 4.5 out of 5 stars for Health plan (Part C)
- Drug plan (Part D)
- 4.5 out of 5 stars for Drug plan (Part D)
Published per contract — every plan under contract H7028 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 27 other SC counties
Plan facts come from the CMS quarterly prescription drug plan public use files.