DEVOTED C-SNP PLUS 004 VA (HMO C-SNP)
Available to residents of Floyd County, VA for 2026. Contract H6994, plan 004, segment 0.
Plan details
| Monthly drug premium | $24.60 |
|---|---|
| Drug deductible | $615.00Tier 6 exempt |
| Plan type | Chronic-condition SNP |
| Special needs plan | Chronic-condition SNP |
| Contract / plan | H6994-004-0 |
| 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 H6994 shares this rating.
Drug tiers — preferred pharmacy, initial coverage
| Tier | Cost-sharing |
|---|---|
| Tier 1 | $18.00 |
| Tier 2 | $19.00 |
| Tier 3 | 25% |
| Tier 4 | 31% |
| Tier 5 | 25% |
| Tier 6 | $0.00 |
Also available in 46 other VA counties
- Amelia
- Bland
- Bristol City
- Buchanan
- Caroline
- Charles City
- Chesterfield
- Colonial Heights City
- Craig
- Danville City
- Dickenson
- Dinwiddie
- Emporia City
- Essex
- Franklin City
- Galax City
- Giles
- Goochland
- Grayson
- Greensville
- Halifax
- Hanover
- Henrico
- Henry
- Hopewell City
- King and Queen
- King William
- Lee
- New Kent
- Norton City
- Nottoway
- Patrick
- Petersburg City
- Powhatan
- Prince George
- Pulaski
- Richmond City
- Russell
- Scott
- Smyth
- Southampton
- Surry
- Sussex
- Washington
- Wise
- Wythe
Plan facts come from the CMS quarterly prescription drug plan public use files.