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Plan year 2027 · Medicare AdvantageCMS files of Sept. 22 and Oct. 1, 2026

Devoted Choice Giveback Extras 014 OK, 2027

H2845Contract014Plan

PPO · 11 counties in Oklahoma

Run by Devoted Health Insurance Company of Oklahoma (contract H2845), sold as Devoted Health, owned by Devoted Health, Inc.

New for 2027

2026 star rating, contract H2845: not rated (too new)

Devoted Choice Giveback Extras 014 OK (H2845-014) costs $0 a month in 2027, with an in-network out-of-pocket limit of $7,750. It is a new plan for 2027.

What changes from 2026 to 2027?

The changed lines are marked and come first. In-network amounts; members keep paying the Part B premium unless the plan reduces it.
What you pay or get20262027Change
Monthly premiumnot offered$0new for 2027
In-network out-of-pocket limitnot filed$7,750new for 2027
Drug deductiblenot filed$700new for 2027
Part B premium reduction, monthlynone$70added
Primary care visitnot offered$0 copaychanged
Specialist visitnot offered$50 copaychanged
Emergency roomnot offered$115 copaychanged
Medical deductible, in networknone$150added
Hospital stay, in networknot offered$490 a day for days 1–5, then $0 a day for days 6–90changed
Skilled nursing facility, in networknot offered$0 a day for days 1–20, then $221 a day for days 21–100changed
Ground ambulance, in networknot offered$0 copaychanged
Eyewear, yearly limitnot offered$350 a yearadded
Over-the-counter items, yearlynot offered$336 a yearadded
3 lines do not change
Comprehensive dental, yearly limitnot offerednot offeredno change
Hearing aids, yearly limit for both earsnot offerednot offeredno change
Counties servednot offered11new for 2027

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS plan benefit package files, 2027 and 2026; CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026). Plan details can change during the year; confirm on Medicare Plan Finder.

What will prescriptions cost?

Your share for a 30-day supply at a retail pharmacy, as filed with CMS; tiers whose share changes are marked
TierWhat the tier holds20262027
Tier 1Preferred Genericnot offered$0
Tier 2Genericnot offered$2
Tier 3Preferred Brandnot offered25% of the cost
Tier 4Non-Preferred Drugnot offered25% of the cost
Tier 5Specialty Tiernot offered25% of the cost

Source: CMS plan benefit package files, 2027 and 2026. Insulin is capped at $35 a month by law. A drug's tier is set by the plan's formulary.

How does it compare with plans sold where it is?

In the counties it serves, 33 plans open to everyone are sold for 2027, this one included. Against the others, 27 plans have a lower out-of-pocket limit, 5 a higher one. On the premium, 24 the same, 8 a higher one.

Out-of-pocket limits of the 33 plans open to everyone

$0 to under $2,0000 plans
$2,000 to under $4,0004 plans
$4,000 to under $6,00014 plans
$6,000 to under $8,000 (this plan)12 plans
$8,000 to $10,0003 plans

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).

Where is it sold, and what does it cost there?

The premium and the out-of-pocket limit are the same in all 11 counties: $0 a month and $7,750.

Oklahoma

AdairCraigCreekMcIntoshNowataOkfuskeeOkmulgeeOsageOttawaPawneeTulsa

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).

Who runs this plan?

Plan ID
H2845-014
Legal name of the contract
Devoted Health Insurance Company of Oklahoma
Sold as
Devoted Health
Parent company
Devoted Health, Inc.
Plan type
PPO
2026 star rating of the contract
not rated (too new) overall; health plan not rated, drug plan not rated
Plan website, as filed with CMS
www.devoted.com

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS 2026 Star Ratings (October 2025); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11). CMS publishes the 2027 Star Ratings in October 2026.

What else should you check?

Data, not advice. These are the plan's filed amounts, not a quote for you; confirm on Medicare Plan Finder or call the plan before you enroll.