Plan year 2026 · coverage ends Dec. 31, 2026CMS crosswalk of Oct. 1, 2026
Devoted Giveback 004 OR is not offered under this ID in 2027
H2923Contract004Plan
HMO · served 12 counties in Oregon in 2026
Run by Devoted Health Plan of Oregon Inc (contract H2923), sold as Devoted Health, owned by Devoted Health, Inc.
CMS crosswalk: renews as H2923-028
Devoted Giveback 004 OR (H2923-004) is not offered under this ID in 2027: the CMS plan crosswalk of October 1, 2026 moves its members into Devoted Giveback 028 OR (H2923-028) (the plan renews under a new ID), which is sold in every county it served. 5,035 people were enrolled in it in September 2026; they can also choose another plan during open enrollment, October 15 to December 7, 2026.
What changes for its members in Devoted Giveback 028 OR?
| What you pay or get | 2026 | 2027 | Change |
|---|---|---|---|
| Plan name | Devoted Giveback 004 OR | Devoted Giveback 028 OR | renamed |
| In-network out-of-pocket limit | $7,900 | $8,900 | ▲up $1,000 |
| Drug deductible | $605 | $461 | ▼down $144 |
| Specialist visit (best in its area) | $50 copay | $55 copay | ▲up $5 |
| Hospital stay, in network (best in its area) | $385 a day for days 1–5, then $0 a day for days 6–90 | $455 a day for days 1–5, then $0 a day for days 6–90 | ▲up $350for a 5-day stay |
| Skilled nursing facility, in network (best in its area) | $0 a day for days 1–20, then $218 a day for days 21–100 | $0 a day for days 1–20, then $221 a day for days 21–100 | ▲up $30for a 30-day stay |
| Counties served | 12 | 14 | ▲up 2 |
| Drug tier 2, generic | $3 | $0 | ▼down $3 |
| Drug tier 3, preferred brand | 21% of the cost | 15% of the cost | ▼down 6 points |
| Drug tier 5, specialty tier | 25% of the cost | 26% of the cost | ▲up 1 point |
| 12 lines do not change | |||
| Monthly premium | $0 | $0 | no change |
| Part B premium reduction, monthly (best in its area) | $154.20 | $154.20 | no change |
| Primary care visit (best in its area) | $0 copay | $0 copay | no change |
| Emergency room (best in its area) | $115 copay | $115 copay | no change |
| Medical deductible, in network (best in its area) | none | none | no change |
| Ground ambulance, in network (best in its area) | $0 copay | $0 copay | no change |
| Comprehensive dental, yearly limit (best in its area) | not offered | not offered | no change |
| Eyewear, yearly limit (best in its area) | $200 a year | $200 a year | no change |
| Hearing aids, yearly limit for both ears (best in its area) | not offered | not offered | no change |
| Over-the-counter items, yearly (best in its area) | not offered | not offered | no change |
| Drug tier 1, preferred generic | $0 | $0 | no change |
| Drug tier 4, non-preferred drug | 25% of the cost | 25% of the cost | no change |
Source: CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026); 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. Your plan's Annual Notice of Change is the letter that confirms your 2027 plan; confirm on Medicare Plan Finder.
What can members do, and by when?
- If you do nothing
- You are moved into Devoted Giveback 028 OR on January 1, 2027.
- October 15 to December 7, 2026
- Open enrollment: choose another Medicare Advantage plan, or Original Medicare with a drug plan, instead.
- January 1 to March 31, 2027
- Medicare Advantage open enrollment: switch once to another Medicare Advantage plan or to Original Medicare.
Source: Medicare.gov, “Special enrollment periods” and “Joining a plan” (read Oct. 7, 2026).
Where did its members live?
Where its members lived in September 2026; each county and state page lists the 2027 plans sold there.
| County | Members, Sept. 2026 | For 2027 |
|---|---|---|
| Linn, OR | 1,506 | moves into H2923-028 |
| Lincoln, OR | 1,137 | moves into H2923-028 |
| Lane, OR | 481 | moves into H2923-028 |
| Multnomah, OR | 445 | moves into H2923-028 |
| Benton, OR | 331 | moves into H2923-028 |
| Clackamas, OR | 326 | moves into H2923-028 |
| Marion, OR | 300 | moves into H2923-028 |
| Washington, OR | 233 | moves into H2923-028 |
| Tillamook, OR | 97 | moves into H2923-028 |
| Columbia, OR | 83 | moves into H2923-028 |
| Clatsop, OR | 72 | moves into H2923-028 |
| Hood River, OR | fewer than 11 | moves into H2923-028 |
Source: CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11).
What else should you check?
- 2027 plans in Linn, ORThe plans you can join instead
- Devoted Health plans for 2027Plans the same company still offers
- Every plan not offered in 2027764 Medicare Advantage and drug plans