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

Devoted Giveback 028 OR, 2027

H2923Contract028Plan

HMO · 14 counties in Oregon

Run by Devoted Health Plan of Oregon Inc (contract H2923), sold as Devoted Health, owned by Devoted Health, Inc.

Takes in 1 plan

2026 star rating, contract H2923: 3.5 of 5

Devoted Giveback 028 OR (H2923-028) costs $0 a month in 2027, with an in-network out-of-pocket limit of $8,900. It is a new plan for 2027. It takes in the members of H2923-004.

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. The plan files its benefits in parts for different counties, so lines marked ◆ show the most generous part of its area and some counties get less: the plan's Evidence of Coverage gives your county's amounts.
What you pay or get20262027Change
Monthly premiumnot offered$0new for 2027
In-network out-of-pocket limitnot filed$8,900new for 2027
Drug deductiblenot filed$461new for 2027
Part B premium reduction, monthly (best in its area)none$154.20added
Primary care visit (best in its area)not offered$0 copaychanged
Specialist visit (best in its area)not offered$55 copaychanged
Emergency room (best in its area)not offered$115 copaychanged
Hospital stay, in network (best in its area)not offered$455 a day for days 1–5, then $0 a day for days 6–90changed
Skilled nursing facility, in network (best in its area)not offered$0 a day for days 1–20, then $221 a day for days 21–100changed
Ground ambulance, in network (best in its area)not offered$0 copaychanged
Eyewear, yearly limit (best in its area)not offered$200 a yearadded
5 lines do not change
Medical deductible, in network (best in its area)nonenoneno change
Comprehensive dental, yearly limit (best in its area)not offerednot offeredno change
Hearing aids, yearly limit for both ears (best in its area)not offerednot offeredno change
Over-the-counter items, yearly (best in its area)not offerednot offeredno change
Counties servednot offered14new 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$0
Tier 3Preferred Brandnot offered15% of the cost
Tier 4Non-Preferred Drugnot offered25% of the cost
Tier 5Specialty Tiernot offered26% 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, 45 plans open to everyone are sold for 2027, this one included. Against the others, 40 plans have a lower out-of-pocket limit, 4 a higher one. On the premium, 26 the same, 18 a higher one.

Out-of-pocket limits of the 45 plans open to everyone

$0 to under $2,0000 plans
$2,000 to under $4,0000 plans
$4,000 to under $6,00012 plans
$6,000 to under $8,00028 plans
$8,000 to $10,000 (this plan)5 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 14 counties: $0 a month and $8,900.

Oregon

BentonClackamasClatsopColumbiaHood RiverLaneLincolnLinnMarionMultnomahPolkTillamookWashingtonYamhill

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

Which 2026 plans move into it, and what changes for their members?

For 2027 this plan takes in the members of 1 other plan. In 2027 it costs $0 a month with a $8,900 limit; each row compares that with the plan its members had in 2026.

2026 planMembers, Sept. 2026Members who movePremium 2026Premium changeLimit 2026Limit change
Devoted Giveback 004 ORH2923-0045,0355,011$0no change$7,900up $1,000

Source: CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11); CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision). Each moving plan's own page lists every line that changes for its members.

Who runs this plan?

Plan ID
H2923-028
Legal name of the contract
Devoted Health Plan of Oregon Inc
Sold as
Devoted Health
Parent company
Devoted Health, Inc.
Plan type
HMO
2026 star rating of the contract
3.5 of 5 overall; health plan 3.5 of 5, drug plan 4 of 5
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.