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

Devoted Dual Choice Qmb 025 la, 2027

H7766Contract025Plan

PPO D-SNP · special needs plan, dual-eligible · 17 counties in Louisiana

Run by Devoted Health Insurance Company of Louisiana (contract H7766), sold as Devoted Health, owned by Devoted Health, Inc.

Takes in 1 plan

2026 star rating, contract H7766: not rated (too new)

Devoted Dual Choice Qmb 025 la (H7766-025) costs $0 a month in 2027, with an in-network out-of-pocket limit of $9,850. It is a new plan for 2027. It takes in the members of H7766-004.

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.
What you pay or get20262027Change
Monthly premiumnot offered$0new for 2027
In-network out-of-pocket limitnot filed$9,850new for 2027
Drug deductiblenot filed$700new for 2027
Primary care visitnot offered$0 copaychanged
Specialist visitnot offered30% of the costchanged
Emergency roomnot offered$115 copaychanged
Medical deductible, in networknone$400added
Hospital stay, in networknot offered$2,241 a staychanged
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 offered45% of the costchanged
Eyewear, yearly limitnot offered$400 a yearadded
5 lines do not change
Part B premium reduction, monthlynonenoneno change
Comprehensive dental, yearly limitnot offerednot offeredno change
Hearing aids, yearly limit for both earsnot offerednot offeredno change
Over-the-counter items, yearlynot offerednot offeredno change
Counties servednot offered17new 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 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, 24 dual-eligible special needs plans are sold for 2027, this one included. Against the others, 4 plans have a lower out-of-pocket limit, 19 the same. On the premium, 10 the same, 13 a higher one.

Out-of-pocket limits of the 24 dual-eligible special needs plans

$0 to under $2,0000 plans
$2,000 to under $4,0000 plans
$4,000 to under $6,0002 plans
$6,000 to under $8,0002 plans
$8,000 to $10,000 (this plan)20 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 17 counties: $0 a month and $9,850.

Louisiana

AscensionAssumptionEast Baton RougeEast FelicianaIbervilleJeffersonLafourcheOrleansPlaqueminesPointe CoupeeSt. BernardSt. CharlesSt. HelenaSt. JamesSt. John the BaptistWest Baton RougeWest Feliciana

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 $9,850 limit; each row compares that with the plan its members had in 2026.

2026 planMembers, Sept. 2026Members who movePremium 2026Premium changeLimit 2026Limit change
Devoted Dual Choice 004 laH7766-004307245$32.90down $32.90$4,900up $4,950

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
H7766-025
Legal name of the contract
Devoted Health Insurance Company of Louisiana
Sold as
Devoted Health
Parent company
Devoted Health, Inc.
Plan type
PPO D-SNP
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.