Contract H9231 Local PPO Special Needs Plan

DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC

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Devoted Health (Devoted Health, Inc.)
3.5
Overall Star Rating
3.5
Drug Plan Stars
Monthly Premium
1
States

What the CMS Data Shows About DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC

DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC operates under CMS contract H9231, issued by Devoted Health (parent organization Devoted Health, Inc.). The contract is classified as a Local PPO product, which governs how enrollees access care: PPO designs let members see out-of-network providers at higher cost-sharing, giving broader access than an HMO. This contract is also flagged in CMS data as a Special Needs Plan (SNP), meaning enrollment is restricted to beneficiaries meeting specific eligibility criteria — chronic condition, dual Medicare-Medicaid status, or institutional residence. Service area spans 1 state (TN) and more than 40 counties, a geography set at the CMS service-area definition level.

The overall CMS Star Rating for this contract is 3.5 out of 5.0. This rating synthesizes 25 individual quality measures spanning 9 CMS domains, including clinical outcomes, patient experience (CAHPS), member complaints and appeals, and plan operations. The Part D drug-benefit portion of this contract carries a separate CMS Star Rating of 3.5, which reflects pharmacy cost, adherence to chronic medications, and drug pricing accuracy. Ratings at 4+ stars trigger federal Quality Bonus Payments that insurers typically reinvest in supplemental benefits.

On costs, this contract lists a monthly plan premium of not reported. Beyond standard Medicare Parts A and B, the contract documents 65 supplemental benefits in the CMS benefits file — coverage extras such as dental, vision, hearing aids, fitness programs, and OTC allowances that Original Medicare does not provide. Before enrolling, verify that your preferred providers participate in the plan's network for your specific county, review the current Summary of Benefits, and confirm that your prescriptions appear on the plan formulary. All figures shown come from CMS public-use files for the 2026 contract year; this page is informational only and is not personalized Medicare counseling advice.

Quality Measures by Domain

Managing Chronic Conditions

6 measures

Controlling High Blood Pressure

4

Diabetes Care – Blood Sugar Controlled

3

Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions

3

Kidney Health Evaluation for Patients with Diabetes

4

Plan All-Cause Readmissions

5

Reducing the Risk of Falling

4

Member Experience

5 measures

Care Coordination

1

Customer Service

4

Getting Appointments and Care Quickly

3

Rating of Health Care Quality

4

Rating of Health Plan

2

Complaints & Changes

2 measures

Health Plan Quality Improvement

1

Members Choosing to Leave the Plan

3

Customer Service

1 measures

Call Center – Foreign Language Interpreter and TTY Availability

4

Drug Plan Customer Service

1 measures

Complaints about the Drug Plan

5

Drug Plan Experience

1 measures

Getting Needed Prescription Drugs

3

Drug Safety & Pricing

4 measures

Medication Adherence for Cholesterol (Statins)

4

Medication Adherence for Diabetes Medications

5

Medication Adherence for Hypertension (RAS antagonists)

2

MTM Program Completion Rate for CMR

4

Tests & Vaccines

3 measures

Annual Flu Vaccine

4

Improving or Maintaining Physical Health

1

Special Needs Plan (SNP) Care Management

1

Member Complaints and Changes in the Drug Plan’s Performance

2 measures

Drug Plan Quality Improvement

1

Members Choosing to Leave the Plan

3

Supplemental Benefits

BenefitCoveredMax BenefitCopay
Dental (Preventive)✓ Yes$3,500
Hearing Aids✓ Yes
Hearing Exam✓ Yes
Vision — Eye Exam✓ Yes
Vision — Eyewear✓ Yes

Medicare Advantage Star Rating Distribution

Percentage of Medicare Advantage plans at each CMS star rating level (2026 plan year)

8%5-Star Plans
38%4-Star Plans
34%3-Star Plans
14%2-Star Plans
6%1-Star Plans

Source: CMS Medicare Advantage Star Ratings 2026. Distribution reflects national plan-county records.

Frequently Asked Questions

What is the star rating for DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC?

DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC (Contract H9231) by Devoted Health has an overall CMS star rating of 3.5 out of 5. Star ratings are based on quality measures including preventive care, chronic disease management, and member satisfaction.

How much does DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC cost per month?

DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC has a monthly premium of data not available. Plan costs may vary by county.

What type of plan is DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC?

DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC is a Local PPO Medicare Advantage plan offered by Devoted Health. This is also a Special Needs Plan (SNP) designed for beneficiaries with specific diseases, characteristics, or care needs. PPO plans offer more provider flexibility, allowing you to see out-of-network providers at a higher cost.

Where is DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC available?

DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC is available in 1 state (TN) across more than 40 counties. Coverage area can vary — check with the insurer or Medicare.gov for exact availability in your ZIP code.

What supplemental benefits does DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC offer?

DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC covers 65 supplemental benefits beyond standard Medicare, including dental preventive, hearing aids, hearing exam, vision eye exam, vision eyewear. Many Medicare Advantage plans include dental, vision, and hearing coverage not available under Original Medicare.

How is DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC rated on quality measures?

CMS evaluates DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC across 25 individual quality measures spanning 9 domains, including DD1: Drug Plan Customer Service, DD2: Member Complaints and Changes in the Drug Plan’s Performance, DD3: Member Experience with the Drug Plan and more. These measures cover clinical outcomes, patient experience, and plan operations.

Data Source

Data from CMS Medicare Advantage 2026 Star Ratings and Plan Finder datasets. Contract ID: H9231. Last updated: 2026 plan year.

Important: PlainMedicare provides CMS data for informational purposes only. This is not medical or insurance advice. Consult a licensed Medicare counselor or insurance agent for personalized guidance. Always verify current plan details with the insurer or Medicare.gov before enrolling.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by Kiznis Studio Editorial