QUESTIONS WITH SOLUTIONS GRADED A+
◉ Devoted Plan Design. Answer: Original Medicare Benefits, Built in
Part D, Additional Benefits
◉ Qualify for Devoted Health Plan. Answer: -Must live in the plan's
service area
Must be eligible for Part A and Enrolled in Part B
Must have a qualifying election period
Cannot have ESRD (only for 2020 - in 2021 enrollment eligibility
will not be impacted by ESRD)
◉ Devoted Core HMO. Answer: This is a Medicare Advantage HMO
plan with a $0 monthly premium.
It provides all Medicare benefits.
It includes competitive cost sharing and additional benefits.
Under this HMO, referrals are required* for some specialist visits
and a PCP must be selected.
This plan is available in all markets
, ◉ Devoted Prime HMO (Select in AZ). Answer: This plan has a low
monthly premium, however, 100% is allocated to Part D - Great
choice for beneficiaries with 100% LIS subsidyLow member cost
sharingStrong supplemental benefits are included in the
planReferrals and required for some specialist visits* and a PCP
must be selected.
This plan may be a good fit for:Individuals who are willing to pay a
premium for lower cost sharingIndividuals with partial
MedicaidIndividuals with Low-Income Subsidy (LIS) (depending on
level will pick up some or all of premium)Since these folks cannot
qualify for a Dual Eligible Special-Needs plan since they do not
qualify for Medicaid, they typically just join the standard HMO plan
offering but are subject to paying all of the copays.
With Devoted Prime HMO the LIS recipient will benefit from very
low copays, rich supplemental benefits, and subsidized premium
and Part D benefits.
Prior to enrolling a prospect, make sure you confirm their LIS status
before you tell them that they do not have to pay a premium.
◉ Devoted Essentials HMO. Answer: Medicare Advantage HMO plan
with a Part B "giveback"
Givebacks reduce the Part B premium that most Medicare
beneficiaries are responsible for paying on a monthly basis.A
giveback will increase the value of a member's monthly social
security check, since they are not paying as much for their Part B.If
an individual is not paying their Part B, they will not see an increase
in their social security check.If an individual is not receiving a social