DEVOTED CHOICE MA ONLY 007 HI (PPO) 2026 Plan Details for Kauai County, Hawaii Residents
DEVOTED CHOICE MA ONLY 007 HI (PPO) 2026 Plan Details for Kauai County, Hawaii Residents
Choosing the right Medicare Advantage plan in Kauai County is crucial for your healthcare needs in 2026. With DEVOTED CHOICE MA ONLY 007 HI (PPO) as one of the options, you can compare it side-by-side with other available plans to find the best fit for you. Whether you prefer enrolling online or seeking advice from a licensed agent, we’ve made the process simple and straightforward.
According to CMS enrollment data, there are approximately 237 members enrolled in this plan, 0 in Kauai County.
DEVOTED CHOICE MA ONLY 007 HI Overview
| Plan ID H2686-007-0 Overview | |
|---|---|
| Health Plan ID: | H2686-007-0 |
| Medicare Advantage Plan Type: | PPO |
| Plan Year: | 2026 |
| Monthly Premium: | $0.00 Plus your Medicare Part B premium. |
| Health Plan Deductible: | $0.00 |
| Annual Out-of-Pocket Maximum: | $9250.00 (In-Network) |
| Part B Give Back: | −$110.00 reduction |
| Part D Drug Plan Benefit: | Not Included |
| Additional Benefits: | Dental, Vision, Hearing |
| Availability: | Kauai County, HI |
| Insured By: | Devoted Health |
Why Choose DEVOTED CHOICE MA ONLY 007 HI?
This Medicare Advantage PPO plan delivers flexible access to care along with all the standard benefits of Medicare Part A and Part B. With a monthly premium of $0.00, it allows you to see any Medicare-approved provider — though you’ll typically pay less when using in-network doctors and facilities.
Primary care visits have a $0 copay | Out-of-network: $25 copay, specialist visits come with a $50 copay | Out-of-network: $50 copay, lab services cost {lab_services_cost}, urgent care services carry a $0-$40 copay, and ambulance transportation is $0-$350 copay | Out-of-network: $0-$350 copay. These costs count toward the plan’s annual maximum out-of-pocket (MOOP) limit of $9250.00. Once you reach that limit, in-network care is fully covered for the rest of the year.
Officially listed as CMS plan H2686-007-0. Below, you’ll find a breakdown of cost sharing for key services. Still have questions? Check the FAQ section for more information.
| We're Here to Help You Enroll |
|---|
Cost-Sharing Overview
With DEVOTED CHOICE MA ONLY 007 HI, you'll have cost-sharing expenses, which are the out-of-pocket costs for approved healthcare services. The table below provides a summary of the typical in-network out-of-pocket costs associated with plan H2686-007-0.
Find out the costs for visiting your primary care doctor and specialists, as well as coverage for wellness and preventive programs.
| Service | Enrollee Cost (in-network) |
|---|---|
| Primary: | In-network: $0 copay | Out-of-network: $25 copay |
| Specialist: | In-network: $50 copay | Out-of-network: $50 copay |
Medicare Advantage plans often include preventive and wellness benefits designed to help members stay healthy, identify risks early, and maintain an active lifestyle.
| Service | Enrollee Cost (in-network) |
|---|---|
| Annual wellness exam: | In-network: $0 copay |
| Telehealth benefit: | In-network: $0-$50 copay |
| Routine chiropractic: | Not covered |
| Fitness benefits: | In-network: $0 copay | Out-of-network: $0 copay, 0% coinsurance |
| Health education: | In-network: $0 copay | Out-of-network: $0 copay, 0% coinsurance |
| Counseling services: | Not covered |
| Over the counter drug benefits: | Not covered |
| Health transportation (non-emergency): | Not covered |
Review the costs for emergency services, urgent care, ambulance services, inpatient hospital stays, and skilled nursing facility care.
| Service | Enrollee Cost |
|---|---|
| Emergency room care: | $115 copay |
| Wordwide emergency care: | $115 copay |
| Urgent care: | $0-$40 copay |
| Inpatient hospital care: | In-network: | Tier 1 | $425 per day for days 1-4 | $0 per day for days 5-90 | $0 per stay | Out-of-network: | $425 per day for days 1-4 | $0 per day for days 5-90 | $0 per stay |
| Skilled Nursing Facility: | In-network: | Tier 1 | $0 per day for days 1-20 | $190 per day for days 21-100 | Out-of-network: | 20% per stay |
| Ground ambulance: | In-network: $0-$350 copay | Out-of-network: $0-$350 copay |
This section explains the costs for mental health services, including individual and group therapy, and inpatient care.
| Service | Enrollee Cost (in-network) |
|---|---|
| Outpatient individual therapy: | In-network: $50 copay | Out-of-network: $50 copay |
| Outpatient group therapy: | In-network: $50 copay | Out-of-network: $50 copay |
| Inpatient psychiatric hospital care: | In-network: | Tier 1 | $425 per day for days 1-4 | $0 per day for days 5-90 | $0 per stay | Out-of-network: | $425 per day for days 1-4 | $0 per day for days 5-90 | $0 per stay |
See the cost details for rehabilitation services, including physical therapy, speech therapy, and occupational therapy.
| Service | Enrollee Cost (in-network) |
|---|---|
| Physical therapy and speech and language therapy: | In-network: $50 copay | Out-of-network: $50 copay |
| Occupational therapy: | In-network: $35 copay | Out-of-network: $35 copay |
Learn about the costs associated with medical equipment and supplies, including diabetes supplies, durable medical equipment, and prosthetics.
| Service | Enrollee Cost (in-network) |
|---|---|
| Diabetes supplies: | In-network: 0%-15% coinsurance | Out-of-network: 20% coinsurance |
| Durable medical equipment: | In-network: 15% coinsurance | Out-of-network: 20% coinsurance |
| Prosthetics: | In-network: 0%-20% coinsurance | Out-of-network: 0%-40% coinsurance |
This section outlines the costs for diagnostic services, lab tests, x-rays, and other imaging services.
| Service | Enrollee Cost (in-network) |
|---|---|
| Diagnostic radiology services: | In-network: $0-$300 copay | Out-of-network: $0-$300 copay |
| Lab services: | In-network: $0-$40 copay | Out-of-network: $0-$40 copay, 20% coinsurance |
| Outpatient x-rays: | In-network: $0-$75 copay | Out-of-network: $0-$75 copay |
| Diagnostic tests and procedures: | In-network: $0-$95 copay | Out-of-network: $0-$95 copay |
Review the cost-sharing details for chemotherapy and other Medicare Part B-covered drugs.
| Service | Enrollee Cost (in-network) |
|---|---|
| Chemotherapy: | In-network: 0%-20% coinsurance | Out-of-network: 40% coinsurance |
| Other Part B drugs (Medicare-covered): | In-network: 0%-20% coinsurance | Out-of-network: 0%-40% coinsurance |
This section details the dental services covered under your plan including Medicare-covered preventive dental, oral exams, x-rays, dental cleanings, and comprehensive dental.
| Service | Member Cost (in-network) |
|---|---|
| Oral exam: | In-network: $0 copay | Out-of-network: $0 copay, 0% coinsurance |
| Dental x-rays: | In-network: $0 copay | Out-of-network: $0 copay, 0% coinsurance |
| Cleaning: | In-network: $0 copay | Out-of-network: $0 copay, 0% coinsurance |
| Periodontics: | In-network: $0 copay | Out-of-network: $0 copay, 0% coinsurance |
| Endodontics: | In-network: 0%-50% coinsurance | Out-of-network: 0%-50% coinsurance |
| Restorative services: | In-network: 0%-50% coinsurance | Out-of-network: 0%-50% coinsurance |
| Implant services: | Not covered |
| Orthodontics: | Not covered |
| Oral/Maxillofacial surgery: | In-network: $0 copay | Out-of-network: $0 copay, 0% coinsurance |
This section outlines the coverage for hearing-related services, including exams, fittings, and hearing aids.
| Service | Member Cost (in-network) |
|---|---|
| Hearing exam: | In-network: $0 copay | Out-of-network: $0 copay, 0% coinsurance |
| Fitting/evaluation: | In-network: $0 copay | Out-of-network: $0 copay, 0% coinsurance |
| Prescription hearing aids: | In-network: $599-$899 copay | Out-of-network: $599-$899 copay |
| OTC hearing aids: | Not covered |
Learn about the costs for vision-related services, including eye exams, eyeglasses, and contact lenses.
| Service | Member Cost (in-network) |
|---|---|
| Routine eye exam: | In-network: $0 copay | Out-of-network: $0 copay, 0% coinsurance |
| Contact lenses: | In-network: $0 copay | Out-of-network: $0 copay, 0% coinsurance |
| Eyeglass frames only: | In-network: $0 copay | Out-of-network: $0 copay, 0% coinsurance |
| Eyeglass lenses only: | In-network: $0 copay | Out-of-network: $0 copay, 0% coinsurance |
| Eyeglasses (frames & lenses): | In-network: $0 copay | Out-of-network: $0 copay, 0% coinsurance |
| Upgrades: | In-network: $0 copay | Out-of-network: $0 copay, 0% coinsurance |
Medicare Advantage plans may include extra benefits and special needs services designed to support members with chronic conditions, mobility limitations, or other complex health needs.
| Service | Enrollee Cost (in-network) |
|---|---|
| Adult day health services: | Not covered |
| Home based palliative care: | Not covered |
| Personal emergency response system: | Not covered |
| Weight management programs: | In-network: $0 copay | Out-of-network: $0 copay, 0% coinsurance |
| 'Wigs for chemotherapy hair loss: | Not covered |
| Alternative therapies: | In-network: 0%-50% coinsurance | Out-of-network: 0%-50% coinsurance |
| Massage therapy: | In-network: 50% coinsurance | Out-of-network: 50% coinsurance |
| Home/bathroom safety devices: | In-network: $0 copay | Out-of-network: 20% coinsurance |
Certain preventive services are covered 100% by DEVOTED CHOICE MA ONLY 007 HI as a Part B benefit.
Part D Prescription Drug Costs & Benefits
This plan does not include a Medicare Part D plan for prescriptions.
How CMS Star Ratings Guide Your Choice
The Centers for Medicare & Medicaid Services (CMS) reviews and rates Medicare Advantage (Part C) and drug plans (Part D) annually, using a 5-star system to measure aspects such as member satisfaction, preventive services, and management of chronic conditions.
Higher star ratings generally indicate better plan performance, which can be a useful factor to consider when deciding on a plan that aligns with your healthcare goals and preferences.
| CMS Measure | Star Rating |
|---|---|
| 2026 Overall Rating | |
| Staying Healthy: Screenings, Tests, Vaccines | Not enough data available |
| Managing Chronic (Long Term) Conditions | |
| Member Experience with Health Plan | |
| Complaints and Changes in Plans Performance | |
| Health Plan Customer Service | |
| Drug Plan Customer Service | |
| Complaints and Changes in the Drug Plan | |
| Member Experience with the Drug Plan | |
| Drug Safety and Accuracy of Drug Pricing |
If you are new to Medicare or Medicare Advantage plans, the following information will help you understand the enrollment process and restrictions.
Who Can Enroll in DEVOTED CHOICE MA ONLY 007 HI?
To qualify for enrollment in DEVOTED CHOICE MA ONLY 007 HI, you must:
- Be entitled to Medicare Part A and enrolled in Medicare Part B.
- Live within the plan’s designated service area.
If you fulfill these criteria, you can enroll in DEVOTED CHOICE MA ONLY 007 HI and enjoy the extensive healthcare benefits it offers.
When Should You Enroll in DEVOTED CHOICE MA ONLY 007 HI?
Knowing when you can enroll in DEVOTED CHOICE MA ONLY 007 HI is essential. Here are the main enrollment periods:
- Initial Enrollment Period (IEP): Your IEP starts three months before your 65th birthday and ends three months after, giving you a seven-month window to enroll in Medicare.
- Annual Enrollment Period (AEP): The AEP, from October 15 to December 7, allows you to make changes to your Medicare Advantage plan if you are currently enrolled in a Medicare Advantage plan.
- Medicare Advantage Open Enrollment Period (MA OEP): Running from January 1 to March 31, the MA OEP lets you switch plans or return to Original Medicare if you are currently enrolled in a Medicare Advantage plan.
- Special Enrollment Periods (SEPs): Life events such as moving or losing coverage may qualify you for a SEP, enabling you to enroll or make changes outside the usual periods.
If you're uncertain about the right time to enroll, Call HealthCompare (our trusted enrollment partner) at 1-833-748-3201 (TTY 711) for guidance from a licensed insurance agent.
How to Enroll in DEVOTED CHOICE MA ONLY 007 HI
Getting started with DEVOTED CHOICE MA ONLY 007 HI is simple. Here are your options:
- Online Enrollment: Easily enroll online using a secure form. Visit the MedicareEnrollment.com enrollment page and follow the steps to complete your enrollment.
- By Phone: Call HealthCompare (our trusted enrollment partner) at 1-833-748-3201 (TTY 711). A licensed insurance agent will guide you through the process and answer any questions.
- Through Medicare.gov: Enroll through the official Medicare website. Visit Medicare.gov, log in or create an account, and follow the instructions to join a Medicare Advantage plan.
- Directly with the Plan: You can also enroll directly with DEVOTED CHOICE MA ONLY 007 HI. The plan's contact information is available below in the "Contact" section.
Be sure to enroll during the appropriate period to ensure your coverage begins without delay.
Here are some of the most frequently asked questions people have about plan ID H2686-007-0:
Is there a premium for this plan in 2026?
The 2026 premium is $0.00 each month, and you must continue to pay your Part B premium.
What’s the MOOP for DEVOTED CHOICE MA ONLY 007 HI in 2026?
Your costs top out at $9250.00 (for in-network services) in 2026; after that the plan pays 100% of covered services.
What’s the CMS star score for DEVOTED CHOICE MA ONLY 007 HI?
CMS rates it ★3.5 out of 5 stars for 2026.
Is DEVOTED CHOICE MA ONLY 007 HI popular?
Enrollment stands at roughly 237 members.
Contact Devoted Health
| Contact Type | Details |
|---|---|
| Website: | Devoted Health Plan Page |
| New Members: | 1-844-978-2770 |
| Existing Members: | 1-800-338-6833 |
| Plan Address: | Devoted Health | PO Box 211037 | Eagan, MN 55121 |
If you're eligible for Medicare but haven't enrolled or need to verify your enrollment status, visit the Social Security Administration website. For more information about Medicare Advantage, visit medicare.gov.
- CMS.gov, Landscape Source Files — Last accessed September 26, 2025
- CMS.gov, Medicare Part C & D Performance — Last accessed October 10, 2025
- CMS.gov, Plan Benefits Package — Last accessed October 14, 2025
- CMS.gov, Monthly Enrollment by Contract/Plan/State/County — Last accessed October 13, 2025
Learn more about how we use CMS data.
- Devoted Health, http://www.devoted.com — Last accessed October 13, 2025
- Medicare.gov, "Compare types of Medicare Advantage Plans" — Last accessed 25 May, 2025
- AARP.org, "The Big Choice: Original Medicare vs. Medicare Advantage" — Last accessed 25 May, 2025
- Medicare.gov, "Explore your Medicare coverage options" — Last accessed 25 May, 2025
Medicare.org is owned and operated by Health Network Group, LLC, an Allstate company. Medicare.org provides information only and is not connected with or endorsed by the U.S. Government or the federal Medicare program.
Data provenance documentation is maintained in alignment with the U.S. Core Data for Interoperability (USCDI) Provenance standard.
Page content managed by David Bynon, Medicare Analyst.
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