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Medicare Advantage Plan H6813-006-0 in San Saba County, TX DEVOTED CHOICE MA ONLY 006 TX (PPO) • 2026

CMS Rating:☆☆☆☆☆(3.5 out of 5 stars*)

DEVOTED CHOICE MA ONLY 006 TX (PPO), CMS Plan-ID H6813-006-0, is a 2026 Medicare Advantage Plan (Part C), without prescription drug coverage, by Devoted Health. The plan uses a Preferred Provider Organization (PPO) provider network structure.

Based on the most recent CMS data, plan enrollments topped 134 members, with 0 in San Saba County, Texas.

Last update:

DEVOTED CHOICE MA ONLY 006 TX Overview

2026 Medicare Advantage Plan Overview for H6813-006-0
Plan Overview for H6813-006-0
CMS Plan ID: H6813-006-0
Plan Type: PPO
Plan Year: 2026
Monthly Premium: $0.00
Plus your Medicare Part B premium.
Medical Deductible: $0.00
Maximum Out-of-Pocket: $9250.00 (In-Network)
Part B Give Back: −$158.00 reduction
Prescription Drug Coverage: Not Included
Additional Benefits: Dental, Vision, Hearing
Service Area: San Saba County, TX
Enrollment (Nationwide): 134 beneficiaries
Enrollment (CMS – Local)0 beneficiaries in San Saba County
Provided By: Devoted Health
If you qualify for Original Medicare and a Medicare Advantage Plan but don't know where to begin, our HealthCompare licensed insurance agents[1] are available at 1-833-748-3201 (TTY 711) to answer your questions (M-F 8AM-10PM, Sat 9AM-8PM EST) and help you enroll. There's no obligation.

To learn more about your plan options, costs, and enrollment periods without agent assistance, try our helpful Medicare Resources below (click to open).

Medicare Plan Decision Resources
Frequently Asked Questions About DEVOTED CHOICE MA ONLY 006 TX (PPO)

Here are some of the most frequently asked questions people have about Plan ID H6813-006-0:

What is the 2026 premium for Plan ID H6813-006-0?

The 2026 monthly premium is $0.00, in addition to any Medicare Part B premium you must pay.

How much could I pay out of pocket with DEVOTED CHOICE MA ONLY 006 TX?

Plan ID H6813-006-0 has a 2026 in-network maximum out-of-pocket (MOOP) limit of $9250.00. After you reach this limit, the plan pays covered in-network Part A and Part B costs for the remainder of the year.

How is Plan ID H6813-006-0 rated by CMS?

Contract H6813, which includes this plan, has a ★3.5 out of 5 CMS Star Rating for 2026.

What type of provider network does DEVOTED CHOICE MA ONLY 006 TX use?

DEVOTED CHOICE MA ONLY 006 TX uses a Preferred Provider Organization (PPO) provider network.

How many people are enrolled in DEVOTED CHOICE MA ONLY 006 TX?

The most recent CMS enrollment data shows approximately 134 beneficiaries enrolled in this plan.

Who provides DEVOTED CHOICE MA ONLY 006 TX (PPO)?

DEVOTED CHOICE MA ONLY 006 TX is offered by Devoted Health.

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CMS Medicare Star Ratings

Each year, Medicare Advantage PPOs are rated by the Centers for Medicare & Medicaid Services (CMS) across nine categories using a 5-star system. These star ratings are designed to help you assess the quality of care and service offered by this Devoted Health plan.

2026 Medicare Star Ratings for Contract H6813
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 ☆☆☆☆☆

Covered Services & Costs

Office Visits

This plan lists in-network cost sharing for primary care and specialist visits, along with related office-based services.

Primary care and specialist visit costs for this plan.
Covered Service In-Network Cost
Primary: In-network: $0 copay | Out-of-network: $5 copay
Specialist: In-network: $45 copay | Out-of-network: $45 copay

Preventive and Wellness Services

Preventive and wellness benefits may include routine exams, telehealth, fitness programs, health education, and other in-network services.

Preventive and wellness service costs and benefits for this plan.
Covered Service In-Network Cost
Annual wellness exam: In-network: $0 copay
Telehealth benefit: In-network: $0-$45 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

Diagnostic, Lab, and Imaging Services

Diagnostic coverage includes in-network cost sharing for lab tests, x-rays, radiology, and other diagnostic procedures used to evaluate health conditions.

Diagnostic, laboratory, and imaging service costs for this plan.
Covered Service In-Network Cost
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

Emergency and Urgent Care Services

Emergency and inpatient coverage includes cost sharing for urgent care, emergency room visits, ambulance transportation, hospital stays, and skilled nursing facility care.

Emergency, urgent care, hospital, ambulance, and skilled nursing costs for this plan.
Covered Service In-Network Cost
Emergency room care: $115 copay
Worldwide 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 | $218 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

Mental Health Services

Mental health coverage includes in-network cost sharing for outpatient individual and group therapy, as well as inpatient psychiatric hospital care.

Mental health therapy and inpatient psychiatric care costs for this plan.
Covered Service In-Network Cost
Outpatient individual therapy: In-network: $45 copay | Out-of-network: $45 copay
Outpatient group therapy: In-network: $45 copay | Out-of-network: $45 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

Rehabilitation Services

Rehabilitation coverage includes in-network cost sharing for physical therapy, speech and language therapy, and occupational therapy services.

Physical, speech, and occupational therapy costs for this plan.
Covered Service In-Network Cost
Physical therapy and speech and language therapy: In-network: $45-$50 copay | Out-of-network: $45-$50 copay
Occupational therapy: In-network: $35 copay | Out-of-network: $35 copay

Medical Equipment and Supplies

Medical equipment coverage includes in-network cost sharing for diabetes supplies, durable medical equipment, prosthetics, and related supplies.

Diabetes supplies, durable medical equipment, and prosthetic costs for this plan.
Covered Service In-Network Cost
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

Medicare Part B Drugs

Medicare Part B drug coverage includes in-network cost sharing for chemotherapy and other medications covered under Medicare Part B.

Chemotherapy and other Medicare Part B-covered drug costs for this plan.
Covered Service In-Network Cost
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

Dental Services

Dental coverage includes in-network cost sharing for preventive care, exams, x-rays, cleanings, and comprehensive dental procedures.

Preventive and comprehensive dental service costs for this plan.
Covered Service In-Network Cost
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

Vision Services

Vision coverage includes in-network cost sharing for routine eye exams, contact lenses, eyeglass frames and lenses, and related eyewear services.

Routine eye exams, contact lenses, and eyewear costs for this plan.
Covered Service In-Network Cost
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

Hearing Services

Hearing coverage includes in-network cost sharing for hearing exams, fittings and evaluations, prescription hearing aids, and over-the-counter hearing aids.

Hearing exams, fittings, and hearing aid costs for this plan.
Covered Service In-Network Cost
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

Additional and Special Needs Services

Additional benefits may include in-network services for adult day health, palliative care, personal emergency response systems, weight management, alternative therapies, and home safety needs.

Additional and special needs service costs and benefits for this plan.
Covered Service In-Network Cost
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-related hair loss: Not covered
Alternative therapies: In-network: $0 copay | Out-of-network: $0 copay, 0% coinsurance
Massage therapy: Not covered
Home/bathroom safety devices: In-network: $0 copay | Out-of-network: 20% coinsurance

DEVOTED CHOICE MA ONLY 006 TX covers 100% of certain preventive services as a required Part B benefit.

Prescription Drug Coverage

This plan does not include a Medicare Part D plan for prescriptions.

Contact Devoted Health

Call 833-748-3201 (TTY 711) to speak with a licensed HealthCompare insurance agent (M-F 8AM-10PM, Sat 9AM-8PM EST) and learn more about this plan and other plans on this site. You may also Enroll Online .

Devoted Health Plan Contact Details for DEVOTED CHOICE MA ONLY 006 TX (PPO)
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
Medicare Plan Data Sources and Methodology
Primary CMS datasets used to compile information about Plan ID H6813-006-0
Data Source Publisher CMS Version
Landscape Source Files Centers for Medicare & Medicaid Services 202608
Medicare Part C & D Performance Centers for Medicare & Medicaid Services 2026
Plan Benefits Package Centers for Medicare & Medicaid Services 2026
Monthly Enrollment by Contract/Plan/State/County Centers for Medicare & Medicaid Services 2026-08
Official plan information and secondary Medicare references.
Publisher Reference Last Accessed
Devoted Health (official source) http://www.Devoted.com October 13, 2025
CMS.gov Medicare Advantage Plan Fact Sheet 25 May, 2025
NCOA.org 5 Steps to Choosing the Right Medicare Plan for You 25 May, 2025
Medicare.gov Your coverage options 25 May, 2025

Medicare.org independently compiles and interprets Medicare plan information using data published by the Centers for Medicare & Medicaid Services (CMS), official plan information, and other authoritative Medicare sources. The sources used for this plan are documented below.

Medicare.org is an independent Medicare information and enrollment resource and is not affiliated with or endorsed by the U.S. Government or the federal Medicare program. Enrollment assistance is provided through HealthCompare, an Allstate company.