DEVOTED C-SNP CHOICE PREMIUM 015 GA (PPO C-SNP) in Paulding County, Georgia — 2026 plan details

Last updated Jul 18, 2026

Reviewed by Jason Burns, Editorial Steward

Published by Senior Direct Answers · Licensed under Citation License 1.0

DEVOTED C-SNP CHOICE PREMIUM 015 GA (PPO C-SNP) (H5453-015) is a $25-premium Medicare Advantage PPO C-SNP from Devoted Health, Inc. available in Paulding County, Georgia in 2026, with a -star overall rating, a $7,400 in-network out-of-pocket maximum, and a $615 annual Part D drug deductible.

Plan facts (CMS CY2026 Landscape file)

OrganizationDevoted Health, Inc.
Plan nameDEVOTED C-SNP CHOICE PREMIUM 015 GA (PPO C-SNP)
Contract IDH5453
Plan ID015
Segment ID0
Contract year2026
Contract categorySNP
Plan typePPO C-SNP
SNPYes — Chronic or Disabling Condition
Monthly consolidated premium$25.40
Part C premium$0.00
Part D basic premium$25.40
Part D total premium$25.40
Annual Part D deductible$615.00
Maximum out-of-pocket (in-network)$7400.00
Overall star rating

How this plan is structured

How it compares in Paulding County

The CMS CY2026 Landscape file lists 92 Medicare Advantage plans in Paulding County, Georgia, of which 5 carry a 5.0-star overall rating and 56 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $100.00 per month, and in-network out-of-pocket maximums range from $3400.00 to $9250.00.

Other 5.0-star Medicare Advantage plans in Paulding County (first three alphabetically):

PlanOrganizationPremiumMOOP
Georgia Health Advantage (HMO I-SNP)Mitchell Family Office$25.40$9250.00
Georgia Health Advantage Choice (HMO I-SNP)Mitchell Family Office$25.40$9250.00
UHC Dual Complete GA-S1 (PPO D-SNP)UnitedHealth Group, Inc.$25.40$9250.00

For the full county plan directory, see all Medicare plans in Paulding County, Georgia.

How to verify your doctors take this plan

Network participation changes throughout the year; we hold no provider-network data, so verify directly with these three sources before you decide:

  1. Open the plan's official Medicare.gov page and use its provider-directory link: Medicare.gov Plan Finder — H5453-015.
  2. Call the plan (Devoted Health, Inc.) using the member-services number listed on that plan page and ask whether each doctor, hospital, and pharmacy is in-network for 2026.
  3. Get free, unbiased help from your State Health Insurance Assistance Program (SHIP) — see free unbiased Medicare help from SHIP.

What H5453-015 means

CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H5453-015, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 5453 are the contract number issued to the organization, and the three-digit 015 is the plan benefit package under that contract. The segment ID 0 identifies the service-area segment within the plan (0 = the default single segment).

Frequently asked questions

Is DEVOTED C-SNP CHOICE PREMIUM 015 GA (PPO C-SNP) an HMO or PPO?

DEVOTED C-SNP CHOICE PREMIUM 015 GA (PPO C-SNP) is a PPO C-SNP Medicare Advantage plan.

Does DEVOTED C-SNP CHOICE PREMIUM 015 GA (PPO C-SNP) include prescription drug coverage?

Yes — DEVOTED C-SNP CHOICE PREMIUM 015 GA (PPO C-SNP) is a Medicare Advantage plan with prescription drug coverage (MA-PD) and a $615.00 annual Part D drug deductible for 2026.

What is the maximum out-of-pocket cost for DEVOTED C-SNP CHOICE PREMIUM 015 GA (PPO C-SNP)?

The 2026 in-network maximum out-of-pocket limit for DEVOTED C-SNP CHOICE PREMIUM 015 GA (PPO C-SNP) is $7400.00, per the CMS CY2026 Landscape file.

What counties offer DEVOTED C-SNP CHOICE PREMIUM 015 GA (PPO C-SNP) (H5453-015)?

DEVOTED C-SNP CHOICE PREMIUM 015 GA (PPO C-SNP) (H5453-015) is offered in 16 Georgia counties: Bartow County, Cherokee County, Clayton County, Cobb County, Coweta County, DeKalb County, Douglas County, Fayette County, Forsyth County, Fulton County, Gwinnett County, Henry County, Paulding County, Pickens County, Rockdale County, and Spalding County.

Sources