DEVOTED CHOICE 004 GA (PPO) in Peach 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 CHOICE 004 GA (PPO) (H5453-004) is a $0-premium Medicare Advantage PPO from Devoted Health, Inc. available in Peach County, Georgia in 2026, with a —-star overall rating, a $8,650 in-network out-of-pocket maximum, and a $370 annual Part D drug deductible.
Plan facts (CMS CY2026 Landscape file)
| Organization | Devoted Health, Inc. |
|---|---|
| Plan name | DEVOTED CHOICE 004 GA (PPO) |
| Contract ID | H5453 |
| Plan ID | 004 |
| Segment ID | 0 |
| Contract year | 2026 |
| Contract category | MA-PD |
| Plan type | PPO |
| SNP | No |
| Monthly consolidated premium | $0.00 |
| Part C premium | $0.00 |
| Part D basic premium | $31.00 |
| Part D total premium | $0.00 |
| Annual Part D deductible | $370.00 |
| Maximum out-of-pocket (in-network) | $8650.00 |
| Overall star rating | — |
How this plan is structured
- $0 consolidated premium. A $0 or near-$0 consolidated premium does not remove the Part B premium — the standard 2026 Part B premium is $202.90 per month and still applies. See the 2026 Medicare Part B premium.
- PPO plan type. Plan-type rules determine in-network use and referrals. See how Medicare Advantage HMO and PPO plans differ.
- $8,650 in-network out-of-pocket maximum. The MOOP is the annual cap on what a member pays in-network for covered Part A and Part B services. See how the Medicare Advantage MOOP works.
- Service area = Peach County. Medicare Advantage plans are sold by service area; moving out of the plan's service area triggers a Special Enrollment Period to switch plans. See how moving changes your Medicare options.
How it compares in Peach County
The CMS CY2026 Landscape file lists 85 Medicare Advantage plans in Peach County, Georgia, of which 5 carry a 5.0-star overall rating and 51 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 Peach County (first three alphabetically):
| Plan | Organization | Premium | MOOP |
|---|---|---|---|
| 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 Peach 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:
- Open the plan's official Medicare.gov page and use its provider-directory link: Medicare.gov Plan Finder — H5453-004.
- 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.
- Get free, unbiased help from your State Health Insurance Assistance Program (SHIP) — see free unbiased Medicare help from SHIP.
What H5453-004 means
CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H5453-004, 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 004 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 CHOICE 004 GA (PPO) an HMO or PPO?
DEVOTED CHOICE 004 GA (PPO) is a PPO Medicare Advantage plan.
Does DEVOTED CHOICE 004 GA (PPO) include prescription drug coverage?
Yes — DEVOTED CHOICE 004 GA (PPO) is a Medicare Advantage plan with prescription drug coverage (MA-PD) and a $370.00 annual Part D drug deductible for 2026.
What is the maximum out-of-pocket cost for DEVOTED CHOICE 004 GA (PPO)?
The 2026 in-network maximum out-of-pocket limit for DEVOTED CHOICE 004 GA (PPO) is $8650.00, per the CMS CY2026 Landscape file.
What counties offer DEVOTED CHOICE 004 GA (PPO) (H5453-004)?
DEVOTED CHOICE 004 GA (PPO) (H5453-004) is offered in 83 Georgia counties: Appling County, Atkinson County, Bacon County, Baldwin County, Barrow County, Ben Hill County, Berrien County, Brooks County, Butts County, Candler County, Catoosa County, Charlton County, Chattahoochee County, Chattooga County, Clinch County, Colquitt County, Cook County, Crawford County, Dade County, Dawson County, Dodge County, Dooly County, Echols County, Elbert County, Emanuel County, Evans County, Fannin County, Franklin County, Gilmer County, Glascock County, Greene County, Hancock County, Haralson County, Harris County, Hart County, Heard County, Irwin County, Jasper County, Jeff Davis County, Jefferson County, Johnson County, Jones County, Lamar County, Lanier County, Lowndes County, Lumpkin County, Macon County, Meriwether County, Monroe County, Montgomery County, Morgan County, Murray County, Muscogee County, Oconee County, Oglethorpe County, Peach County, Pike County, Polk County, Pulaski County, Putnam County, Rabun County, Stephens County, Talbot County, Taliaferro County, Tattnall County, Taylor County, Telfair County, Thomas County, Tift County, Towns County, Treutlen County, Twiggs County, Upson County, Walker County, Walton County, Warren County, Washington County, Wayne County, Wheeler County, White County, Wilcox County, Wilkes County, and Wilkinson County.
Sources
- CMS, Plan Year 2026 Medicare Advantage & Part D Landscape source file (March 2026) — retrieved 2026-07-18. Overall star rating year: 2026.
- Medicare.gov Plan Finder — compare plans and enroll.