DEVOTED CHOICE PREMIUM 004 IN (PPO) in Wells County, Indiana — 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 PREMIUM 004 IN (PPO) (H7471-004) is a $11-premium Medicare Advantage PPO from Devoted Health, Inc. available in Wells County, Indiana in 2026, with a -star overall rating, a $4,500 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 CHOICE PREMIUM 004 IN (PPO)
Contract IDH7471
Plan ID004
Segment ID0
Contract year2026
Contract categoryMA-PD
Plan typePPO
SNPNo
Monthly consolidated premium$11.40
Part C premium$0.00
Part D basic premium$11.40
Part D total premium$11.40
Annual Part D deductible$615.00
Maximum out-of-pocket (in-network)$4500.00
Overall star rating

How this plan is structured

How it compares in Wells County

The CMS CY2026 Landscape file lists 59 Medicare Advantage plans in Wells County, Indiana, of which 0 carry a 5.0-star overall rating and 30 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $97.00 per month, and in-network out-of-pocket maximums range from $3700.00 to $9250.00.

For the full county plan directory, see all Medicare plans in Wells County, Indiana.

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 — H7471-004.
  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 H7471-004 means

CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H7471-004, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 7471 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 PREMIUM 004 IN (PPO) an HMO or PPO?

DEVOTED CHOICE PREMIUM 004 IN (PPO) is a PPO Medicare Advantage plan.

Does DEVOTED CHOICE PREMIUM 004 IN (PPO) include prescription drug coverage?

Yes — DEVOTED CHOICE PREMIUM 004 IN (PPO) 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 CHOICE PREMIUM 004 IN (PPO)?

The 2026 in-network maximum out-of-pocket limit for DEVOTED CHOICE PREMIUM 004 IN (PPO) is $4500.00, per the CMS CY2026 Landscape file.

What counties offer DEVOTED CHOICE PREMIUM 004 IN (PPO) (H7471-004)?

DEVOTED CHOICE PREMIUM 004 IN (PPO) (H7471-004) is offered in twelve Indiana counties: Adams County, Blackford County, DeKalb County, Grant County, Huntington County, Jay County, Lagrange County, Noble County, Steuben County, Wabash County, Wells County, and Whitley County.

Sources