DEVOTED C-SNP CHOICE PLUS 004 KY (PPO C-SNP) in Carter County, Kentucky — 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 PLUS 004 KY (PPO C-SNP) (H5718-004) is a $38-premium Medicare Advantage PPO C-SNP from Devoted Health, Inc. available in Carter County, Kentucky in 2026, with a —-star overall rating, a $9,250 in-network out-of-pocket maximum, and a $615 annual Part D drug deductible.
Plan facts (CMS CY2026 Landscape file)
| Organization | Devoted Health, Inc. |
|---|---|
| Plan name | DEVOTED C-SNP CHOICE PLUS 004 KY (PPO C-SNP) |
| Contract ID | H5718 |
| Plan ID | 004 |
| Segment ID | 0 |
| Contract year | 2026 |
| Contract category | SNP |
| Plan type | PPO C-SNP |
| SNP | Yes — Chronic or Disabling Condition |
| Monthly consolidated premium | $38.40 |
| Part C premium | $0.00 |
| Part D basic premium | $38.40 |
| Part D total premium | $38.40 |
| Annual Part D deductible | $615.00 |
| Maximum out-of-pocket (in-network) | $9250.00 |
| Overall star rating | — |
How this plan is structured
- $38 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 C-SNP plan type. Plan-type rules determine in-network use and referrals. See how Medicare Advantage HMO and PPO plans differ.
- $9,250 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 = Carter 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 Carter County
The CMS CY2026 Landscape file lists 57 Medicare Advantage plans in Carter County, Kentucky, of which 0 carry a 5.0-star overall rating and 29 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $138.00 per month, and in-network out-of-pocket maximums range from $4000.00 to $9250.00.
For the full county plan directory, see all Medicare plans in Carter County, Kentucky.
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 — H5718-004.
- 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 H5718-004 means
CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H5718-004, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 5718 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 C-SNP CHOICE PLUS 004 KY (PPO C-SNP) an HMO or PPO?
DEVOTED C-SNP CHOICE PLUS 004 KY (PPO C-SNP) is a PPO C-SNP Medicare Advantage plan.
Does DEVOTED C-SNP CHOICE PLUS 004 KY (PPO C-SNP) include prescription drug coverage?
Yes — DEVOTED C-SNP CHOICE PLUS 004 KY (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 PLUS 004 KY (PPO C-SNP)?
The 2026 in-network maximum out-of-pocket limit for DEVOTED C-SNP CHOICE PLUS 004 KY (PPO C-SNP) is $9250.00, per the CMS CY2026 Landscape file.
What counties offer DEVOTED C-SNP CHOICE PLUS 004 KY (PPO C-SNP) (H5718-004)?
DEVOTED C-SNP CHOICE PLUS 004 KY (PPO C-SNP) (H5718-004) is offered in 87 Kentucky counties: Adair County, Allen County, Anderson County, Barren County, Bath County, Bell County, Boone County, Bourbon County, Boyle County, Bracken County, Breathitt County, Breckinridge County, Bullitt County, Butler County, Campbell County, Carroll County, Carter County, Casey County, Clark County, Clay County, Clinton County, Cumberland County, Edmonson County, Elliott County, Estill County, Fayette County, Fleming County, Franklin County, Gallatin County, Garrard County, Grant County, Green County, Greenup County, Harlan County, Harrison County, Hart County, Henry County, Jackson County, Jefferson County, Jessamine County, Johnson County, Kenton County, Knott County, Knox County, Larue County, Lawrence County, Lee County, Leslie County, Letcher County, Lewis County, Lincoln County, Logan County, Magoffin County, Martin County, Mason County, McCreary County, Meade County, Menifee County, Metcalfe County, Monroe County, Montgomery County, Morgan County, Nelson County, Nicholas County, Ohio County, Owen County, Owsley County, Pendleton County, Perry County, Powell County, Robertson County, Rockcastle County, Rowan County, Russell County, Scott County, Shelby County, Simpson County, Spencer County, Taylor County, Todd County, Trimble County, Warren County, Washington County, Wayne County, Whitley County, Wolfe County, and Woodford 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.