DEVOTED C-SNP PREMIUM 014 MO (HMO C-SNP) in Polk County, Missouri — 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 PREMIUM 014 MO (HMO C-SNP) (H2041-014) is a $43-premium Medicare Advantage HMO C-SNP from Devoted Health, Inc. available in Polk County, Missouri in 2026, with a -star overall rating, a $4,200 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 PREMIUM 014 MO (HMO C-SNP)
Contract IDH2041
Plan ID014
Segment ID0
Contract year2026
Contract categorySNP
Plan typeHMO C-SNP
SNPYes — Chronic or Disabling Condition
Monthly consolidated premium$43.00
Part C premium$0.00
Part D basic premium$43.00
Part D total premium$43.00
Annual Part D deductible$615.00
Maximum out-of-pocket (in-network)$4200.00
Overall star rating

How this plan is structured

  • $43 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.
  • HMO C-SNP plan type. In an HMO-style Medicare Advantage plan, in-network care and primary-care referral rules generally apply. See how Medicare Advantage HMO and PPO plans differ.
  • $4,200 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 = Polk 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 Polk County

The CMS CY2026 Landscape file lists 65 Medicare Advantage plans in Polk County, Missouri, of which 2 carry a 5.0-star overall rating and 33 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $106.00 per month, and in-network out-of-pocket maximums range from $2500.00 to $9250.00.

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

PlanOrganizationPremiumMOOP
NHC Advantage (HMO I-SNP)Missouri Healthcare Advisors, LLC$31.00$8100.00
Senior Care (HMO I-SNP)Missouri Healthcare Advisors, LLC$0.00$5000.00

For the full county plan directory, see all Medicare plans in Polk County, Missouri.

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 — H2041-014.
  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 H2041-014 means

CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H2041-014, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 2041 are the contract number issued to the organization, and the three-digit 014 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 PREMIUM 014 MO (HMO C-SNP) an HMO or PPO?

DEVOTED C-SNP PREMIUM 014 MO (HMO C-SNP) is an HMO C-SNP — a Health Maintenance Organization-style Medicare Advantage plan, meaning in-network care and referral rules generally apply.

Does DEVOTED C-SNP PREMIUM 014 MO (HMO C-SNP) include prescription drug coverage?

Yes — DEVOTED C-SNP PREMIUM 014 MO (HMO 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 PREMIUM 014 MO (HMO C-SNP)?

The 2026 in-network maximum out-of-pocket limit for DEVOTED C-SNP PREMIUM 014 MO (HMO C-SNP) is $4200.00, per the CMS CY2026 Landscape file.

What counties offer DEVOTED C-SNP PREMIUM 014 MO (HMO C-SNP) (H2041-014)?

DEVOTED C-SNP PREMIUM 014 MO (HMO C-SNP) (H2041-014) is offered in 25 Missouri counties: Barry County, Barton County, Cedar County, Christian County, Dade County, Dallas County, Douglas County, Greene County, Hickory County, Howell County, Jasper County, Laclede County, Lawrence County, McDonald County, Newton County, Ozark County, Polk County, Shannon County, St. Clair County, Stone County, Taney County, Texas County, Vernon County, Webster County, and Wright County.

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