DEVOTED GIVEBACK 009 PA (HMO) in Lackawanna County, Pennsylvania — 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 GIVEBACK 009 PA (HMO) (H6852-009) is a $0-premium Medicare Advantage HMO from Devoted Health, Inc. available in Lackawanna County, Pennsylvania in 2026, with a —-star overall rating, a $7,000 in-network out-of-pocket maximum, and a $605 annual Part D drug deductible.
Plan facts (CMS CY2026 Landscape file)
| Organization | Devoted Health, Inc. |
|---|---|
| Plan name | DEVOTED GIVEBACK 009 PA (HMO) |
| Contract ID | H6852 |
| Plan ID | 009 |
| Segment ID | 0 |
| Contract year | 2026 |
| Contract category | MA-PD |
| Plan type | HMO |
| SNP | No |
| Monthly consolidated premium | $0.00 |
| Part C premium | $0.00 |
| Part D basic premium | $28.90 |
| Part D total premium | $0.00 |
| Annual Part D deductible | $605.00 |
| Maximum out-of-pocket (in-network) | $7000.00 |
| 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.
- HMO 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.
- $7,000 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 = Lackawanna 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 Lackawanna County
The CMS CY2026 Landscape file lists 75 Medicare Advantage plans in Lackawanna County, Pennsylvania, of which 0 carry a 5.0-star overall rating and 37 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $226.00 per month, and in-network out-of-pocket maximums range from $1500.00 to $9250.00.
For the full county plan directory, see all Medicare plans in Lackawanna County, Pennsylvania.
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 — H6852-009.
- 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 H6852-009 means
CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H6852-009, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 6852 are the contract number issued to the organization, and the three-digit 009 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 GIVEBACK 009 PA (HMO) an HMO or PPO?
DEVOTED GIVEBACK 009 PA (HMO) is an HMO — a Health Maintenance Organization-style Medicare Advantage plan, meaning in-network care and referral rules generally apply.
Does DEVOTED GIVEBACK 009 PA (HMO) include prescription drug coverage?
Yes — DEVOTED GIVEBACK 009 PA (HMO) is a Medicare Advantage plan with prescription drug coverage (MA-PD) and a $605.00 annual Part D drug deductible for 2026.
What is the maximum out-of-pocket cost for DEVOTED GIVEBACK 009 PA (HMO)?
The 2026 in-network maximum out-of-pocket limit for DEVOTED GIVEBACK 009 PA (HMO) is $7000.00, per the CMS CY2026 Landscape file.
What counties offer DEVOTED GIVEBACK 009 PA (HMO) (H6852-009)?
DEVOTED GIVEBACK 009 PA (HMO) (H6852-009) is offered in 15 Pennsylvania counties: Berks County, Carbon County, Lackawanna County, Lehigh County, Luzerne County, Mifflin County, Monroe County, Northampton County, Schuylkill County, Snyder County, Sullivan County, Susquehanna County, Union County, Wayne County, and Wyoming 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.