DEVOTED C-SNP PLUS 022 PA (HMO C-SNP) 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 C-SNP PLUS 022 PA (HMO C-SNP) (H6852-022) is a $33-premium Medicare Advantage HMO C-SNP from Devoted Health, Inc. available in Lackawanna County, Pennsylvania 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)

OrganizationDevoted Health, Inc.
Plan nameDEVOTED C-SNP PLUS 022 PA (HMO C-SNP)
Contract IDH6852
Plan ID022
Segment ID0
Contract year2026
Contract categorySNP
Plan typeHMO C-SNP
SNPYes — Chronic or Disabling Condition
Monthly consolidated premium$32.70
Part C premium$0.00
Part D basic premium$32.70
Part D total premium$32.70
Annual Part D deductible$615.00
Maximum out-of-pocket (in-network)$9250.00
Overall star rating

How this plan is structured

  • $33 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.
  • $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 = 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:

  1. Open the plan's official Medicare.gov page and use its provider-directory link: Medicare.gov Plan Finder — H6852-022.
  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 H6852-022 means

CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H6852-022, 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 022 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 PLUS 022 PA (HMO C-SNP) an HMO or PPO?

DEVOTED C-SNP PLUS 022 PA (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 PLUS 022 PA (HMO C-SNP) include prescription drug coverage?

Yes — DEVOTED C-SNP PLUS 022 PA (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 PLUS 022 PA (HMO C-SNP)?

The 2026 in-network maximum out-of-pocket limit for DEVOTED C-SNP PLUS 022 PA (HMO C-SNP) is $9250.00, per the CMS CY2026 Landscape file.

What counties offer DEVOTED C-SNP PLUS 022 PA (HMO C-SNP) (H6852-022)?

DEVOTED C-SNP PLUS 022 PA (HMO C-SNP) (H6852-022) is offered in 48 Pennsylvania counties: Adams County, Allegheny County, Armstrong County, Beaver County, Bedford County, Berks County, Blair County, Butler County, Cambria County, Carbon County, Clarion County, Clearfield County, Clinton County, Crawford County, Elk County, Erie County, Forest County, Franklin County, Fulton County, Greene County, Huntingdon County, Indiana County, Jefferson County, Juniata County, Lackawanna County, Lancaster County, Lawrence County, Lebanon County, Lehigh County, Luzerne County, Mercer County, Mifflin County, Monroe County, Northampton County, Perry County, Schuylkill County, Snyder County, Somerset County, Sullivan County, Susquehanna County, Union County, Venango County, Warren County, Washington County, Wayne County, Westmoreland County, Wyoming County, and York County.

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