DEVOTED C-SNP CHOICE 004 SC (PPO C-SNP) in Dorchester County, South Carolina — 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 004 SC (PPO C-SNP) (H7028-004) is a $0-premium Medicare Advantage PPO C-SNP from Devoted Health, Inc. available in Dorchester County, South Carolina in 2026, with a 4.5-star overall rating, a $7,050 in-network out-of-pocket maximum, and a $390 annual Part D drug deductible.
Plan facts (CMS CY2026 Landscape file)
| Organization | Devoted Health, Inc. |
|---|---|
| Plan name | DEVOTED C-SNP CHOICE 004 SC (PPO C-SNP) |
| Contract ID | H7028 |
| 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 | $0.00 |
| Part C premium | $0.00 |
| Part D basic premium | $6.30 |
| Part D total premium | $0.00 |
| Annual Part D deductible | $390.00 |
| Maximum out-of-pocket (in-network) | $7050.00 |
| Overall star rating | 4.5 |
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.
- PPO C-SNP plan type. Plan-type rules determine in-network use and referrals. See how Medicare Advantage HMO and PPO plans differ.
- $7,050 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 = Dorchester 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 Dorchester County
The CMS CY2026 Landscape file lists 66 Medicare Advantage plans in Dorchester County, South Carolina, of which 0 carry a 5.0-star overall rating and 40 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $100.00 per month, and in-network out-of-pocket maximums range from $3900.00 to $9250.00.
For the full county plan directory, see all Medicare plans in Dorchester County, South Carolina.
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 — H7028-004.
- 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 H7028-004 means
CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H7028-004, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 7028 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 004 SC (PPO C-SNP) an HMO or PPO?
DEVOTED C-SNP CHOICE 004 SC (PPO C-SNP) is a PPO C-SNP Medicare Advantage plan.
Does DEVOTED C-SNP CHOICE 004 SC (PPO C-SNP) include prescription drug coverage?
Yes — DEVOTED C-SNP CHOICE 004 SC (PPO C-SNP) is a Medicare Advantage plan with prescription drug coverage (MA-PD) and a $390.00 annual Part D drug deductible for 2026.
What is the maximum out-of-pocket cost for DEVOTED C-SNP CHOICE 004 SC (PPO C-SNP)?
The 2026 in-network maximum out-of-pocket limit for DEVOTED C-SNP CHOICE 004 SC (PPO C-SNP) is $7050.00, per the CMS CY2026 Landscape file.
What counties offer DEVOTED C-SNP CHOICE 004 SC (PPO C-SNP) (H7028-004)?
DEVOTED C-SNP CHOICE 004 SC (PPO C-SNP) (H7028-004) is offered in 28 South Carolina counties: Abbeville County, Allendale County, Anderson County, Bamberg County, Barnwell County, Berkeley County, Charleston County, Cherokee County, Chester County, Colleton County, Dorchester County, Edgefield County, Fairfield County, Georgetown County, Greenville County, Greenwood County, Hampton County, Horry County, Jasper County, Laurens County, McCormick County, Newberry County, Pickens County, Saluda County, Spartanburg County, Union County, Williamsburg County, and York 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.