DEVOTED CHOICE GIVEBACK 002 TN (PPO) in Jefferson County, Tennessee — 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 CHOICE GIVEBACK 002 TN (PPO) (H9231-002) is a $0-premium Medicare Advantage PPO from Devoted Health, Inc. available in Jefferson County, Tennessee in 2026, with a 3.5-star overall rating, a $8,300 in-network out-of-pocket maximum, and a $605 annual Part D drug deductible.

Plan facts (CMS CY2026 Landscape file)

OrganizationDevoted Health, Inc.
Plan nameDEVOTED CHOICE GIVEBACK 002 TN (PPO)
Contract IDH9231
Plan ID002
Segment ID0
Contract year2026
Contract categoryMA-PD
Plan typePPO
SNPNo
Monthly consolidated premium$0.00
Part C premium$0.00
Part D basic premium$28.50
Part D total premium$0.00
Annual Part D deductible$605.00
Maximum out-of-pocket (in-network)$8300.00
Overall star rating3.5

How this plan is structured

How it compares in Jefferson County

The CMS CY2026 Landscape file lists 59 Medicare Advantage plans in Jefferson County, Tennessee, of which 0 carry a 5.0-star overall rating and 27 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $147.00 per month, and in-network out-of-pocket maximums range from $1900.00 to $9250.00.

For the full county plan directory, see all Medicare plans in Jefferson County, Tennessee.

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 — H9231-002.
  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 H9231-002 means

CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H9231-002, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 9231 are the contract number issued to the organization, and the three-digit 002 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 CHOICE GIVEBACK 002 TN (PPO) an HMO or PPO?

DEVOTED CHOICE GIVEBACK 002 TN (PPO) is a PPO Medicare Advantage plan.

Does DEVOTED CHOICE GIVEBACK 002 TN (PPO) include prescription drug coverage?

Yes — DEVOTED CHOICE GIVEBACK 002 TN (PPO) 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 CHOICE GIVEBACK 002 TN (PPO)?

The 2026 in-network maximum out-of-pocket limit for DEVOTED CHOICE GIVEBACK 002 TN (PPO) is $8300.00, per the CMS CY2026 Landscape file.

What counties offer DEVOTED CHOICE GIVEBACK 002 TN (PPO) (H9231-002)?

DEVOTED CHOICE GIVEBACK 002 TN (PPO) (H9231-002) is offered in 26 Tennessee counties: Anderson County, Bledsoe County, Blount County, Bradley County, Campbell County, Claiborne County, Cocke County, Cumberland County, Grainger County, Grundy County, Hamblen County, Hamilton County, Jefferson County, Knox County, Loudon County, Marion County, Meigs County, Monroe County, Morgan County, Polk County, Rhea County, Roane County, Scott County, Sequatchie County, Sevier County, and Union County.

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