Devoted VA MAPD Summary of Benefits

DEVOTED GIVEBACK 012 VA (HMO) - H6994-012-000

DEVOTED GIVEBACK 009 VA (HMO) - H6994-009-000

DEVOTED GIVEBACK 002 VA (HMO) - H6994-002-000

DEVOTED CORE 011 VA (HMO) - H6994-011-000

DEVOTED CORE 008 VA (HMO) - H6994-008-000

DEVOTED CORE 001 VA (HMO) - H6994-001-000

DEVOTED C-SNP PREMIUM 013 VA (HMO C-SNP) - H6994-013-000

DEVOTED C-SNP PREMIUM 010 VA (HMO C-SNP) - H6994-010-000

DEVOTED C-SNP PREMIUM 003 VA (HMO C-SNP) - H6994-003-000

DEVOTED C-SNP PLUS 004 VA (HMO C-SNP) - H6994-004-000