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Devoted CORE Florida (HMO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Devoted CORE Florida (HMO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Devoted CORE Florida (HMO) in 2025, please refer to our full plan details page.
Devoted CORE Florida (HMO) is a HMO plan offered by Devoted Health, Inc. available for enrollment in 2025 to people living in Miami-Dade County. This plan received an overall rating of 4.5 out of 5 stars in 2025.
It's important to know that Devoted CORE Florida (HMO) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Key Plan Facts
Below are a few key facts and commonly-asked questions about Devoted CORE Florida (HMO).
Plan Costs:
The cost of a Medicare Advantage Plan is made up of four main parts.
- First, the monthly premium — the amount you pay every month.
- Second, the deductible — the amount you pay out of pocket for covered services before the plan starts paying.
- Third, the copayments and coinsurance — the amounts you pay out of pocket for covered services, usually after meeting the deductible (if applicable). Copays are fixed dollar amounts; coinsurance is a percentage of the cost.
- Fourth, the Out-of-Pocket Maximum — the maximum amount you could have to pay out of pocket in a year. This may be different for in-network and out-of-network services.
For Devoted CORE Florida (HMO), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $0.00. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $16.00. You must continue to pay paying your reduced Part B Premium.
Deductibles
This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.
This plan has a $590.00 drug deductible. You will need to pay this amount towards covered prescriptions before your insurance coverage for prescription medications kicks in.
Out-of-Pocket Maximums
This plan has a Maximum Out-Of-Pocket cost of $3900.00 for out-of-network services. You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $0.00 for in-network covered services, the plan will pay 100% of in-network covered costs for the rest of the year.
You can see below for the coinsurance and specific copayments for in the Additional Benefits section below, or refer to our Plan Details page for more details.
Common Services:
Doctor Visits:
Specialist Visits:
Emergency Room:
Urgent Care:
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Drug Coverage
The Devoted CORE Florida (HMO) plan has an "Enhanced Alternative" drug benefit. The plan has a $590 deductible. In the initial coverage phase, after you meet your deductible, you will pay either a 25% coinsurance or no copay depending on the drug tier and where you purchase the drug. Once your total drug costs reach $2000, you enter the catastrophic coverage phase, where you pay nothing for your drugs.
Additional Benefits
The Devoted CORE Florida (HMO) plan offers a variety of benefits, including inpatient and outpatient hospital care with copays ranging from $0 to $150. Emergency and urgently needed services are covered with copays, and ambulance services are also included. The plan also covers primary care, preventive services with no copay, and hearing, vision, and dental services. Additional benefits include home health services, skilled nursing facility care, and home infusion services. The plan also covers diagnostic and radiological services, and medical equipment. However, cardiac rehabilitation services and other services, such as acupuncture and over-the-counter items, are not covered.
Inpatient Hospital See details
Inpatient Hospital benefits include coverage for both acute and psychiatric care. For Inpatient Hospital-Acute, you will pay a $150 copay for days 1-5, and no copay for days 6-90. For Inpatient Hospital Psychiatric care, you will also pay a $150 copay for days 1-5, and no copay for days 6-90. Additional days for Inpatient Hospital-Acute are covered, but non-Medicare-covered stays and upgrades are not covered. Additional days and non-Medicare-covered stays for Inpatient Hospital Psychiatric are also not covered.
Outpatient Services See details
Outpatient Services are covered by the Devoted CORE Florida (HMO) plan, with varying copays depending on the service. Outpatient Hospital Services have a copay between $0 and $150, Observation Services have a $150 copay, and Ambulatory Surgical Center (ASC) Services have no copay. Outpatient Substance Abuse Services are not covered.
Partial Hospitalization See details
Partial Hospitalization is covered by the Devoted CORE Florida (HMO) plan, with a $50 copay, and requires prior authorization.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered by the Devoted CORE Florida (HMO) plan. Ground ambulance services have a copay between $0 and $300, while air ambulance services have a 20% coinsurance; transportation services to health-related locations are not covered.
Emergency Services See details
Emergency Services, including urgently needed services and worldwide emergency services, are covered. For emergency services, you will pay a $140 copay, and for urgently needed services, the copay is between $0 and $45. Worldwide emergency coverage and worldwide urgent coverage have a $140 copay, and worldwide emergency transportation has a $300 copay and 20% coinsurance.
Primary Care See details
The Devoted CORE Florida (HMO) plan covers Primary Care Physician Services, Occupational Therapy Services, Physician Specialist Services (with a referral), Mental Health Specialty Services (with prior authorization), Other Health Care Professional services (with prior authorization and a referral), Psychiatric Services (with prior authorization), Physical Therapy and Speech-Language Pathology Services (with a copay between $0 and $50), Additional Telehealth Benefits (with a referral), and Opioid Treatment Program Services. Chiropractic Services and Podiatry Services are not covered, and Individual and Group Sessions for Mental Health and Psychiatric Services are not covered.
Preventive Services See details
The Devoted CORE Florida (HMO) plan covers preventive services including Medicare-covered services with no copay, annual physical exams, health education, personal emergency response systems, weight management programs, alternative therapies, nutritional/dietary benefits, fitness benefits, home and bathroom safety devices and modifications, kidney disease education services, glaucoma screening, diabetes self-management training, barium enemas, digital rectal exams, and EKGs following a welcome visit. The plan does not cover in-home safety assessments, medical nutrition therapy, post-discharge in-home medication reconciliation, readmission prevention, wigs for hair loss related to chemotherapy, therapeutic massage, adult day health services, home-based palliative care, in-home support services, support for caregivers of enrollees, additional sessions of smoking and tobacco cessation counseling, enhanced disease management, telemonitoring services, remote access technologies, or counseling services.
Hearing Services See details
Hearing Services includes coverage for hearing exams, routine hearing exams (1 per year), and fitting/evaluation for hearing aids. Prescription hearing aids (all types) are covered with a copay between $399 and $699. Prescription Hearing Aids - Inner Ear, Prescription Hearing Aids - Outer Ear, Prescription Hearing Aids - Over the Ear, and OTC hearing aids are not covered.
Vision Services See details
Vision services include routine eye exams once per year, and eyewear benefits with a combined maximum of $750 per year, including contact lenses, eyeglasses (lenses and frames), eyeglass lenses, eyeglass frames, and upgrades. There is no deductible for these services.
Dental Services See details
Devoted CORE Florida (HMO) covers a range of dental services, including oral exams, dental x-rays, other diagnostic dental services, fluoride treatments, other preventive dental services, restorative services, adjunctive general services, endodontics, periodontics, prosthodontics (removable and fixed), and oral and maxillofacial surgery. The plan also covers prophylaxis (cleaning) up to 2 times per year. Orthodontic services are covered up to a maximum of $750 per year. However, maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered, with prior authorization required. For Medicare Part B Insulin Drugs, there is a $35 copay and a coinsurance between 20% and 20%. For Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs, there is a coinsurance between 0% and 20%.
Dialysis Services See details
Dialysis Services are covered under the Devoted CORE Florida (HMO) plan, with a coinsurance between 20% and 20%.
Medical Equipment See details
Medical equipment benefits are covered, with no copay. Durable Medical Equipment (DME) has a coinsurance between 0% and 25%, while DME for use outside the home is not covered. Prosthetic Devices have a coinsurance between 0% and 20%, and Medical Supplies have a 20% coinsurance. Diabetic Supplies and Diabetic Therapeutic Shoes/Inserts are not covered.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services include coverage for all diagnostic services, with copays ranging from $0 to $95 for diagnostic procedures and tests, and no copay for lab services. Diagnostic radiological services have a copay of at most $300, therapeutic radiological services have a coinsurance of at least 20%, and outpatient X-ray services have no copay.
Home Health Services See details
Home Health Services are covered by the Devoted CORE Florida (HMO) plan with no copay and no coinsurance, but prior authorization is required. Additional Hours of Care and Personal Care Services are not covered.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered by the Devoted CORE Florida (HMO) plan. This includes Cardiac Rehabilitation Services, Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, and SET for PAD Services.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by the Devoted CORE Florida (HMO) plan, with prior authorization required. For days 1-20, there is no copay, and for days 21-100, the copay is $214.
Other Services See details
Other Services are not covered by the Devoted CORE Florida (HMO) plan, including acupuncture, over-the-counter items, and meal benefits. Additionally, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services, private duty nursing services, and other services are also not covered.
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