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DEVOTED CORE 001 FL (HMO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for DEVOTED CORE 001 FL (HMO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on DEVOTED CORE 001 FL (HMO) in 2026, please refer to our full plan details page.
DEVOTED CORE 001 FL (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 5 out of 5 stars in 2026.
It's important to know that DEVOTED CORE 001 FL (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 001 FL (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 001 FL (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 $9.60. 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 $615.00 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 001 FL (HMO) Medicare plan has an annual prescription drug deductible of $615. Beneficiaries pay no copay for Tier 1 preferred generic and Tier 2 generic drugs filled at standard pharmacies or ordered through standard mail services. This $0 copay benefit applies to 1-month, 2-month, and 3-month supplies of these generic medications. For Tier 3 preferred brand and Tier 4 non-preferred drugs, the plan charges a 25% coinsurance for 1-month, 2-month, and 3-month supplies at standard pharmacies and standard mail order. Tier 5 specialty drugs also require a 25% coinsurance, which is limited to a 1-month supply.
Additional Benefits
The DEVOTED CORE 001 FL (HMO) plan offers robust coverage with no copay and no coinsurance for primary care, specialist visits, home health, and preventive care. For hospital stays, members pay no coinsurance and a $150 daily copay for the first five days of inpatient care, while outpatient services range from no copay to a $150 copay. Emergency room visits require a $150 copay, which is waived if you are admitted, and urgent care ranges from no copay to a $45 copay. Ancillary benefits include dental coverage up to $1,500 annually with no copay for preventive services and up to 50% coinsurance for comprehensive care. Vision care features no copay or coinsurance for annual routine exams and includes a $350 yearly allowance for eyewear. Additionally, the plan covers routine hearing exams with no copay and offers prescription hearing aids with copays ranging from $199 to $499.
Inpatient Hospital See details
DEVOTED CORE 001 FL (HMO) covers inpatient hospital services with no coinsurance, requiring a $150 daily copay for days 1 through 5 and no copay for days 6 through 90. This benefit is partially covered because upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
DEVOTED CORE 001 FL (HMO) covers outpatient hospital services with no coinsurance and a copay of $0 to $150, while ambulatory surgical center and outpatient blood services have no copay and no coinsurance. Outpatient substance abuse services are not covered because individual and group sessions are not covered.
Partial Hospitalization See details
Partial hospitalization benefits are covered under the DEVOTED CORE 001 FL (HMO) plan with a $50 copay and no coinsurance. Prior authorization is required to access these services.
Ambulance and Transportation Services See details
DEVOTED CORE 001 FL (HMO) covers ambulance services with prior authorization, featuring ground ambulance services with a copay of $0 to $300 and no coinsurance, and air ambulance services with a 20% coinsurance and no copay. Transportation services are not covered.
Emergency Services See details
DEVOTED CORE 001 FL (HMO) covers emergency services with a $150 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services range from no copay to a $45 copay with no coinsurance, and worldwide emergency services are covered up to $25,000 with copays up to $300 and up to 20% coinsurance for transportation.
Primary Care See details
DEVOTED CORE 001 FL (HMO) provides primary care, specialist, and opioid treatment services with no copay and no coinsurance, while occupational, physical, and speech therapies require a $0 to $50 copay and no coinsurance. Podiatry is not covered, and while chiropractic, psychiatric, and mental health services are technically covered, their routine, individual, and group sub-services are not covered.
Preventive Services See details
DEVOTED CORE 001 FL (HMO) preventive services are partially covered with no copay and no coinsurance for covered care, including annual physical exams, fitness benefits, and kidney disease education. However, several additional preventive services are not covered, such as in-home safety assessments, personal emergency response systems, medical nutrition therapy, therapeutic massage, and adult day health services.
Hearing Services See details
DEVOTED CORE 001 FL (HMO) covers hearing exams with no copay and no coinsurance, while prescription hearing aids are partially covered with no coinsurance and a copay ranging from $199 to $499. Over-the-counter (OTC) hearing aids are not covered, and the plan does not cover inner ear, outer ear, or over the ear prescription hearing aids.
Vision Services See details
Vision services are partially covered by DEVOTED CORE 001 FL (HMO) with no copay, no coinsurance, and no deductible for covered care. The plan covers one routine eye exam per year (prior authorization required) and provides up to $350 annually for eyewear, though other eye exam services are not covered.
Dental Services See details
Dental services are partially covered by DEVOTED CORE 001 FL (HMO) up to a $1,500 yearly maximum, featuring no copay and no coinsurance for preventive care, and no copay with 0% to 50% coinsurance for comprehensive services. Orthodontics, implant services, and maxillofacial prosthetics are not covered.
Home Infusion bundled Services See details
Home infusion bundled services are covered by DEVOTED CORE 001 FL (HMO) with no copay, although prior authorization is required. Associated Medicare Part B chemotherapy, radiation, and other drugs carry a coinsurance ranging from no coinsurance to 20%, while Part B insulin drugs require a $35 copay and a coinsurance ranging from no coinsurance to 20%.
Dialysis Services See details
Dialysis Services are covered by DEVOTED CORE 001 FL (HMO) with no copay and a 20% coinsurance, though prior authorization is required.
Medical Equipment See details
DEVOTED CORE 001 FL (HMO) partially covers medical equipment with no copays, though diabetic therapeutic shoes and inserts are not covered. Covered items require prior authorization and carry coinsurance ranging from no coinsurance to 50% for durable medical equipment and diabetic supplies, and no coinsurance to 20% for prosthetics and medical supplies.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by DEVOTED CORE 001 FL (HMO) with prior authorization, featuring no copay or coinsurance for lab services and a $0 copay for outpatient X-rays. Outpatient diagnostic procedures and tests have a copay ranging from $0 to $95 with no coinsurance, while therapeutic radiological services require a minimum 20% coinsurance.
Home Health Services See details
Home health services are covered by DEVOTED CORE 001 FL (HMO) with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered by DEVOTED CORE 001 FL (HMO) with no copay and no coinsurance, meaning some services are covered, but Cardiac Rehabilitation, Intensive Cardiac Rehabilitation, Pulmonary Rehabilitation, and SET for PAD services are not covered.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by DEVOTED CORE 001 FL (HMO) with no coinsurance, requiring prior authorization but no prior three-day inpatient hospital stay. There is no copay for days 1 through 20, followed by a $218 daily copay for days 21 through 100, though additional days beyond the Medicare-covered limit are not covered.
Other Services See details
DEVOTED CORE 001 FL (HMO) partially covers Other Services, offering additional preventive services not covered by Medicare with no copay and no coinsurance. Acupuncture, over-the-counter (OTC) items, and meal benefits are not covered.
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