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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 Broward 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.

Overview IconKey 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 $1.00. 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:

Regular visits to your primary care doctor are covered and will have a copay of $0 (no copay) and coinsurance of 0% (no coinsurance).

Specialist Visits:

Visits to specialists are covered and will have a copay of $0 (no copay) and coinsurance of 0% (no coinsurance). Specialist visits may require a referral from your primary care doctor or prior authorization.

Emergency Room:

Trips to the Emergency Room are covered, and will have a copay of $140.00 and coinsurance of 0% (no coinsurance). Coverage may vary for in-network and out-of-network hospitals.

Urgent Care:

Trips to Urgent Care arecovered and will have a copay of $0.00 - $45.00 and coinsurance of 0% (no coinsurance). Coverage may vary for in-network and out-of-network hospitals.

Sign up for Devoted CORE Florida (HMO)

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Drug Coverage IconDrug Coverage

The Devoted CORE Florida (HMO) plan has an "Enhanced Alternative" drug benefit type. The plan has a deductible of $590.00. Once you have met your deductible, you will pay either a 25% coinsurance or no copay, depending on the drug tier and pharmacy type. After your total yearly drug costs reach $2000.00, you will enter the catastrophic coverage phase where you pay nothing for Medicare Part D covered drugs.

Additional Benefits IconAdditional Benefits

The Devoted CORE Florida (HMO) plan offers comprehensive coverage with a variety of benefits. This plan includes coverage for inpatient and outpatient hospital services, emergency services, primary care, preventive services, hearing, vision, and dental services. Many services have no copay, but some services like emergency and inpatient hospital care have copays. This plan also covers ambulance services, partial hospitalization, home health, and skilled nursing facility care. Additionally, the plan provides benefits for medical equipment, diagnostic services, and home infusion services. However, some services such as certain therapies, additional hours of care, and specific types of dental and hearing aids may not be covered.

Inpatient Hospital See details

Inpatient Hospital services are covered, including acute and psychiatric care, with a copay of $195 for days 1-5, and no copay for days 6-90. Additional days for Inpatient Hospital-Acute are covered, while non-Medicare-covered stays and upgrades are not covered.

Outpatient Services See details

Outpatient Services are covered by the Devoted CORE Florida (HMO) plan, including Outpatient Hospital Services with a copay between $0 and $195, Observation Services with a $195 copay, and Ambulatory Surgical Center (ASC) Services with no copay. Outpatient Substance Abuse Services are not covered for individual or group sessions.

Partial Hospitalization See details

Partial Hospitalization is covered by the Devoted CORE Florida (HMO) plan, with a $50 copay. Prior authorization is required for this benefit.

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, and transportation services to any health-related location are not covered.

Emergency Services See details

Emergency Services, including urgently needed services and worldwide emergency services, are covered. You will pay a $140 copay for emergency services, a copay between $0 and $45 for urgently needed services, and a $140 copay for worldwide emergency coverage and worldwide urgent coverage. Worldwide emergency transportation has a $300 copay and 20% coinsurance.

Primary Care See details

Primary Care benefits include coverage for Primary Care Physician Services, Physician Specialist Services (doctor referral required), Occupational Therapy Services (copay $0-$50), Physical Therapy and Speech-Language Pathology Services (copay $0-$50), Opioid Treatment Program Services, and Additional Telehealth Benefits (doctor referral required). Chiropractic Services, Mental Health Specialty Services, and Psychiatric Services are partially covered, as individual and group sessions are not covered. Podiatry Services are not covered.

Preventive Services See details

Preventive services, including those not usually covered by Medicare, are covered. This plan covers Health Education, Personal Emergency Response System (PERS), Weight Management Programs, Alternative Therapies, Nutritional/Dietary Benefit, Fitness Benefit, Home and Bathroom Safety Devices and Modifications, Glaucoma Screening, Diabetes Self-Management Training, Barium Enemas, Digital Rectal Exams, and EKG following Welcome Visit. In-Home Safety Assessment, Medical Nutrition Therapy (MNT), Post discharge In-Home Medication Reconciliation, Re-admission 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 (including Web/Phone-based technologies and Nursing Hotline), and Counseling Services are not covered.

Hearing Services See details

Hearing Services includes routine hearing exams, fitting/evaluation for hearing aids, and prescription hearing aids. Routine hearing exams are covered for one visit every year, and fitting/evaluation for hearing aids has no limit on the number of visits. Prescription hearing aids (all types) are covered with a copay between $199 and $499 for 2 hearing aids every year, but inner ear, outer ear, and over the ear hearing aids are not covered.

Vision Services See details

Vision services include routine eye exams once per year, and eyewear, including contact lenses, eyeglasses (lenses and frames), eyeglass lenses, eyeglass frames, and upgrades, with a combined maximum benefit of $750 every year. There is no deductible for these services.

Dental Services See details

Dental services include coverage for oral exams, dental x-rays, other diagnostic dental services, fluoride treatment, other preventive dental services, restorative services, adjunctive general services, endodontics, periodontics, prosthodontics (removable and fixed), and oral and maxillofacial surgery, with no copay and no coinsurance. Prophylaxis (cleaning) is covered for 2 visits every year. Orthodontic services are covered up to a maximum of $750 per year. 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 20% coinsurance; for Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs, there is a 0-20% coinsurance.

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 is covered, including Durable Medical Equipment (DME) with a coinsurance between 0% and 25%, and Prosthetics/Medical Supplies with no copay and coinsurance for Medicare-covered devices and supplies. Durable Medical Equipment for use outside the home, 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 a copay between $0 and $95 for diagnostic procedures and tests. Lab services have no copay, while diagnostic radiological services have a copay up to $300, and therapeutic radiological services have 20% coinsurance. 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 require authorization. Additional Hours of Care and Personal Care Services are not covered.

Cardiac Rehabilitation Services See details

Cardiac Rehabilitation Services are technically covered, but the plan does not cover Cardiac Rehabilitation Services, Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, or SET for PAD Services.

Skilled Nursing Facility (SNF) See details

Skilled Nursing Facility (SNF) services are covered by the Devoted CORE Florida (HMO) plan, requiring prior authorization. For days 1-20, there is no copay, and for days 21-100, the copay is $214. Additional days beyond Medicare-covered and non-Medicare-covered SNF stays are not covered.

Other Services See details

The Devoted CORE Florida (HMO) plan's "Other Services" benefit does not cover acupuncture, over-the-counter (OTC) items, meal benefits, Dual Eligible SNPs with Highly Integrated Services, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services, Private Duty Nursing Services, Case Management (Long Term Care), Institution for Mental Disease Services for Individuals 65 or Older, Services in an Intermediate Care Facility for Individuals with Intellectual Disabilities, Case Management, Tobacco Cessation Counseling for Pregnant Women, Freestanding Birth Center Services, Respiratory Care Services, Family Planning Services, Nursing Home Services, Home and Community Based Services, Personal Care Services, or Self-Directed Personal Assistance Services. Other services include $0 preventive services.

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