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DEVOTED CORE 002 FL (HMO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for DEVOTED CORE 002 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 002 FL (HMO) in 2026, please refer to our full plan details page.
DEVOTED CORE 002 FL (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 5 out of 5 stars in 2026.
It's important to know that DEVOTED CORE 002 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 002 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 002 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.
This plan does not come with a Part B Premium reduction. You must continue to pay your 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 $595.00 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 002 FL (HMO) Medicare prescription drug plan features an annual drug deductible of $595. For Tier 1 preferred generic and Tier 2 generic drugs, members pay no copay for one, two, or three-month supplies filled at standard pharmacies or through standard mail order. This ensures that essential maintenance medications remain highly affordable. For higher-tier medications, costs are based on coinsurance rather than flat copays. Tier 3 preferred brand drugs require a 24% coinsurance, while Tier 4 non-preferred drugs and Tier 5 specialty medications carry a 25% coinsurance. These coinsurance rates apply to both standard retail pharmacy purchases and standard mail-order services.
Additional Benefits
The DEVOTED CORE 002 FL (HMO) plan offers comprehensive medical coverage with no copay and no coinsurance for primary care visits, specialist consultations, and routine preventive services. For hospital care, inpatient stays require a $195 daily copay for the first five days with no copay for subsequent days, while emergency room visits carry a $150 copay that is waived upon admission. Standard lab tests, outpatient X-rays, and home health services are also available with no copay or coinsurance. Ancillary benefits include a dental allowance of up to $1,500 annually with no copay for covered services, alongside routine vision and hearing exams at no cost. Prescription hearing aids are covered with copays ranging from $399 to $699, and the plan provides a $150 annual limit for eyewear. Durable medical equipment and dialysis require no copays but are subject to coinsurance of up to 50% and 20% respectively.
Inpatient Hospital See details
DEVOTED CORE 002 FL (HMO) covers inpatient acute and psychiatric hospital stays with no coinsurance, requiring a $195 daily copay for days 1 through 5 and no copay for days 6 through 90. Prior authorization is required, and while unlimited additional days are covered for acute care, upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
DEVOTED CORE 002 FL (HMO) covers outpatient services with no coinsurance, offering ambulatory surgical center and outpatient blood services with no copay. Outpatient hospital services require a $0 to $195 copay, observation services carry a $195 copay per stay, and outpatient substance abuse services have no copay or coinsurance but do not cover individual or group sessions.
Partial Hospitalization See details
Partial hospitalization is covered by DEVOTED CORE 002 FL (HMO) with a $50 copay and no coinsurance. Prior authorization is required to access this benefit.
Ambulance and Transportation Services See details
Ambulance services are covered under DEVOTED CORE 002 FL (HMO) with prior authorization, requiring no copay to a $300 copay for ground transport and a 20% coinsurance for air transport. Transportation services to plan-approved or any health-related locations are not covered.
Emergency Services See details
DEVOTED CORE 002 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 have no copay to a $45 copay and no coinsurance, while worldwide emergency services are covered up to $25,000 with copays up to $300 and 20% coinsurance for emergency transportation.
Primary Care See details
DEVOTED CORE 002 FL (HMO) covers primary care and specialist visits with no copay and no coinsurance, though podiatry, routine chiropractic, and individual or group mental health and psychiatric sessions are not covered. Physical, occupational, and speech therapies require a $0.00 to $50.00 copay and no coinsurance, while telehealth services are available with a $0.00 to $45.00 copay and no coinsurance.
Preventive Services See details
Preventive services are covered by DEVOTED CORE 002 FL (HMO) with no copay and no coinsurance, including annual physicals, kidney disease education, and diabetes self-management. Additional preventive benefits are partially covered with no copay and no coinsurance, excluding in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge medication reconciliation, re-admission prevention, wigs, therapeutic massage, adult day health, home-based palliative care, in-home support, caregiver support, additional smoking cessation, enhanced disease management, telemonitoring, remote access technologies, and counseling.
Hearing Services See details
DEVOTED CORE 002 FL (HMO) provides partially covered hearing services, including one routine hearing exam and fitting evaluations annually with no copay and no coinsurance. Up to two prescription hearing aids are covered per year with no coinsurance and a copay ranging from $399 to $699, though over-the-counter (OTC) hearing aids and inner ear, outer ear, and over-the-ear prescription models are not covered.
Vision Services See details
DEVOTED CORE 002 FL (HMO) covers vision services with no copay and no coinsurance, including one routine eye exam per year and a $150 annual limit for eyewear like glasses and contacts. This benefit is partially covered because other eye exam services are not covered, and prior authorization is required for exams.
Dental Services See details
Dental services are partially covered by DEVOTED CORE 002 FL (HMO) up to a $1,500 annual maximum, featuring no copay for all covered services and no coinsurance for preventive, diagnostic, periodontic, and oral surgery care. Covered restorative, endodontic, and prosthodontic services require 0% to 50% coinsurance, while maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
Home infusion bundled services are covered by DEVOTED CORE 002 FL (HMO) with no copay and no coinsurance, though prior authorization is required. Associated Medicare Part B drugs, including chemotherapy and radiation, feature no copay and coinsurance ranging from no coinsurance to 20%, while Part B insulin requires a $35 copay and coinsurance ranging from no coinsurance to 20%.
Dialysis Services See details
Dialysis Services are covered under the DEVOTED CORE 002 FL (HMO) plan with no copay and a 20% coinsurance, though prior authorization is required.
Medical Equipment See details
DEVOTED CORE 002 FL (HMO) covers medical equipment with no copays, featuring a 20% to 50% coinsurance for durable medical equipment and no coinsurance to 20% coinsurance for prosthetics and medical supplies. Diabetic equipment is partially covered with no coinsurance to 50% coinsurance for diabetic supplies, though diabetic therapeutic shoes and inserts are not covered.
Diagnostic and Radiological Services See details
DEVOTED CORE 002 FL (HMO) covers diagnostic and radiological services, requiring prior authorization for all services. Lab services and outpatient X-rays are covered with no copay and no coinsurance, while diagnostic procedures and tests carry a copay of $0 to $95 with no coinsurance. Diagnostic radiological services feature a copay starting at $0 with no coinsurance, and therapeutic radiological services require a 20% coinsurance.
Home Health Services See details
Home health services are covered by DEVOTED CORE 002 FL (HMO) with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac rehabilitation services are not covered under the DEVOTED CORE 002 FL (HMO) plan, as standard cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are all excluded from coverage.
Skilled Nursing Facility (SNF) See details
DEVOTED CORE 002 FL (HMO) covers Skilled Nursing Facility (SNF) services with no coinsurance and does not require a prior three-day hospital stay. There is no copay for days 1 through 20, followed by a $218 daily copay for days 21 through 100, with prior authorization required.
Other Services See details
Other services are partially covered by DEVOTED CORE 002 FL (HMO), which provides additional preventive services not covered by Medicare with no copay and no coinsurance. Acupuncture, over-the-counter (OTC) items, meal benefits, and dual eligible SNPs with highly integrated services are not covered.
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