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DEVOTED DUAL 019 FL (HMO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for DEVOTED DUAL 019 FL (HMO D-SNP). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on DEVOTED DUAL 019 FL (HMO D-SNP) in 2026, please refer to our full plan details page.
DEVOTED DUAL 019 FL (HMO D-SNP) is a HMO D-SNP 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 DUAL 019 FL (HMO D-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Important:
DEVOTED DUAL 019 FL (HMO D-SNP)is a Special Needs Type (SNP) plan. This means you can only enroll in this plan if you meet specific criteria. See our full plan details page for more information.
Key Plan Facts
Below are a few key facts and commonly-asked questions about DEVOTED DUAL 019 FL (HMO D-SNP).
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 DUAL 019 FL (HMO D-SNP), 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 $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 DUAL 019 FL (HMO D-SNP) Medicare plan features an annual prescription drug deductible of $615. Under this plan, standard pharmacies and standard mail order services charge a 25% coinsurance for Tier 1 preferred generic, Tier 2 generic, Tier 3 preferred brand, and Tier 4 non-preferred drugs. Additionally, Tier 5 specialty drugs require a 25% coinsurance for a 1-month supply at standard pharmacies and standard mail order. For individuals looking to save on prescriptions, Tier 6 select care drugs are covered with no copay for 1-month, 2-month, and 3-month supplies at standard pharmacies and standard mail order. This plan offers clear cost-sharing structures to help you understand your out-of-pocket medication costs.
Additional Benefits
The DEVOTED DUAL 019 FL (HMO D-SNP) plan offers comprehensive medical coverage featuring no copay for primary care, specialist visits, preventive services, and home health care. For hospital care, members pay no coinsurance and a $130 daily copay for the first five days of inpatient stays, while emergency room visits carry a $150 copay that is waived upon admission. Skilled nursing facility care is also highly accessible, requiring no copay for the first 20 days of care. Beyond standard medical services, this plan provides robust supplemental benefits including no copay for routine vision exams alongside a $400 annual eyewear allowance. Dental services are covered with no copay up to a $2,500 annual limit, and members receive a $50 quarterly allowance for over-the-counter items. While many routine services feature no copay, certain specialized care like dialysis, durable medical equipment, and select Part B drugs require a coinsurance ranging from 20% to 30%.
Inpatient Hospital See details
DEVOTED DUAL 019 FL (HMO D-SNP) covers inpatient acute and psychiatric hospital stays with no coinsurance, requiring a $130 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 DUAL 019 FL (HMO D-SNP) covers outpatient hospital services with a $0 to $130 copay and observation services with a $130 copay per stay, both with no coinsurance. Ambulatory surgical center and outpatient blood services are fully covered with no copay and no coinsurance. For outpatient substance abuse services, some services are covered but individual and group sessions are not covered.
Partial Hospitalization See details
Partial hospitalization services are covered by DEVOTED DUAL 019 FL (HMO D-SNP) with a $50.00 copay and no coinsurance. Prior authorization is required for this benefit.
Ambulance and Transportation Services See details
Ambulance and transportation services are covered by DEVOTED DUAL 019 FL (HMO D-SNP), featuring ground ambulance services with no copay to a $300 copay and air ambulance services with a 20% coinsurance. Prior authorization is required for ambulance services, and transportation services to plan-approved or health-related locations are not covered.
Emergency Services See details
DEVOTED DUAL 019 FL (HMO D-SNP) covers emergency services with a $150 copay and no coinsurance, with the copay waived if you are admitted to the hospital within 24 hours. Urgently needed services feature a copay ranging from no copay to $45 with no coinsurance, while worldwide emergency services are covered up to a $25,000 lifetime limit with copays up to $300 and a 20% coinsurance for emergency transportation.
Primary Care See details
DEVOTED DUAL 019 FL (HMO D-SNP) provides primary care, specialist, routine podiatry, and opioid treatment services with no copay and no coinsurance. Physical, occupational, speech, and telehealth therapies are covered with no coinsurance and copays ranging from $0 to $50, while chiropractic, mental health, and psychiatric benefits are partially covered because individual sessions, group sessions, and other chiropractic services are not covered.
Preventive Services See details
Preventive Services are partially covered by DEVOTED DUAL 019 FL (HMO D-SNP) with no copay and no coinsurance for covered services, including annual physical exams, fitness benefits, and alternative therapies. However, some sub-services are not covered, such as in-home safety assessments, personal emergency response systems (PERS), medical nutrition therapy, and caregiver support.
Hearing Services See details
Hearing services are partially covered by DEVOTED DUAL 019 FL (HMO D-SNP), offering routine exams and fitting evaluations with no copay and no coinsurance. Up to two prescription hearing aids per year are covered with no coinsurance and a $399 to $699 copay, though OTC, inner ear, outer ear, and over-the-ear prescription hearing aids are not covered.
Vision Services See details
DEVOTED DUAL 019 FL (HMO D-SNP) vision services are partially covered with no copay, no coinsurance, and no deductible for covered benefits. This includes one routine eye exam per year (prior authorization required) and a $400 annual allowance for eyewear like contacts, lenses, frames, and upgrades, while other eye exam services are not covered.
Dental Services See details
DEVOTED DUAL 019 FL (HMO D-SNP) offers partially covered dental services with no copay and no coinsurance, up to a maximum annual benefit of $2,500. While preventive care, fillings, root canals, and dentures are covered, implants, orthodontics, maxillofacial prosthetics, and other diagnostic or preventive services are not covered.
Home Infusion bundled Services See details
DEVOTED DUAL 019 FL (HMO D-SNP) covers home infusion bundled services with no copay, although prior authorization is required. Covered Part B chemotherapy, radiation, and other drugs carry no coinsurance to 20% coinsurance, while Part B insulin requires a $35 copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered under the DEVOTED DUAL 019 FL (HMO D-SNP) plan with no copay and a 20% coinsurance, subject to prior authorization.
Medical Equipment See details
Under the DEVOTED DUAL 019 FL (HMO D-SNP), medical equipment is covered with no copay and prior authorization, featuring a 20% to 30% coinsurance for durable medical equipment. Prosthetics and medical supplies carry no copay and a coinsurance ranging from no coinsurance to 20%, while diabetic equipment is partially covered with no copay and up to 30% coinsurance for supplies, though diabetic therapeutic shoes and inserts are not covered.
Diagnostic and Radiological Services See details
DEVOTED DUAL 019 FL (HMO D-SNP) covers diagnostic and radiological services, with prior authorization required. Diagnostic procedures and tests have no coinsurance and a copay of up to $95, while lab services, diagnostic radiological services, and outpatient X-ray services feature no copay. Therapeutic radiological services require a minimum 20% coinsurance, and outpatient X-rays are subject to a coinsurance.
Home Health Services See details
Home Health Services are covered under the DEVOTED DUAL 019 FL (HMO D-SNP) plan with no copay and no coinsurance. Prior authorization is required to receive these services.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered by the DEVOTED DUAL 019 FL (HMO D-SNP) plan, as cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and SET for PAD services are all excluded from coverage.
Skilled Nursing Facility (SNF) See details
Skilled nursing facility (SNF) care is covered by DEVOTED DUAL 019 FL (HMO D-SNP) with no coinsurance, featuring no copay for days 1 through 20 and a $218 daily copay for days 21 through 100. Prior authorization is required, but a prior three-day inpatient hospital stay is not necessary.
Other Services See details
DEVOTED DUAL 019 FL (HMO D-SNP) partially covers other services, offering additional preventive services and up to $50 every three months for over-the-counter (OTC) items with no copay and no coinsurance. Acupuncture, meal benefits, and highly integrated dual-eligible services are not covered.
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