Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for DEVOTED DUAL 020 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 020 FL (HMO D-SNP) in 2026, please refer to our full plan details page.
DEVOTED DUAL 020 FL (HMO D-SNP) is a HMO D-SNP 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 DUAL 020 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 020 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.
Below are a few key facts and commonly-asked questions about DEVOTED DUAL 020 FL (HMO D-SNP).
The cost of a Medicare Advantage Plan is made up of four main parts.
For DEVOTED DUAL 020 FL (HMO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $4.80. 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.
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The DEVOTED DUAL 020 FL (HMO D-SNP) Medicare plan features an annual drug deductible of $615. For Tier 1 preferred generic, Tier 2 generic, Tier 3 preferred brand, and Tier 4 non-preferred drugs, you will pay a 25% coinsurance for one-month, two-month, or three-month supplies at standard pharmacies and standard mail order. Tier 5 specialty drugs also require a 25% coinsurance for a one-month supply at standard pharmacies and standard mail order. Meanwhile, Tier 6 select care drugs feature no copay for one-month, two-month, and three-month supplies when using standard pharmacies and standard mail order.
The DEVOTED DUAL 020 FL (HMO D-SNP) plan offers comprehensive medical coverage featuring no copays and no coinsurance for primary care visits, specialist consultations, and home health services. For inpatient hospital stays, members pay a $175 daily copay for the first five days and no copay for days six through 90. Outpatient services and emergency care are also highly accessible, with outpatient copays ranging from no copay up to $175 and emergency visits requiring a $150 copay that is waived upon admission. This plan also includes valuable supplemental benefits, such as dental coverage up to $2,500 annually and a $400 annual vision allowance for eyewear with no copays or coinsurance. Additionally, members benefit from routine hearing exams with no copay, prescription hearing aid coverage with copays between $399 and $699, and a $50 quarterly over-the-counter item allowance. Skilled nursing facility stays are also covered with no copay for the first 20 days and a $218 daily copay for days 21 through 100.
DEVOTED DUAL 020 FL (HMO D-SNP) covers inpatient acute and psychiatric hospital stays with no coinsurance, requiring a $175 daily copay for days 1 through 5 and no copay for days 6 through 90. Prior authorization is required, and certain services such as upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
DEVOTED DUAL 020 FL (HMO D-SNP) covers outpatient hospital services with a $0 to $175 copay and no coinsurance, and ambulatory surgical center and blood services with no copay and no coinsurance. Observation services require a $175 copay per stay with no coinsurance, while outpatient substance abuse services are not covered because individual and group sessions are excluded.
Partial hospitalization services are covered by DEVOTED DUAL 020 FL (HMO D-SNP) with a $50.00 copay and no coinsurance. Prior authorization is required for this benefit.
Ambulance services under the DEVOTED DUAL 020 FL (HMO D-SNP) plan require prior authorization and feature a copay ranging from no copay to $300 (with no coinsurance) for ground transport, and a 20% coinsurance (with no copay) for air transport. Transportation services are not covered by this plan.
DEVOTED DUAL 020 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 require no copay to a $45 copay and no coinsurance, while worldwide emergency services are covered up to $25,000 with a $150 copay for emergency or urgent care and a $300 copay plus 20% coinsurance for emergency transportation.
Primary care services under DEVOTED DUAL 020 FL (HMO D-SNP) feature no copay and no coinsurance for primary care, specialists, podiatry, and opioid treatment. Occupational, physical, and speech therapy services require a $0 to $50 copay and no coinsurance, while telehealth has a $0 to $45 copay and no coinsurance. Chiropractic care is partially covered with no copay and no coinsurance for up to 6 routine visits (other chiropractic services are not covered), and while some mental health and psychiatric services are covered with no copay and no coinsurance, individual and group sessions are not covered.
Preventive services are partially covered by DEVOTED DUAL 020 FL (HMO D-SNP) with no copay and no coinsurance for covered benefits like annual physicals, fitness benefits, and nutritional counseling. Sub-services that are not covered include in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge medication reconciliation, readmission prevention, chemotherapy wigs, therapeutic massage, adult day health, home-based palliative care, in-home support, caregiver support, smoking cessation sessions, enhanced disease management, telemonitoring, remote access, and counseling.
DEVOTED DUAL 020 FL (HMO D-SNP) partially covers hearing services, providing one routine hearing exam and unlimited fitting evaluations per year with no copay and no coinsurance. Up to two prescription hearing aids are covered annually with no coinsurance and a $399 to $699 copay, but over-the-counter, inner ear, outer ear, and over-the-ear hearing aids are not covered.
Vision services are partially covered by DEVOTED DUAL 020 FL (HMO D-SNP) with no copay, no coinsurance, and no deductible. The plan covers one routine eye exam per year (prior authorization required) and provides up to a $400 annual limit for contacts and eyeglasses, while other eye exam services are not covered.
Dental services are partially covered by DEVOTED DUAL 020 FL (HMO D-SNP) with no copay and no coinsurance up to an annual maximum of $2,500. Non-covered services under this plan include other diagnostic dental, other preventive dental, maxillofacial prosthetics, implant services, and orthodontics.
Home Infusion bundled Services are covered by DEVOTED DUAL 020 FL (HMO D-SNP) with no copay, while associated Medicare Part B chemotherapy and other drugs have no copay and a coinsurance ranging from no coinsurance to 20%. Part B insulin is also covered with a $35 copay and a coinsurance ranging from no coinsurance to 20%.
DEVOTED DUAL 020 FL (HMO D-SNP) covers dialysis services with no copay and a 20% coinsurance. Prior authorization is required for these covered services.
DEVOTED DUAL 020 FL (HMO D-SNP) covers medical equipment with no copays, though prior authorization is required. Durable medical equipment has a 20% to 30% coinsurance, prosthetics and medical supplies range from no coinsurance to 20% coinsurance, and diabetic equipment is partially covered with no coinsurance to 30% coinsurance, excluding diabetic therapeutic shoes and inserts.
Diagnostic and radiological services are covered by DEVOTED DUAL 020 FL (HMO D-SNP) with prior authorization required. Diagnostic tests have no coinsurance with copays from $0 to $95, lab services have no copay and no coinsurance, and outpatient X-rays have no copay but require coinsurance. Diagnostic radiological services have a minimum $0 copay, while therapeutic radiological services require a minimum 20% coinsurance.
Home health services are covered under the DEVOTED DUAL 020 FL (HMO D-SNP) plan with no copay and no coinsurance, though prior authorization is required.
DEVOTED DUAL 020 FL (HMO D-SNP) covers Cardiac Rehabilitation Services with no copay and no coinsurance, though prior authorization is required. While some services are covered, cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and SET for PAD services are not covered in practice.
DEVOTED DUAL 020 FL (HMO D-SNP) partially covers Skilled Nursing Facility (SNF) services with no coinsurance, requiring prior authorization but no prior three-day hospital stay. There is no copay for days 1 through 20 and a $218 copayment for days 21 through 100, but additional days beyond the Medicare-covered limit are not covered.
DEVOTED DUAL 020 FL (HMO D-SNP) partially covers other services, offering additional preventive services and over-the-counter (OTC) items up to $50 every three months with no copay and no coinsurance. Acupuncture and meal benefits are not covered.
SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
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* Benefit(s) mentioned may be part of a special supplemental program for chronically ill members with one of the following conditions: Diabetes mellitus, Cardiovascular disorders, Chronic and disabling mental health conditions, Chronic lung disorders, Chronic heart failure. This is not a complete list of qualifying conditions. Having a qualifying condition alone does not mean you will receive the benefit(s). Other requirements may apply.
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