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DEVOTED CORE 025 FL (HMO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for DEVOTED CORE 025 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 025 FL (HMO) in 2026, please refer to our full plan details page.
DEVOTED CORE 025 FL (HMO) is a HMO plan offered by Devoted Health, Inc. available for enrollment in 2025 to people living in Manatee. This plan received an overall rating of 5 out of 5 stars in 2026.
It's important to know that DEVOTED CORE 025 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 025 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 025 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 $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 025 FL (HMO) prescription drug plan features an annual drug deductible of $615. For Tier 1 preferred generic and Tier 2 generic medications, members enjoy no copay for up to a 3-month supply at standard pharmacies and standard mail order. This ensures that common generic prescriptions remain highly affordable for plan members. For brand-name and specialty prescriptions, the plan transitions to a coinsurance model. Tier 3 preferred brand, Tier 4 non-preferred, and Tier 5 specialty drugs all require a 25% coinsurance at standard retail pharmacies and standard mail order. This 25% coinsurance applies to all available supply lengths, though Tier 5 specialty medications are restricted to a 1-month supply.
Additional Benefits
The DEVOTED CORE 025 FL (HMO) plan offers affordable healthcare coverage with no copay for primary care doctor visits and low copays of $0 to $20 for specialist appointments. For major medical needs, inpatient hospital stays require a daily copay for the first five days and no copay for days six through ninety, while emergency room visits carry a $150 copay that is waived if you are admitted. Outpatient surgical procedures, lab services, and home health care are also highly accessible with no copays. This plan also includes key supplemental benefits to support your overall well-being, such as dental coverage with a $1,500 annual maximum and eyewear covered up to $150 with no copay. Routine hearing exams and prescription hearing aids are available with low copays, and preventive care services are fully covered with no copay or coinsurance. Please note that this plan does not cover routine transportation, cardiac rehabilitation, or over-the-counter items.
Inpatient Hospital See details
DEVOTED CORE 025 FL (HMO) covers inpatient acute and psychiatric hospital stays with no coinsurance, featuring a $195 daily copay for days 1 through 5 and no copay for days 6 through 90. Unlimited additional days are covered for acute stays, but additional psychiatric days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
DEVOTED CORE 025 FL (HMO) covers outpatient services with no coinsurance, offering ambulatory surgical center and blood services with no copay, and outpatient hospital services with a $0 to $195 copay. Observation services require a $195 copay per stay, while outpatient substance abuse sessions have a $15 copay.
Partial Hospitalization See details
DEVOTED CORE 025 FL (HMO) covers partial hospitalization services with a $55.00 copay and no coinsurance. Prior authorization is required for this benefit.
Ambulance and Transportation Services See details
DEVOTED CORE 025 FL (HMO) covers ambulance services with prior authorization, featuring ground ambulance services with a copay ranging from no copay up to $350 and air ambulance services with a 20% coinsurance. Routine transportation services to health-related locations are not covered under this plan.
Emergency Services See details
DEVOTED CORE 025 FL (HMO) covers emergency services with a $150 copay and no coinsurance, which is waived if admitted to the hospital within 24 hours, and urgently needed services with a copay ranging from no copay to $45 and no coinsurance. Worldwide emergency services are covered up to a $25,000 maximum, featuring a $150 copay and no coinsurance for emergency and urgent care, and a $350 copay with 20% coinsurance for emergency transportation.
Primary Care See details
DEVOTED CORE 025 FL (HMO) offers primary care physician services with no copay and no coinsurance, and specialist visits with a $0 to $20 copay and no coinsurance. Physical, occupational, speech, and mental health therapies are covered with copays ranging from $15 to $50 and no coinsurance, while chiropractic and podiatry services are not covered.
Preventive Services See details
DEVOTED CORE 025 FL (HMO) covers preventive services, including annual physical exams and kidney disease education, with no copay and no coinsurance. Additional preventive benefits are partially covered with no copay and no coinsurance, but do not cover in-home support, personal emergency response systems, therapeutic massage, and home-based palliative care.
Hearing Services See details
DEVOTED CORE 025 FL (HMO) partially covers hearing services with no coinsurance, requiring a $15 copay for annual routine hearing exams and copays ranging from $399 to $699 for up to two prescription hearing aids per year. OTC hearing aids, as well as inner ear, outer ear, and over-the-ear prescription hearing aids, are not covered.
Vision Services See details
Vision services are partially covered by DEVOTED CORE 025 FL (HMO) as other eye exam services are not covered. Covered eye exams require a $0 to $15 copay and no coinsurance, while eyewear is covered with no copay, no coinsurance, and a $150 annual maximum limit.
Dental Services See details
DEVOTED CORE 025 FL (HMO) offers partially covered dental services with a $1,500 annual maximum, excluding maxillofacial prosthetics, implant services, and orthodontics. Medicare-covered dental services require a $20 copay and no coinsurance, while other covered dental services feature no copay and coinsurance ranging from no coinsurance to 50%.
Home Infusion bundled Services See details
Home infusion bundled services are covered by DEVOTED CORE 025 FL (HMO) with no copay and no coinsurance, subject to prior authorization. Under this benefit, Medicare Part B chemotherapy, radiation, and other drugs have no copay and no coinsurance to 20% coinsurance, while Part B insulin drugs require a $35 copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered under the DEVOTED CORE 025 FL (HMO) plan with no copay and a 20% coinsurance. Prior authorization is required to receive these covered services.
Medical Equipment See details
DEVOTED CORE 025 FL (HMO) partially covers medical equipment with no copays, though coinsurance ranges from no coinsurance up to 50% and prior authorization is required. While durable medical equipment, prosthetics, medical supplies, and diabetic supplies are covered, diabetic therapeutic shoes and inserts are not covered.
Diagnostic and Radiological Services See details
DEVOTED CORE 025 FL (HMO) covers diagnostic and radiological services, with prior authorization required. Outpatient diagnostic tests and procedures feature no coinsurance and a $0 to $95 copay, lab services have no copay and no coinsurance, outpatient X-rays have no copay, and therapeutic radiological services require a copay and a minimum 20% coinsurance.
Home Health Services See details
Home Health Services are covered by DEVOTED CORE 025 FL (HMO) with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
DEVOTED CORE 025 FL (HMO) does not cover Cardiac Rehabilitation Services, meaning members have no copay or coinsurance coverage for cardiac, intensive cardiac, pulmonary, or SET for PAD services.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by DEVOTED CORE 025 FL (HMO) with no coinsurance, requiring no copay for days 1 through 20 and a $218 daily copay for days 21 through 100. Prior authorization is required, a prior three-day inpatient hospital stay is not required, and additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
DEVOTED CORE 025 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 under this plan.
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