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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 Lake, Marion, and Sumter Counties. 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.
Key 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 $18.00. 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:
Specialist Visits:
Emergency Room:
Urgent Care:
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Drug Coverage
The Devoted CORE Florida (HMO) plan has an enhanced alternative drug benefit. The plan has a deductible of $590.00. During the initial coverage phase, after meeting your deductible, you will pay either a copay or coinsurance for your prescriptions. For standard generic drugs, you'll pay a 25% coinsurance. Preferred generic drugs have no copay when using the standard or mail order pharmacy.
Additional Benefits
The Devoted CORE Florida (HMO) plan offers a range of benefits with varying costs. Inpatient hospital stays have a $195 copay for days 1-5, and then no copay for days 6-90. Outpatient services, primary care, and specialist visits have copays ranging from $0 to $10, while emergency services have a $140 copay. This plan also includes coverage for hearing exams with a $10 copay, and prescription hearing aids with a copay between $399 and $699 per aid. Vision services include routine eye exams for a $10 copay, and eyewear with a $500 annual allowance. Dental services, home health services, and skilled nursing facility services are also covered with varying cost structures.
Inpatient Hospital See details
Inpatient Hospital benefits, including Acute and Psychiatric care, are covered under the Devoted CORE Florida (HMO) plan. For Inpatient Hospital-Acute, you'll pay a $195 copay for days 1-5, and no copay for days 6-90; Inpatient Hospital Psychiatric care has the same cost structure.
Outpatient Services See details
Outpatient Services include coverage for Outpatient Hospital Services with a copay between $0 and $195, Observation Services with a $195 copay, Ambulatory Surgical Center (ASC) Services with no copay, Outpatient Substance Abuse Services with $10 copays for both individual and group sessions, and Outpatient Blood Services.
Partial Hospitalization See details
Partial Hospitalization is covered by the Devoted CORE Florida (HMO) plan, requiring prior authorization, with a copay of $55.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered. Ground ambulance services have a copay between $0 and $300, while air ambulance services have a 20% coinsurance. Transportation services to any health-related location are not covered.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered. Emergency Services have a $140 copay, Urgently Needed Services have a copay between $0 and $45, and Worldwide Emergency Transportation has a $300 copay and 20% coinsurance.
Primary Care See details
The Devoted CORE Florida (HMO) plan covers primary care physician services, chiropractic services with a $10 copay, occupational therapy services with a copay between $0 and $50, physician specialist services with a copay between $0 and $10, and mental health specialty services with a $10 copay for individual and group sessions. This plan also covers other health care professional services with a copay between $0 and $10, psychiatric services with a $10 copay for individual and group sessions, physical therapy and speech-language pathology services with a copay between $0 and $50, additional telehealth benefits with a copay between $0 and $10, and opioid treatment program services with a $10 copay. Routine chiropractic care and podiatry services are not covered.
Preventive Services See details
The Devoted CORE Florida (HMO) plan covers preventive services including Medicare-covered services with no copay, annual physical exams, health education, personal emergency response systems, weight management programs, alternative therapies, nutritional/dietary benefits, fitness benefits, home and bathroom safety devices, glaucoma screenings, diabetes self-management training, barium enemas, digital rectal exams, and EKGs following a welcome visit. In-home safety assessments, medical nutrition therapy, 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, additional sessions of smoking and tobacco cessation counseling, enhanced disease management, telemonitoring services, remote access technologies, and counseling services are not covered.
Hearing Services See details
Hearing exams are covered with a $10 copay. Prescription Hearing Aids are covered, with a copay between $399 and $699 per hearing aid, depending on the type of aid.
Vision Services See details
The Devoted CORE Florida (HMO) plan covers vision services, including routine eye exams with a $10 copay, and eyewear with a combined maximum benefit of $500 every year. Contact lenses, eyeglasses (lenses and frames), eyeglass lenses, eyeglass frames, and upgrades are also covered.
Dental Services See details
Dental Services are covered, including oral exams with a $10 copay, 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. This plan also covers orthodontic services up to a $500 maximum per year, and covers prophylaxis (cleaning) for 2 visits per year. However, maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services, including Medicare Part B Insulin Drugs, Medicare Part B Chemotherapy/Radiation Drugs, and Other Medicare Part B Drugs, are covered with prior authorization. For Medicare Part B Insulin Drugs, there is a $35 copay, and a coinsurance between 20% and 20%. For Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs, there is a coinsurance between 0% and 20%.
Dialysis Services See details
Dialysis Services are covered by the Devoted CORE Florida (HMO) plan. The coinsurance for this benefit is 20%.
Medical Equipment See details
Medical Equipment coverage includes Durable Medical Equipment (DME) with a coinsurance between 0% and 40%, and Prosthetics/Medical Supplies with no copay and coinsurance for Medicare-covered devices and supplies. The plan does not cover Durable Medical Equipment for use outside the home, and Diabetic Supplies and Diabetic Therapeutic Shoes/Inserts are not covered.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered, with a minimum copay of $0 and a maximum copay of $95 for Diagnostic Procedures/Tests, and no copay for Lab Services and Outpatient X-Ray Services. Diagnostic Radiological Services have a maximum copay of $300, and Therapeutic Radiological Services have a coinsurance of at least 20%.
Home Health Services See details
Home Health Services are covered by the Devoted CORE Florida (HMO) plan with no copay and no coinsurance. Additional Hours of Care and Personal Care Services are not covered.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are generally covered, but the plan does not cover any of the sub-services. There is a copay for some Cardiac and Pulmonary Rehabilitation Services, as detailed in the plan documents.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by the Devoted CORE Florida (HMO) plan. There is no copay for days 1-20, and a $214 copay for days 21-100.
Other Services See details
Other Services are not covered, including acupuncture, over-the-counter 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, and Self-Directed Personal Assistance Services. Other services, such as $0 preventive services, are covered.
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