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DEVOTED CORE 027 FL (HMO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for DEVOTED CORE 027 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 027 FL (HMO) in 2026, please refer to our full plan details page.
DEVOTED CORE 027 FL (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 5 out of 5 stars in 2026.
It's important to know that DEVOTED CORE 027 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 027 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 027 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. Additionally, this plan comes with a Part B Premium reduction of $9.10. 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 $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 027 FL (HMO) Medicare Advantage plan features an annual prescription drug deductible of $615. For Tier 1 preferred generic and Tier 2 generic medications, members pay no copay for one-month, two-month, or three-month supplies at standard pharmacies and through standard mail-order services. This ensures that many common, essential medications remain highly affordable. For brand-name and specialty drugs, costs are shared via coinsurance rather than set copays. Members pay a 25% coinsurance for Tier 3 preferred brand drugs, Tier 4 non-preferred drugs, and Tier 5 specialty drugs filled at standard pharmacies and standard mail-order services. This 25% coinsurance applies to all available supply lengths during the initial coverage phase.
Additional Benefits
The DEVOTED CORE 027 FL (HMO) plan offers robust medical coverage with no copays for primary care physician visits, home health services, and standard diagnostic lab or X-ray services. For hospital care, inpatient stays require a $195 daily copay for the first five days and no copay for days six through ninety, while outpatient specialist visits range from a $0 to $10 copay. Emergency room visits feature a $150 copay, which is waived upon admission, while urgently needed care ranges from no copay to $45. In addition to essential medical care, the plan features dental, vision, and hearing benefits to help lower your out-of-pocket costs. Members receive preventive dental care with no copay up to a $1,500 annual limit, alongside a $350 yearly allowance for eyewear with no copay or deductible. Routine eye exams carry a $0 to $10 copay, routine hearing exams require a $10 copay, and skilled nursing facility stays feature no copay for the first twenty days.
Inpatient Hospital See details
DEVOTED CORE 027 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. This benefit is partially covered as unlimited additional days are included for acute care, but psychiatric additional days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
DEVOTED CORE 027 FL (HMO) covers outpatient services with no coinsurance, including ambulatory surgical center and blood services which feature no copays. Outpatient hospital services require a copay ranging from $0 to $195 (with observation services at $195 per stay), while outpatient substance abuse sessions have a $10 copay.
Partial Hospitalization See details
DEVOTED CORE 027 FL (HMO) covers partial hospitalization services with a $55.00 copay and no coinsurance. Prior authorization is required to receive this covered benefit.
Ambulance and Transportation Services See details
DEVOTED CORE 027 FL (HMO) covers ambulance services with prior authorization required, while transportation services are not covered. Ground ambulance services feature no copay to a $300 copay and no coinsurance, whereas air ambulance services require a 20% coinsurance and no copay.
Emergency Services See details
Emergency services covered by DEVOTED CORE 027 FL (HMO) include emergency room visits for a $150 copay and no coinsurance, with the copay waived if you are admitted to the hospital within 24 hours. Urgently needed services range from no copay to a $45 copay with no coinsurance, while worldwide emergency services are covered up to a $25,000 maximum and feature a $150 copay for emergency or urgent care and a $300 copay plus 20% coinsurance for emergency transportation.
Primary Care See details
DEVOTED CORE 027 FL (HMO) features primary care physician visits with no copay and no coinsurance, while specialist services require a $0 to $10 copay and no coinsurance. Physical, occupational, and speech therapies are covered with a $0 to $50 copay and no coinsurance, whereas podiatry and chiropractic services are not covered.
Preventive Services See details
Preventive services are partially covered by DEVOTED CORE 027 FL (HMO) with no copay and no coinsurance for covered services such as annual physical exams, fitness benefits, and kidney disease education. However, several sub-services are not covered, including 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
Hearing services are partially covered by DEVOTED CORE 027 FL (HMO), offering routine exams for a $10.00 copay and no coinsurance, and up to two prescription hearing aids yearly for a $199.00 to $499.00 copay and no coinsurance. OTC hearing aids, along with 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 027 FL (HMO) because other eye exam services are not covered, though the plan covers one annual routine eye exam with a $0 to $10 copay and no coinsurance. Eyewear is covered with no copay, no coinsurance, and no deductible, providing up to a $350 yearly allowance for contacts, frames, lenses, and upgrades.
Dental Services See details
Dental Services are partially covered by DEVOTED CORE 027 FL (HMO), featuring a $1,500 annual maximum for preventive and diagnostic care with no copay and no coinsurance, alongside Medicare-covered dental for a $10 copay and no coinsurance. Comprehensive services such as restorative care and endodontics have no copay and 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 027 FL (HMO) with no copay and no coinsurance, subject to prior authorization. Associated Medicare Part B chemotherapy and other drugs have no copay and 0% to 20% coinsurance, while Part B insulin requires a $35 copay and 0% to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered by DEVOTED CORE 027 FL (HMO) with no copay and a 20% coinsurance. Prior authorization is required for these services.
Medical Equipment See details
DEVOTED CORE 027 FL (HMO) partially covers medical equipment with no copay, though prior authorization is required for these services. Durable medical equipment and diabetic supplies require no coinsurance to 50% coinsurance, while prosthetic devices and medical supplies require no coinsurance to 20% coinsurance, but diabetic therapeutic shoes and inserts are not covered.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered by DEVOTED CORE 027 FL (HMO) with prior authorization required. Under this plan, lab services, outpatient X-rays, and diagnostic radiological services have no copay, diagnostic procedures have no coinsurance and a copay ranging from $0 to $95, and therapeutic radiological services require a minimum 20% coinsurance.
Home Health Services See details
Home Health Services are covered under the DEVOTED CORE 027 FL (HMO) plan with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
DEVOTED CORE 027 FL (HMO) offers Cardiac Rehabilitation Services with no coinsurance, but some services are covered while standard cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and SET for PAD services are not covered and require a $10 copay. Prior authorization is required for these services.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are partially covered by DEVOTED CORE 027 FL (HMO) 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 daily copay for days 21 through 100, while additional days beyond the Medicare-covered limit are not covered.
Other Services See details
DEVOTED CORE 027 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.
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