A non-government entity
DEVOTED CORE 029 FL (HMO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for DEVOTED CORE 029 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 029 FL (HMO) in 2026, please refer to our full plan details page.
DEVOTED CORE 029 FL (HMO) is a HMO plan offered by Devoted Health, Inc. available for enrollment in 2025 to people living in Clay, Duval, Nassau, and St. Johns Counties. This plan received an overall rating of 5 out of 5 stars in 2026.
It's important to know that DEVOTED CORE 029 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 029 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 029 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 $1.60. 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 $595.00 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 $4900.00 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:
Sign up for DEVOTED CORE 029 FL (HMO)
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
Drug Coverage
The DEVOTED CORE 029 FL (HMO) Medicare plan features an annual drug deductible of $595. For Tier 1 preferred generic and Tier 2 generic medications, members pay no copay for one-month, two-month, or three-month supplies filled at standard pharmacies or through standard mail order. For brand-name and specialty prescriptions, costs are calculated using coinsurance rather than flat copays. Tier 3 preferred brand drugs require a 24% coinsurance, while Tier 4 non-preferred drugs carry a 25% coinsurance for standard pharmacy and mail-order fills. Tier 5 specialty drugs also require a 25% coinsurance and are limited to a one-month supply.
Additional Benefits
The DEVOTED CORE 029 FL (HMO) plan offers comprehensive medical coverage with no copay or coinsurance for primary care visits, preventive care, and home health services. Specialist visits and outpatient hospital services feature low copays and no coinsurance, while inpatient stays require a $195 daily copay for the first five days. Skilled nursing facility care is also highly accessible, requiring no copay for the first 20 days of your stay. Supplemental benefits include routine dental care up to a $1,500 annual limit and eyewear coverage up to $150, both featuring no copayments. Routine hearing exams carry a $10 copay, and diagnostic lab services and X-rays are provided with no copay. Medical equipment, dialysis, and Part B drugs carry no copays but are subject to coinsurance up to 50%, with insulin copays capped at $35.
Inpatient Hospital See details
DEVOTED CORE 029 FL (HMO) covers inpatient hospital services with no coinsurance and a $195 daily copay for days 1 through 5, and no copay for days 6 through 90. Prior authorization is required, and while unlimited additional acute care days are covered, upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
DEVOTED CORE 029 FL (HMO) covers outpatient services with no coinsurance, including no copay for ambulatory surgical center and blood services. Outpatient hospital services require a $0 to $195 copay, observation services cost a $195 copay per stay, and outpatient substance abuse sessions have a $10 copay.
Partial Hospitalization See details
Partial hospitalization services are covered by DEVOTED CORE 029 FL (HMO) with a $55.00 copay and no coinsurance, though prior authorization is required.
Ambulance and Transportation Services See details
Ambulance services under DEVOTED CORE 029 FL (HMO) require prior authorization, with ground ambulance services carrying a $0 to $350 copay (no coinsurance) and air ambulance services requiring a 20% coinsurance (no copay). Transportation services to health-related locations are not covered.
Emergency Services See details
DEVOTED CORE 029 FL (HMO) covers emergency services with a $130 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services feature no coinsurance and a copay ranging from no copay to $45, while worldwide emergency services are covered up to $25,000 with copays up to $350 and 20% coinsurance for transportation.
Primary Care See details
DEVOTED CORE 029 FL (HMO) offers primary care physician services with no copay and no coinsurance, and specialist visits with a $0 to $10 copay and no coinsurance. Physical, occupational, and mental health therapies are covered with copays ranging from $5 to $50 and no coinsurance, while chiropractic and podiatry services are not covered.
Preventive Services See details
Preventive services are partially covered by DEVOTED CORE 029 FL (HMO) with no copay and no coinsurance for covered options like annual physicals, fitness programs, and nutritional therapy. Covered screenings and training include glaucoma, diabetes self-management, digital rectal exams, and post-welcome visit EKGs. Uncovered services include in-home safety assessments, PERS, medical nutrition therapy, medication reconciliation, re-admission prevention, wigs, therapeutic massage, adult day health, palliative care, in-home support, caregiver support, smoking cessation, disease management, telemonitoring, remote access, and counseling.
Hearing Services See details
Hearing services are covered by DEVOTED CORE 029 FL (HMO) with no deductible, offering routine exams for a $10 copay and no coinsurance, and prescription hearing aids for a $399 to $699 copay and no coinsurance. This benefit is partially covered because over-the-counter (OTC) hearing aids and 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 029 FL (HMO), offering one routine eye exam per year with a $0 to $10 copay and no coinsurance, while other eye exam services are not covered. Eyewear is covered with no copay, no coinsurance, and no deductible, up to a $150 annual maximum for contacts, eyeglasses, frames, lenses, and upgrades.
Dental Services See details
Dental services are partially covered by DEVOTED CORE 029 FL (HMO) up to a $1,500 annual limit, offering preventive care with no copay and no coinsurance, and Medicare-covered dental with a $10 copay and no coinsurance. Other covered comprehensive services require 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 029 FL (HMO) with no copay and no coinsurance, though prior authorization is required. Associated Medicare Part B drugs—including chemotherapy, radiation, and insulin—are covered with coinsurance ranging from no coinsurance up to 20%, with insulin drugs also carrying a $35 copay.
Dialysis Services See details
DEVOTED CORE 029 FL (HMO) covers Dialysis Services with no copay and a 20% coinsurance. Prior authorization is required to receive these covered services.
Medical Equipment See details
DEVOTED CORE 029 FL (HMO) partially covers medical equipment with no copays, but prior authorization is required and coinsurance ranges from no coinsurance up to 50% depending on the item. Covered benefits include durable medical equipment, prosthetics, and diabetic supplies, but diabetic therapeutic shoes and inserts are not covered.
Diagnostic and Radiological Services See details
DEVOTED CORE 029 FL (HMO) covers diagnostic and radiological services with prior authorization required, offering lab services and outpatient X-rays with no copay. Diagnostic procedures and tests have no coinsurance and a copay ranging from $0 to $95, while therapeutic radiological services require a minimum coinsurance of 20%.
Home Health Services See details
Home Health Services are covered by the DEVOTED CORE 029 FL (HMO) plan with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac rehabilitation services are covered by DEVOTED CORE 029 FL (HMO) with no coinsurance and a $10 copay per session, subject to prior authorization. This coverage includes intensive cardiac, pulmonary, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD).
Skilled Nursing Facility (SNF) See details
DEVOTED CORE 029 FL (HMO) covers Skilled Nursing Facility (SNF) services 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, and while a 3-day prior hospital stay is not required for admission, additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
DEVOTED CORE 029 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, meal benefits, and Dual Eligible SNPs with highly integrated services are not covered.
Get Personalized Help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
*/SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
MedicareAdvantageRX.com is owned and operated by Dog Media Solutions LLC.
This is a promotional communication.
Every year, Medicare evaluates plans based on a 5-star rating system.
Part B premium reduction is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be lower. Deductibles, copays and coinsurance may apply.
* 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.
Enrollment in Medicare/Medicare Advantage may be limited to certain times of the year unless you qualify for a Special Enrollment Period
We do not offer every plan available in your area. Currently, we represent 18 organizations, which offer 52,101 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
We represent Medicare Advantage HMO, PPO and PFFS organizations and stand-alone PDP prescription drug plans that are contracted with Medicare. Enrollment depends on the plan's contract renewal.
Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply.
Please contact Medicare.gov ,1-800-MEDICARE , or your local State Health Insurance Program (SHIP) to get information on all of your options.
Medicare has neither approved nor endorsed any information on this site.
Speak with a licensed insurance agent: 1-877-649-2073 / TTY 711 | 8am - 11pm ET | 7 days a week
© 2023 Dog Media Solutions LLC. All rights reserved