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DEVOTED DUAL 033 FL (HMO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for DEVOTED DUAL 033 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 033 FL (HMO D-SNP) in 2026, please refer to our full plan details page.
DEVOTED DUAL 033 FL (HMO D-SNP) is a HMO D-SNP 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 DUAL 033 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 033 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.
Key Plan Facts
Below are a few key facts and commonly-asked questions about DEVOTED DUAL 033 FL (HMO D-SNP).
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 DUAL 033 FL (HMO D-SNP), 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 DUAL 033 FL (HMO D-SNP) Medicare plan features an annual prescription drug deductible of $615. For tier 1 preferred generic, tier 2 generic, tier 3 preferred brand, and tier 4 non-preferred drugs, standard pharmacies and standard mail order services charge a 25% coinsurance. Tier 5 specialty tier drugs also carry a 25% coinsurance for a 1-month supply at standard locations. Beneficiaries enjoy no copay for tier 6 select care drugs filled at standard pharmacies or through standard mail order for up to a 3-month supply. This prescription drug coverage helps dual-eligible members in Florida easily understand and manage their medication costs.
Additional Benefits
The DEVOTED DUAL 033 FL (HMO D-SNP) Medicare plan provides coverage for essential medical services with low out-of-pocket costs. Members pay no copay and no coinsurance for primary care visits, preventive screenings, and home health care, while specialist visits require a $10 copay. Inpatient hospital stays have a $175 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 the patient is admitted within 24 hours. This plan also features supplemental benefits, including dental care with no copay for covered non-Medicare services up to a $2,500 yearly limit. Vision services include routine exams with up to a $10 copay and a $400 annual eyewear allowance with no copay, while hearing aids require copays between $399 and $699. Additionally, members receive an over-the-counter allowance of $50 every three months with no copay.
Inpatient Hospital See details
DEVOTED DUAL 033 FL (HMO D-SNP) covers inpatient acute and psychiatric hospital stays with no coinsurance, requiring prior authorization, a $175 daily copay for days 1 through 5, and no copay for days 6 through 90. This benefit is partially covered because upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
DEVOTED DUAL 033 FL (HMO D-SNP) covers outpatient services with no coinsurance, featuring a $0 to $175 copay for outpatient hospital visits, a $175 copay per stay for observation services, and a $10 copay for substance abuse sessions. Ambulatory surgical center and outpatient blood services are covered with no copay and no coinsurance.
Partial Hospitalization See details
Partial hospitalization services are covered by the DEVOTED DUAL 033 FL (HMO D-SNP) plan with a $55.00 copay and no coinsurance. Prior authorization is required to receive this benefit.
Ambulance and Transportation Services See details
Ambulance services are covered by DEVOTED DUAL 033 FL (HMO D-SNP) with prior authorization, requiring a copay of $0 to $300 and no coinsurance for ground services, and a 20% coinsurance with no copay for air services. Transportation services to health-related locations are not covered by this plan.
Emergency Services See details
DEVOTED DUAL 033 FL (HMO D-SNP) covers emergency services with a $150 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours, and urgently needed services with no copay to a $45 copay and no coinsurance. Worldwide emergency and urgent services are covered up to a $25,000 maximum limit with a $150 copay and no coinsurance, while worldwide emergency transportation requires a $300 copay and 20% coinsurance.
Primary Care See details
DEVOTED DUAL 033 FL (HMO D-SNP) covers primary care physician services with no copay and no coinsurance, and telehealth services with a $0 to $45 copay and no coinsurance. Specialist, psychiatric, podiatry, and mental health services require a $10 copay and no coinsurance, while physical, occupational, and speech therapies have a $10 to $50 copay and no coinsurance. Chiropractic services are partially covered, offering routine care for a $10 copay and no coinsurance, while other chiropractic services are not covered.
Preventive Services See details
Preventive services are covered by DEVOTED DUAL 033 FL (HMO D-SNP) with no copay and no coinsurance for annual physical exams, kidney disease education, and other screenings. Additional preventive services are partially covered, but the plan does not cover in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge medication reconciliation, re-admission prevention, wigs, therapeutic massage, adult day health, palliative care, in-home support, caregiver support, additional smoking cessation, enhanced disease management, telemonitoring, remote access, or counseling.
Hearing Services See details
DEVOTED DUAL 033 FL (HMO D-SNP) partially covers hearing services, offering one annual routine hearing exam for a $10 copay and no coinsurance, with no deductible. While up to two prescription hearing aids are covered per year with no coinsurance and copays ranging from $399 to $699, OTC hearing aids and inner, outer, or over-the-ear prescription models are not covered.
Vision Services See details
DEVOTED DUAL 033 FL (HMO D-SNP) offers partially covered vision services with no deductibles, including one routine eye exam per year with a $0 to $10 copay and no coinsurance, though other eye exam services are not covered. Eyewear is covered with no copay and no coinsurance up to a $400 annual maximum for contacts, eyeglasses, frames, lenses, and upgrades.
Dental Services See details
DEVOTED DUAL 033 FL (HMO D-SNP) offers partially covered dental services with a $10 copay and no coinsurance for Medicare-covered services, and no copay or coinsurance for other covered dental services up to a $2,500 yearly maximum. Uncovered sub-services include other diagnostic, other preventive, maxillofacial prosthetics, implants, and orthodontic services.
Home Infusion bundled Services See details
DEVOTED DUAL 033 FL (HMO D-SNP) covers home infusion bundled services with no copay, while associated Medicare Part B chemotherapy, radiation, and other drugs require no coinsurance to 20% coinsurance. Part B insulin drugs are covered with a $35 copay and no coinsurance to 20% coinsurance, subject to prior authorization and step requirements.
Dialysis Services See details
DEVOTED DUAL 033 FL (HMO D-SNP) covers Dialysis Services with no copay and a 20% coinsurance. Prior authorization is required for these services.
Medical Equipment See details
Medical equipment is partially covered by DEVOTED DUAL 033 FL (HMO D-SNP) with no copays, though prior authorization is required. Covered benefits require coinsurance of 20% to 30% for durable medical equipment, up to 20% for prosthetics and medical supplies, and up to 30% for diabetic supplies, while diabetic therapeutic shoes and inserts are not covered.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered under DEVOTED DUAL 033 FL (HMO D-SNP) with prior authorization required. Diagnostic services feature no coinsurance, with no copay for lab services and up to a $95 copay for procedures, while radiological services require no copay for X-rays and diagnostic imaging but carry a 20% coinsurance for therapeutic services.
Home Health Services See details
Home Health Services are covered under the DEVOTED DUAL 033 FL (HMO D-SNP) plan with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered by DEVOTED DUAL 033 FL (HMO D-SNP) with no copay and no coinsurance, though some services are covered but standard cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered.
Skilled Nursing Facility (SNF) See details
DEVOTED DUAL 033 FL (HMO D-SNP) covers Skilled Nursing Facility (SNF) services with no coinsurance and no required prior three-day inpatient hospital stay, though prior authorization is required. There is no copay for days 1 through 20, followed by 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 DUAL 033 FL (HMO D-SNP) partially covers other services, offering no copay and no coinsurance for additional preventive services and over-the-counter (OTC) items up to $50 every three months. Acupuncture, meal benefits, and highly integrated dual eligible SNP services are not covered under this plan benefit.
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