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DEVOTED DUAL 034 FL (HMO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for DEVOTED DUAL 034 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 034 FL (HMO D-SNP) in 2026, please refer to our full plan details page.
DEVOTED DUAL 034 FL (HMO D-SNP) is a HMO D-SNP 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 DUAL 034 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 034 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 034 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 034 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 034 FL (HMO D-SNP) Medicare plan has an annual prescription drug deductible of $615. For medications in Tiers 1 through 5, which include preferred generics, generics, preferred brands, non-preferred drugs, and specialty drugs, you will pay a 25% coinsurance at standard pharmacies and through standard mail order. For Tier 6 select care drugs, this plan offers no copay for one-month, two-month, and three-month supplies filled at standard pharmacies or through standard mail order. This straightforward coverage structure helps beneficiaries easily manage and predict their out-of-pocket prescription costs under this Florida Medicare Advantage plan.
Additional Benefits
The DEVOTED DUAL 034 FL (HMO D-SNP) plan offers comprehensive healthcare coverage with no copays or coinsurance for primary care visits, routine preventive exams, and home health services. For inpatient hospital stays, members pay a $175 daily copay for the first five days, followed by no copay for the remainder of the stay, while emergency department visits carry a $150 copay. Outpatient and diagnostic services are also highly affordable, with no copay for lab tests and outpatient x-rays. In addition to medical care, this plan provides valuable supplemental benefits including dental and vision coverage with no copays for preventive dental services up to a $2,500 annual limit and eyewear up to $400. Routine hearing exams require a $15 copay, and prescription hearing aids are covered with copays between $399 and $699. Skilled nursing care is available with no copay for the first 20 days, and members receive a $50 over-the-counter allowance every three months.
Inpatient Hospital See details
DEVOTED DUAL 034 FL (HMO D-SNP) inpatient hospital care is partially covered, requiring no coinsurance and a $175 copay per day for days 1 through 5, followed by no copay for days 6 through 90 per stay. Prior authorization is required, and non-Medicare-covered stays, upgrades, and additional psychiatric days are not covered.
Outpatient Services See details
DEVOTED DUAL 034 FL (HMO D-SNP) covers outpatient services with no coinsurance, offering no copay for ambulatory surgical center and blood services. Outpatient hospital services require a copay of $0 to $175, observation services carry a $175 copay per stay, and outpatient substance abuse sessions have a $15 copay, with prior authorization or referrals required for certain services.
Partial Hospitalization See details
DEVOTED DUAL 034 FL (HMO D-SNP) covers partial hospitalization services with a $55.00 copay and no coinsurance. Prior authorization is required for these covered services.
Ambulance and Transportation Services See details
DEVOTED DUAL 034 FL (HMO D-SNP) covers ground ambulance services with a copay ranging from no copay to $350 and coinsurance, and air ambulance services with a 20% coinsurance and a copay, with prior authorization required. While transportation is technically covered, some services are covered but transportation to plan-approved health-related locations and any health-related locations is not covered.
Emergency Services See details
DEVOTED DUAL 034 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. Urgently needed services require no copay to a $45 copay with no coinsurance, and worldwide emergency services are covered up to a $25,000 limit with copays up to $350 and 20% coinsurance for emergency transportation.
Primary Care See details
DEVOTED DUAL 034 FL (HMO D-SNP) covers primary care physician services with no copay and no coinsurance, while specialist, therapy, and mental health services feature copays ranging from $0 to $50 and no coinsurance. Chiropractic services are partially covered, offering routine care with a $15 copay and no coinsurance for up to 6 visits per year, but other chiropractic services are not covered.
Preventive Services See details
DEVOTED DUAL 034 FL (HMO D-SNP) covers preventive services, including annual physical exams, kidney disease education, and diabetes self-management training, with no copay and no coinsurance. Additional preventive benefits are partially covered with no copay and no coinsurance, including fitness and weight management, while sub-services such as therapeutic massage, in-home support, personal emergency response systems, and caregiver support are not covered.
Hearing Services See details
Hearing services are partially covered by DEVOTED DUAL 034 FL (HMO D-SNP), featuring a $15 copay and no coinsurance for routine exams, and unlimited hearing aid fittings. Prescription hearing aids are covered with no coinsurance and copays ranging from $399 to $699, but 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 DUAL 034 FL (HMO D-SNP) because other eye exam services are not covered. Routine eye exams feature a range of no copay to a $15 copay with no coinsurance, while eyewear is covered with no copay, no coinsurance, and a $400 annual maximum limit.
Dental Services See details
DEVOTED DUAL 034 FL (HMO D-SNP) offers partially covered dental services with a $15 copay and no coinsurance for Medicare-covered dental, and no copay or coinsurance for preventive and comprehensive services up to a $2,500 annual limit. Sub-services that are not covered include other diagnostic dental, other preventive dental, maxillofacial prosthetics, implant services, and orthodontics.
Home Infusion bundled Services See details
Home infusion bundled services are covered by DEVOTED DUAL 034 FL (HMO D-SNP) with no copay, though prior authorization is required. Medicare Part B chemotherapy, radiation, and other infusion drugs have 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 DUAL 034 FL (HMO D-SNP) plan with no copay and a 20% coinsurance, though prior authorization is required.
Medical Equipment See details
DEVOTED DUAL 034 FL (HMO D-SNP) covers medical equipment with no copays, though prior authorization is required. Durable medical equipment requires a 20% to 30% coinsurance, while prosthetic devices and medical supplies range from no coinsurance to 20% coinsurance. Diabetic equipment is partially covered with no coinsurance to 30% coinsurance on supplies, but diabetic therapeutic shoes and inserts are not covered.
Diagnostic and Radiological Services See details
DEVOTED DUAL 034 FL (HMO D-SNP) covers diagnostic services with no coinsurance, offering lab services with no copay and diagnostic procedures with a $0 to $95 copay. Radiological services are also covered, featuring no copay for diagnostic radiology and outpatient X-rays, and a minimum 20% coinsurance for therapeutic radiology.
Home Health Services See details
DEVOTED DUAL 034 FL (HMO D-SNP) covers home health services with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
DEVOTED DUAL 034 FL (HMO D-SNP) covers Cardiac Rehabilitation Services with no coinsurance, but prior authorization is required. Some services are covered, but standard cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered and carry a $15 copay.
Skilled Nursing Facility (SNF) See details
DEVOTED DUAL 034 FL (HMO D-SNP) covers Skilled Nursing Facility (SNF) care 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 additional days beyond the Medicare-covered limit are not covered.
Other Services See details
DEVOTED DUAL 034 FL (HMO D-SNP) partially covers other services, offering over-the-counter (OTC) items up to $50 every three months and additional preventive services with no copay and no coinsurance. Acupuncture, meal benefits, and highly integrated services are not covered under this plan.
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