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DEVOTED CORE 036 FL (HMO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for DEVOTED CORE 036 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 036 FL (HMO) in 2026, please refer to our full plan details page.
DEVOTED CORE 036 FL (HMO) is a HMO plan offered by Devoted Health, Inc. available for enrollment in 2025 to people living in Greater Tampa Bay. This plan received an overall rating of 5 out of 5 stars in 2026.
It's important to know that DEVOTED CORE 036 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 036 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 036 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.
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 CORE 036 FL (HMO) Medicare plan features an annual prescription drug deductible of $615. Under this plan, you will pay no copay for Tier 1 preferred generic and Tier 2 generic medications filled at standard pharmacies or through standard mail order. This ensures that essential daily medications remain highly affordable for plan members. For Tier 3 preferred brand and Tier 4 non-preferred drugs, you will pay a 25% coinsurance for one, two, or three-month supplies at standard pharmacies and standard mail order. Tier 5 specialty drugs also require a 25% coinsurance for a one-month supply.
Additional Benefits
The DEVOTED CORE 036 FL (HMO) plan offers affordable medical coverage with no copay and no coinsurance for primary care visits, home health services, and preventive care. Inpatient hospital stays require a $195 daily copay for days one through five, followed by no copay for days six through 90. Emergency services carry a $150 copay, which is waived if you are admitted within 24 hours, while specialist visits range from no copay to a $50 copay. For supplemental benefits, the plan provides up to $1,500 in annual dental coverage with no copay for preventive care and 0% to 50% coinsurance for comprehensive services. Routine vision exams range from no copay to a $5 copay, routine hearing exams require a $5 copay, and coverage is included for eyewear and prescription hearing aids. Additionally, skilled nursing facility stays are covered with no copay for the first 20 days and a $218 daily copay for days 21 through 100.
Inpatient Hospital See details
DEVOTED CORE 036 FL (HMO) offers partially covered inpatient hospital services with no coinsurance and a copay of $195 per day for days 1 through 5, and no copay for days 6 through 90. Prior authorization is required, and excluded services include room upgrades, non-Medicare-covered stays, and additional psychiatric days.
Outpatient Services See details
Outpatient services are covered by DEVOTED CORE 036 FL (HMO) with no coinsurance, featuring a copay of $0 to $195 for outpatient hospital services and a $195 copay per stay for observation services. Ambulatory surgical center and outpatient blood services are covered with no copay and no coinsurance, while outpatient substance abuse sessions carry a $5 copay and no coinsurance.
Partial Hospitalization See details
Partial hospitalization services are covered under the DEVOTED CORE 036 FL (HMO) plan with a $55.00 copay and no coinsurance. Prior authorization is required for this benefit.
Ambulance and Transportation Services See details
Ambulance and transportation services are partially covered by DEVOTED CORE 036 FL (HMO), which features ground ambulance services with no coinsurance and a copay of no copay to $300, and air ambulance services with a 20% coinsurance and no copay. Prior authorization is required for ambulance services, and transportation services to plan-approved or any health-related locations are not covered.
Emergency Services See details
DEVOTED CORE 036 FL (HMO) 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 lifetime maximum with a $150 copay and no coinsurance, while worldwide emergency transportation requires a $300 copay and 20% coinsurance.
Primary Care See details
DEVOTED CORE 036 FL (HMO) offers primary care physician services with no copay and no coinsurance, while other covered benefits such as specialists, mental health, and physical therapy require copays ranging from $0 to $50 and no coinsurance. Chiropractic and podiatry services are not covered under this plan.
Preventive Services See details
DEVOTED CORE 036 FL (HMO) covers a variety of preventive services with no copay and no coinsurance, including annual physical exams, kidney disease education, and fitness benefits. However, the benefit is only partially covered, as services such as in-home safety assessments, personal emergency response systems, medical nutrition therapy, and therapeutic massages are not covered.
Hearing Services See details
Hearing services are partially covered by DEVOTED CORE 036 FL (HMO), featuring routine hearing exams for a $5 copay and no coinsurance, and prescription hearing aids with a $399 to $699 copay and no coinsurance. OTC hearing aids, as well as inner ear, outer ear, and over the ear prescription hearing aids, are not covered.
Vision Services See details
DEVOTED CORE 036 FL (HMO) provides partially covered vision services, featuring one routine eye exam per year with a $0 to $5 copay and no coinsurance, though other eye exam services are not covered. Eyewear is covered with no copay, no coinsurance, and no deductible, offering up to a $150 annual maximum for contacts, eyeglasses, and upgrades.
Dental Services See details
DEVOTED CORE 036 FL (HMO) partially covers dental services with up to $1,500 in annual coverage, featuring no copay and no coinsurance for preventive care, and a $5 copay with no coinsurance for Medicare-covered dental services. While comprehensive services like endodontics and prosthodontics have no copay and 0% to 50% coinsurance, maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
Home infusion bundled services are covered by DEVOTED CORE 036 FL (HMO) with no copay, subject to prior authorization. Under this benefit, Medicare Part B chemotherapy, radiation, and other drugs require no copay and up to 20% coinsurance, while Part B insulin drugs carry a $35 copay and up to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered under the DEVOTED CORE 036 FL (HMO) plan 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 CORE 036 FL (HMO) with no copays and coinsurance ranging from 0% to 50%, with prior authorization required. While durable medical equipment, prosthetics, and diabetic supplies are covered under this plan, diabetic therapeutic shoes and inserts are not covered.
Diagnostic and Radiological Services See details
DEVOTED CORE 036 FL (HMO) covers diagnostic and radiological services with prior authorization, offering lab services and outpatient X-rays with no copay. Diagnostic procedures and tests require a copay between $0 and $95 with no coinsurance, while therapeutic radiological services require a minimum 20% coinsurance.
Home Health Services See details
DEVOTED CORE 036 FL (HMO) covers Home Health Services with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered under the DEVOTED CORE 036 FL (HMO) plan with no coinsurance, a $5 copay, and prior authorization required. Although the benefit is technically covered, in practice only some services are covered, as cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered.
Skilled Nursing Facility (SNF) See details
DEVOTED CORE 036 FL (HMO) covers Skilled Nursing Facility (SNF) services with no coinsurance, offering no copay for days 1 through 20 and a $218 daily copay for days 21 through 100. Prior authorization is required, though a prior three-day inpatient hospital stay is not, and additional days beyond the standard Medicare-covered period are not covered.
Other Services See details
Other services are partially covered by DEVOTED CORE 036 FL (HMO), 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 under this plan.
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