Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Devoted CORE Florida (HMO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Devoted CORE Florida (HMO) in 2025, please refer to our full plan details page.
Devoted CORE Florida (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 4.5 out of 5 stars in 2025.
It's important to know that Devoted CORE Florida (HMO) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Below are a few key facts and commonly-asked questions about Devoted CORE Florida (HMO).
The cost of a Medicare Advantage Plan is made up of four main parts.
For Devoted CORE Florida (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 $590.00 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.
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
The Devoted CORE Florida (HMO) plan has an enhanced alternative drug benefit. The plan has a $590 deductible. In the initial coverage phase, after the deductible, you will pay a 0 dollar copay for standard mail and standard pharmacies for preferred generic drugs. For standard generic, preferred brand, and non-preferred drugs, you will pay 25% coinsurance. Once your total drug costs reach $2000, you enter the next coverage phase.
The Devoted CORE Florida (HMO) plan offers a range of benefits with varying costs. Inpatient hospital stays have a $195 copay for days 1-5, and no copay for days 6-90. Outpatient services have copays between $0 and $195, and emergency services cost $140. This plan includes coverage for primary care, with copays between $0 and $5 for many services, as well as hearing, vision, and dental coverage. Hearing exams cost $5, and prescription hearing aids have copays between $199 and $499. Vision services have a $5 copay for eye exams, and eyewear is covered up to $1000 per year. Dental services have no copay for many services, including cleanings, and other services.
Inpatient Hospital services, including acute and psychiatric, are covered with a $195 copay for days 1-5, and no copay for days 6-90. Additional days for Inpatient Hospital-Acute are covered, while Non-Medicare-covered Stay and Upgrades for Inpatient Hospital-Acute are not covered. Additional days and Non-Medicare-covered Stay for Inpatient Hospital Psychiatric are also not covered.
Outpatient Services includes coverage for all outpatient hospital services, observation services, ambulatory surgical center services, outpatient substance abuse services, and outpatient blood services. Outpatient Hospital Services have a copay between $0 and $195, and Observation Services have a $195 copay. Ambulatory Surgical Center Services have no copay, and Individual and Group Sessions for Outpatient Substance Abuse have a copay between $5 and $5.
Partial Hospitalization is covered by the Devoted CORE Florida (HMO) plan, and requires prior authorization. The copay for this benefit is $55.
Ambulance and Transportation Services are covered by the Devoted CORE Florida (HMO) plan. Ground ambulance services have a copay between $0 and $300, while air ambulance services have a 20% coinsurance, and transportation services to any health-related location are not covered.
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered. Emergency Services has a $140 copay and no coinsurance, while Urgently Needed Services has a copay between $0 and $45, and no coinsurance. Worldwide Emergency Coverage and Worldwide Urgent Coverage have a $140 copay and no coinsurance, while Worldwide Emergency Transportation has a $300 copay and 20% coinsurance.
Primary Care benefits with Devoted CORE Florida (HMO) cover primary care physician services. Chiropractic services have a $5 copay, but routine chiropractic care is not covered. Occupational Therapy Services have a copay between $0 and $50, with no coinsurance. Physician Specialist Services have a copay between $0 and $5. Mental Health Specialty Services, including individual and group sessions, have a $5 copay. Other Health Care Professional services have a copay between $0 and $5. Psychiatric Services, including individual and group sessions, have a $5 copay. Physical Therapy and Speech-Language Pathology Services have a copay between $0 and $50, with no coinsurance. Additional Telehealth Benefits have a copay between $0 and $5. Opioid Treatment Program Services have a $5 copay.
The Devoted CORE Florida (HMO) plan covers various preventive services, including Medicare-covered services, annual physical exams, health education, Personal Emergency Response System (PERS), weight management programs, alternative therapies, nutritional/dietary benefits, fitness benefits, home and bathroom safety devices, kidney disease education, glaucoma screening, diabetes self-management training, barium enemas, digital rectal exams, and EKG following a Welcome Visit. In-home safety assessment, Medical Nutrition Therapy (MNT), post-discharge in-home medication reconciliation, re-admission prevention, wigs for hair loss related to chemotherapy, therapeutic massage, Adult Day Health Services, home-based palliative care, in-home support services, support for caregivers of enrollees, additional sessions of smoking and tobacco cessation counseling, enhanced disease management, telemonitoring services, remote access technologies, and counseling services are not covered.
Hearing services include routine hearing exams with a $5 copay, and fitting/evaluation for hearing aids. Prescription hearing aids (all types) are covered with a copay between $199 and $499, but prescription hearing aids for the inner ear, outer ear, and over the ear are not covered, and OTC hearing aids are not covered.
Vision services include coverage for eye exams with a $5 copay, and eyewear with a combined maximum benefit of $1000 per year. Contact lenses, eyeglasses (lenses and frames), eyeglass lenses, eyeglass frames, and upgrades are also covered.
Dental Services includes coverage for Medicare Dental Services with a $5 copay, and other services like oral exams, dental x-rays, and other diagnostic dental services with no copay. Additionally, this plan covers prophylaxis (cleaning) up to 2 times per year with no copay, fluoride treatment with no copay, other preventive dental services with no copay, orthodontic services with a $1,000 maximum benefit, restorative services with no copay, adjunctive general services with no copay, endodontics with no copay, periodontics with no copay, prosthodontics (removable and fixed) with no copay, and oral and maxillofacial surgery with no copay. Maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services are covered, and prior authorization is required. Medicare Part B Insulin Drugs have a $35 copay and a 20% coinsurance, while Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs have between 0% and 20% coinsurance.
Dialysis Services are covered under the Devoted CORE Florida (HMO) plan. The coinsurance for dialysis services is 20%.
Medical Equipment benefits include Durable Medical Equipment (DME) with a coinsurance between 0% and 35%, and Prosthetic/Medical Supplies with a coinsurance for covered services. Durable Medical Equipment for use outside the home, Diabetic Supplies, and Diabetic Therapeutic Shoes/Inserts are not covered.
Diagnostic and Radiological Services include coverage for all diagnostic services, with a copay for Medicare-covered diagnostic procedures/tests, and a $0 copay for lab services. Diagnostic Radiological Services have a copay of at most $300, and Therapeutic Radiological Services have a coinsurance of at least 20%. Outpatient X-Ray Services have no copay.
Home Health Services are covered by the Devoted CORE Florida (HMO) plan with no copay and no coinsurance. However, Additional Hours of Care and Personal Care Services are not covered.
Cardiac Rehabilitation Services are not covered by the Devoted CORE Florida (HMO) plan. While the plan generally covers Cardiac Rehabilitation Services, the specific services including Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, and SET for PAD Services, are not covered.
Skilled Nursing Facility (SNF) services are covered by the Devoted CORE Florida (HMO) plan, but require prior authorization. You will have no copay for days 1-20, and a $214 copay for days 21-100. Additional days beyond Medicare-covered and non-Medicare-covered stays are not covered.
Other Services are not covered by the Devoted CORE Florida (HMO) plan, including acupuncture, over-the-counter items, meal benefits, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services, Private Duty Nursing Services, Case Management (Long Term Care), Institution for Mental Disease Services for Individuals 65 or Older, Services in an Intermediate Care Facility for Individuals with Intellectual Disabilities, Case Management, Tobacco Cessation Counseling for Pregnant Women, Freestanding Birth Center Services, Respiratory Care Services, Family Planning Services, Nursing Home Services, Home and Community Based Services, Personal Care Services, and Self-Directed Personal Assistance Services. Other 2 benefits include $0 preventive services.
SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
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