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Devoted PREMIUM Florida (HMO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Devoted PREMIUM Florida (HMO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Devoted PREMIUM Florida (HMO) in 2025, please refer to our full plan details page.
Devoted PREMIUM Florida (HMO) is a HMO plan offered by Devoted Health, Inc. available for enrollment in 2025 to people living in South & Central Florida. This plan received an overall rating of 4.5 out of 5 stars in 2025.
It's important to know that Devoted PREMIUM Florida (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 PREMIUM Florida (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 PREMIUM Florida (HMO), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $8.70. 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.
Common Services:
Doctor Visits:
Specialist Visits:
Emergency Room:
Urgent Care:
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Drug Coverage
The Devoted PREMIUM Florida (HMO) plan has a $590 deductible for prescription drugs. After the deductible is met, you will pay varying costs based on the drug tier. For example, you will pay no copay for preferred generic drugs at a standard pharmacy or through the mail order. For standard generic, preferred brand, and non-preferred drugs, you will pay 25% coinsurance after the deductible. Once your total drug costs reach $2000, you enter the catastrophic coverage phase where you pay nothing for covered drugs.
Additional Benefits
The Devoted PREMIUM Florida (HMO) plan offers a range of benefits with varying costs. Inpatient hospital stays have a $130 copay for the first five days, with no copay afterward. Outpatient services and specialist visits may have copays ranging from $0 to $130, while emergency services cost $140. Preventive services, routine hearing exams, and many dental services, including cleanings, have no copays. The plan also covers vision, with coverage for routine eye exams and up to $500 per year for eyewear. Other benefits include coverage for ambulance services, home health, and skilled nursing facilities with certain copays and coinsurance.
Inpatient Hospital See details
Inpatient Hospital benefits, including acute and psychiatric, are covered by the Devoted PREMIUM Florida (HMO) plan. For Inpatient Hospital-Acute, you will pay a $130 copay for days 1-5, and no copay for days 6-90; for Inpatient Hospital Psychiatric, you will pay a $130 copay for days 1-5, and no copay for days 6-90.
Outpatient Services See details
Outpatient Services include coverage for Outpatient Hospital Services with a copay between $0 and $130, Observation Services with a $130 copay, and Ambulatory Surgical Center (ASC) Services with no copay. Outpatient Substance Abuse Services are not covered, and Outpatient Blood Services are covered.
Partial Hospitalization See details
Partial Hospitalization is covered by the Devoted PREMIUM Florida (HMO) plan, with a $50 copay. Prior authorization is required for this benefit.
Ambulance and Transportation Services See details
The Devoted PREMIUM Florida (HMO) plan covers ambulance services, including ground ambulance services with a copay between $0 and $300, and air ambulance services with 20% coinsurance. Transportation services to health-related locations are not covered.
Emergency Services See details
Emergency Services are covered by the Devoted PREMIUM Florida (HMO) plan, with a $140 copay for emergency services. Urgently Needed Services have a copay between $0 and $45, and Worldwide Emergency Services are covered, with a $140 copay for Worldwide Emergency Coverage and Worldwide Urgent Coverage, and a $300 copay with 20% coinsurance for Worldwide Emergency Transportation.
Primary Care See details
Primary Care Physician Services, Occupational Therapy, Physician Specialist, Other Health Care Professional, Opioid Treatment Program Services, Physical Therapy, and Speech-Language Pathology Services are covered; however, Routine Chiropractic Care, Individual and Group Sessions for Mental Health Specialty Services, Podiatry Services, and Individual and Group Sessions for Psychiatric Services are not covered. Occupational Therapy, Physical Therapy, and Speech-Language Pathology Services have a copay between $0 and $50, and no coinsurance.
Preventive Services See details
The Devoted PREMIUM Florida (HMO) plan covers preventive services, including annual physical exams, health education, personal emergency response systems, weight management programs, alternative therapies, nutritional/dietary benefits, fitness benefits, home and bathroom safety devices and modifications, kidney disease education services, glaucoma screenings, diabetes self-management training, barium enemas, digital rectal exams, and EKGs following a welcome visit. However, in-home safety assessments, medical nutrition therapy, 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 See details
Hearing services include routine hearing exams, fitting/evaluation for hearing aids, and prescription hearing aids. Routine hearing exams are covered once per year, and fitting/evaluation for hearing aids is covered with no copay. Prescription hearing aids are covered with a copay between $199 and $499, while prescription hearing aids - inner ear, outer ear, and over the ear are not covered. OTC hearing aids are not covered.
Vision Services See details
The Devoted PREMIUM Florida (HMO) plan covers vision services, including routine eye exams once per year. Eyewear is covered up to a combined maximum of $500 per year, and contact lenses, eyeglasses (lenses and frames), eyeglass lenses, eyeglass frames, and upgrades are also covered.
Dental Services See details
The Devoted PREMIUM Florida (HMO) plan covers a variety of dental services, including oral exams, dental x-rays, and other diagnostic and preventive services with no copay. Prophylaxis (cleaning) is covered for two visits per year. Orthodontic services are covered up to a maximum of $500 per year. Maxillofacial Prosthetics, Implant Services, and Orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered, including Medicare Part B Insulin Drugs, Medicare Part B Chemotherapy/Radiation Drugs, and Other Medicare Part B Drugs. For Medicare Part B Insulin Drugs, there is a $35 copay and 20% coinsurance. For Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs, there is between 0% and 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered by the Devoted PREMIUM Florida (HMO) plan. The coinsurance for dialysis services is 20%.
Medical Equipment See details
The Devoted PREMIUM Florida (HMO) plan covers Durable Medical Equipment (DME) with a coinsurance between 0% and 50%, but does not cover DME for use outside the home. Prosthetic Devices are covered with a coinsurance between 0% and 20%, and Medical Supplies have a 20% coinsurance. Diabetic Equipment is covered, but Diabetic Supplies and Diabetic Therapeutic Shoes/Inserts are not covered.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services include coverage for all diagnostic services, diagnostic procedures/tests with a copay between $0 and $95, lab services with no copay, and outpatient X-Ray services with no copay. Diagnostic Radiological Services have a copay up to $300, and Therapeutic Radiological Services have a coinsurance of at least 20%.
Home Health Services See details
Home Health Services are covered by the Devoted PREMIUM Florida (HMO) plan with no copay and no coinsurance, but additional hours of care and personal care services are not covered. Authorization is required for this benefit.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are technically covered, but Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, and SET for PAD Services are not covered.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered under the Devoted PREMIUM Florida (HMO) plan. There is no copay for days 1-20, and a $214 copay for days 21-100; additional days beyond Medicare-covered for SNF, and non-Medicare-covered stays for SNF are not covered.
Other Services See details
Other Services are not covered, including acupuncture, over-the-counter items, meal benefits, Dual Eligible SNPs with Highly Integrated Services, 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.
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