A non-government entity
DEVOTED PREMIUM 037 FL (HMO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for DEVOTED PREMIUM 037 FL (HMO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on DEVOTED PREMIUM 037 FL (HMO) in 2026, please refer to our full plan details page.
DEVOTED PREMIUM 037 FL (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 5 out of 5 stars in 2026.
It's important to know that DEVOTED PREMIUM 037 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 PREMIUM 037 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 PREMIUM 037 FL (HMO), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $4.80. 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:
Sign up for DEVOTED PREMIUM 037 FL (HMO)
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
Drug Coverage
The Devoted Premium 037 FL (HMO) Medicare prescription drug plan features an annual drug deductible of $615. For Tier 1 preferred generic and Tier 2 generic medications, members benefit from no copay for one, two, or three-month supplies filled at standard pharmacies or through standard mail order. This structure offers excellent savings on common maintenance medications. For Tier 3 preferred brand, Tier 4 non-preferred, and Tier 5 specialty drugs, the plan requires a 25% coinsurance for standard pharmacy and mail-order fills. While Tier 3 and Tier 4 prescriptions are available for up to a three-month supply, Tier 5 specialty medications are limited to a one-month supply.
Additional Benefits
The DEVOTED PREMIUM 037 FL (HMO) plan offers robust core medical coverage with low out-of-pocket costs, featuring no copays and no coinsurance for primary care visits, specialist appointments, and home health services. For hospital stays, inpatient care requires a daily copay of $130 for days 1 through 5 and no copay for days 6 through 90, while outpatient hospital services range from no copay to a $130 copay. Emergency room visits carry a $150 copay, which is waived if you are admitted, and urgent care visits range from no copay to a $45 copay. This plan also includes valuable supplemental benefits, such as preventive dental care with no copay up to a $1,500 annual maximum, alongside routine vision and hearing exams with no copay. Prescription hearing aids are covered with copays between $199 and $499, and members receive a $150 annual eyewear allowance. Additionally, diagnostic lab services and outpatient X-rays are provided with no copay, while Medicare Part B drugs require up to a 20% coinsurance.
Inpatient Hospital See details
DEVOTED PREMIUM 037 FL (HMO) covers inpatient acute and psychiatric hospital stays with no coinsurance, requiring a daily copay of $130 for days 1 through 5 and no copay for days 6 through 90. While unlimited additional days are covered for acute care, psychiatric additional days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
DEVOTED PREMIUM 037 FL (HMO) covers outpatient hospital services with no coinsurance and copays ranging from $0 to $130, as well as ambulatory surgical center and blood services with no copays and no coinsurance. Some outpatient substance abuse services are covered, but individual and group sessions are not.
Partial Hospitalization See details
Partial hospitalization is covered by DEVOTED PREMIUM 037 FL (HMO) with a $50 copay and no coinsurance, though prior authorization is required.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are partially covered by DEVOTED PREMIUM 037 FL (HMO), as transportation to plan-approved or any health-related locations is not covered. Covered ground ambulance services require no copay to a $300 copay and no coinsurance, while air ambulance services require a 20% coinsurance and no copay, both requiring prior authorization.
Emergency Services See details
DEVOTED PREMIUM 037 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. Urgently needed services range from no copay to a $45 copay with no coinsurance, while worldwide emergency services are covered up to $25,000 with copays between $150 and $300 and a 20% coinsurance for emergency transportation.
Primary Care See details
DEVOTED PREMIUM 037 FL (HMO) covers primary care physician, specialist, other health professional, and opioid treatment services with no copay and no coinsurance, while physical, occupational, speech, and telehealth therapies require no coinsurance and copays ranging from $0 to $50. Chiropractic, podiatry, mental health specialty, and psychiatric services are not covered.
Preventive Services See details
Preventive Services are partially covered by DEVOTED PREMIUM 037 FL (HMO) with no copay and no coinsurance for covered benefits like annual physical exams, fitness programs, and nutritional/dietary sessions. However, several supplemental services are not covered under this plan, including in-home safety assessments, personal emergency response systems, therapeutic massage, and medical nutrition therapy.
Hearing Services See details
Hearing services under DEVOTED PREMIUM 037 FL (HMO) are covered, featuring routine hearing exams and fitting evaluations with no copay, no deductible, and no coinsurance. Prescription hearing aids are partially covered with no coinsurance and copays between $199 and $499 for up to two aids yearly, while inner ear, outer ear, over the ear, and OTC hearing aids are not covered.
Vision Services See details
Vision services are partially covered by DEVOTED PREMIUM 037 FL (HMO), with other eye exam services excluded from coverage. Covered benefits feature no copay, no coinsurance, and no deductible, and they include one routine eye exam per year with prior authorization required, alongside a $150 annual allowance for eyewear such as contacts, lenses, frames, and upgrades.
Dental Services See details
DEVOTED PREMIUM 037 FL (HMO) features partially covered dental services with a $1,500 annual maximum, offering preventive care, diagnostics, periodontics, and oral surgery with no copay and no coinsurance. Restorative services, endodontics, and prosthodontics are covered with no copay and 0% to 50% coinsurance, though orthodontics, implant services, and maxillofacial prosthetics are not covered.
Home Infusion bundled Services See details
DEVOTED PREMIUM 037 FL (HMO) covers home infusion bundled services with no copay, though prior authorization and step therapy are required. Covered Medicare Part B chemotherapy, radiation, and other drugs require no copay and no coinsurance to 20% coinsurance, while Part B insulin drugs have a $35 copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered under the DEVOTED PREMIUM 037 FL (HMO) plan with no copay and a 20% coinsurance, although prior authorization is required.
Medical Equipment See details
DEVOTED PREMIUM 037 FL (HMO) partially covers medical equipment with no copay and coinsurance ranging from no coinsurance up to 50%, with prior authorization required. Durable medical equipment, prosthetics, and diabetic supplies are covered under this benefit, but diabetic therapeutic shoes and inserts are not covered.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by DEVOTED PREMIUM 037 FL (HMO), with no copay or coinsurance for lab services and no copay for outpatient X-rays. Diagnostic procedures and tests have a copay ranging from $0 to $95 with no coinsurance, while therapeutic radiological services require a 20% coinsurance, and prior authorization is required.
Home Health Services See details
Home health services are covered by the DEVOTED PREMIUM 037 FL (HMO) plan with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
DEVOTED PREMIUM 037 FL (HMO) covers Cardiac Rehabilitation Services with no copay and no coinsurance, though prior authorization is required. While some services are covered, standard cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and SET for PAD services are not covered.
Skilled Nursing Facility (SNF) See details
DEVOTED PREMIUM 037 FL (HMO) covers Skilled Nursing Facility (SNF) services with no coinsurance, requiring prior authorization but allowing admission without a prior three-day hospital stay. Beneficiaries pay no copay for days 1 through 20 and a $218 daily copay for days 21 through 100, while additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
Other Services are partially covered by DEVOTED PREMIUM 037 FL (HMO), offering no copay and no coinsurance for additional preventive services not covered by Medicare. Acupuncture, over-the-counter (OTC) items, and meal benefits are not covered.
Get Personalized Help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
*/SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
MedicareAdvantageRX.com is owned and operated by Dog Media Solutions LLC.
This is a promotional communication.
Every year, Medicare evaluates plans based on a 5-star rating system.
Part B premium reduction is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be lower. Deductibles, copays and coinsurance may apply.
* Benefit(s) mentioned may be part of a special supplemental program for chronically ill members with one of the following conditions: Diabetes mellitus, Cardiovascular disorders, Chronic and disabling mental health conditions, Chronic lung disorders, Chronic heart failure. This is not a complete list of qualifying conditions. Having a qualifying condition alone does not mean you will receive the benefit(s). Other requirements may apply.
Enrollment in Medicare/Medicare Advantage may be limited to certain times of the year unless you qualify for a Special Enrollment Period
We do not offer every plan available in your area. Currently, we represent 18 organizations, which offer 52,101 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
We represent Medicare Advantage HMO, PPO and PFFS organizations and stand-alone PDP prescription drug plans that are contracted with Medicare. Enrollment depends on the plan's contract renewal.
Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply.
Please contact Medicare.gov ,1-800-MEDICARE , or your local State Health Insurance Program (SHIP) to get information on all of your options.
Medicare has neither approved nor endorsed any information on this site.
Speak with a licensed insurance agent: 1-877-649-2073 / TTY 711 | 8am - 11pm ET | 7 days a week
© 2023 Dog Media Solutions LLC. All rights reserved