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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:
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Drug Coverage
The DEVOTED PREMIUM 037 FL (HMO) plan features an annual drug deductible of $615. Fortunately, policyholders benefit from no copay on Tier 1 preferred generic and Tier 2 generic medications filled for one-, two-, or three-month supplies through standard pharmacies and standard mail order. For higher-tier prescriptions, including Tier 3 preferred brand and Tier 4 non-preferred drugs, you will pay a 25% coinsurance for all supply durations. Tier 5 specialty medications also require a 25% coinsurance for a one-month supply at standard pharmacies and through standard mail order.
Additional Benefits
The DEVOTED PREMIUM 037 FL (HMO) plan provides robust medical coverage, featuring no copay and no coinsurance for primary care and specialist visits. Inpatient hospital stays require a $175 daily copay for the first five days, after which there is no copay, while emergency room visits carry a $150 copay that is waived if you are admitted. Skilled nursing facility stays also offer no copay for the first 20 days, followed by a $218 daily copay up to day 100. This plan also includes valuable everyday health benefits, such as no copay and no coinsurance for annual physicals, fitness programs, and routine vision and hearing exams. Dental services are covered up to $1,500 annually with no copay for preventive care, and prescription hearing aids are available with copays ranging from $199 to $499. Additionally, members receive a $150 annual eyewear allowance and a $53 quarterly allowance for over-the-counter items with no copay.
Inpatient Hospital See details
Inpatient hospital and psychiatric care are covered by DEVOTED PREMIUM 037 FL (HMO) with no coinsurance and a copay of $175 per day for days 1 through 5, followed by no copay for days 6 through 90. Prior authorization is required, and while additional acute care days are unlimited, upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
DEVOTED PREMIUM 037 FL (HMO) offers outpatient hospital services with no coinsurance and copays ranging from $0 to $175, while ambulatory surgical center and blood services feature no copays and no coinsurance. Outpatient substance abuse services are not covered by this plan.
Partial Hospitalization See details
Partial hospitalization is covered by DEVOTED PREMIUM 037 FL (HMO) with a $50.00 copay and no coinsurance. Prior authorization is required for these services.
Ambulance and Transportation Services See details
Ambulance and transportation services are covered by DEVOTED PREMIUM 037 FL (HMO), with ground ambulance services requiring a copay ranging from no copay up to $300 plus coinsurance, and air ambulance services requiring a 20% coinsurance plus a copay. Routine transportation services to plan-approved or health-related locations are not covered in practice under this plan.
Emergency Services See details
DEVOTED PREMIUM 037 FL (HMO) covers emergency services with a $150 copay (waived if admitted within 24 hours) and no coinsurance, and urgently needed services with a copay ranging from no copay to $45 and no coinsurance. Worldwide emergency and urgent care are covered up to a $25,000 limit with a $150 copay and no coinsurance, while worldwide emergency transportation requires a $300 copay and 20% coinsurance.
Primary Care See details
DEVOTED PREMIUM 037 FL (HMO) offers primary care, specialist, and opioid treatment services with no copay and no coinsurance, while occupational, physical, and speech therapies have a $0 to $50 copay and no coinsurance. Telehealth services are covered with a $0 to $45 copay and no coinsurance, but podiatry, chiropractic, mental health, and psychiatric services are not covered.
Preventive Services See details
Preventive Services are partially covered under the DEVOTED PREMIUM 037 FL (HMO) plan, offering covered services like annual physicals and fitness benefits with no copay and no coinsurance. However, several services are not covered, including in-home safety assessments, personal emergency response systems (PERS), medical nutrition therapy, and therapeutic massage.
Hearing Services See details
DEVOTED PREMIUM 037 FL (HMO) covers hearing exams with no copay and no coinsurance, including one routine exam per year and unlimited fitting evaluations. Prescription hearing aids are partially covered with no coinsurance and a copay ranging from $199 to $499 for up to two aids per year, though inner ear, outer ear, over the ear, and OTC hearing aids are not covered.
Vision Services See details
DEVOTED PREMIUM 037 FL (HMO) offers partially covered vision services with no copay and no coinsurance, including one routine eye exam per year and a $150 annual allowance for eyewear, contacts, lenses, and frames. Other eye exam services are not covered, and prior authorization is required for exams.
Dental Services See details
Dental services are partially covered by DEVOTED PREMIUM 037 FL (HMO), providing up to $1,500 in annual coverage with no copay and no coinsurance for preventive care, periodontics, and oral surgery. Restorative, endodontic, and prosthodontic services feature no copay and 0% to 50% coinsurance, though orthodontics, implants, 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 coinsurance to 20% coinsurance, while Part B insulin has 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, though prior authorization is required.
Medical Equipment See details
DEVOTED PREMIUM 037 FL (HMO) covers medical equipment with no copays, though prior authorization is required. Durable medical equipment carries a 20% to 50% coinsurance, prosthetics and medical supplies range from no coinsurance to 20% coinsurance, and diabetic equipment is partially covered with no coinsurance to 50% coinsurance for supplies, while diabetic therapeutic shoes and inserts are not covered.
Diagnostic and Radiological Services See details
DEVOTED PREMIUM 037 FL (HMO) covers diagnostic services with no coinsurance, featuring no copay for lab services and a $0 to $95 copay for diagnostic procedures. Radiological services require prior authorization and include outpatient x-rays and diagnostic radiology starting at a $0 copay, while therapeutic radiological services require a minimum 20% coinsurance.
Home Health Services See details
Home Health Services are covered by DEVOTED PREMIUM 037 FL (HMO) 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, subject to prior authorization. While some services are covered, specific sub-services such as Cardiac Rehabilitation Services, Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, 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 and requires no prior three-day hospital stay, although prior authorization is required. There is no copay for days 1 through 20, followed by a $218 daily copay for days 21 through 100, with no coverage for additional days beyond the standard Medicare limit.
Other Services See details
DEVOTED PREMIUM 037 FL (HMO) partially covers other services, offering additional preventive services and over-the-counter (OTC) items up to $53 every three months with no copay and no coinsurance. Acupuncture and meal benefits are not covered under this plan.
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