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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. Once you meet your deductible, you will pay for your prescriptions based on the drug tier and pharmacy you use. For Tier 1 preferred generic drugs, there is no copay if you use a standard or mail-order pharmacy. For other tiers, you will pay 25% coinsurance. After your total drug costs reach $2000, you pay nothing for covered drugs.
Additional Benefits
The Devoted PREMIUM Florida (HMO) plan offers a range of benefits, including inpatient hospital stays with a $100 copay for the first five days, and no copay for days 6-90. Outpatient services have copays ranging from $0 to $175. The plan also covers emergency services with a $140 copay, primary care, preventive services, hearing exams and hearing aids, vision services with no copays, and dental services up to a $500 annual maximum. Additional benefits include ambulance services with varying copays and coinsurance, as well as home infusion and dialysis services with copays and coinsurance. The plan also covers medical equipment, diagnostic and radiological services, home health services, and skilled nursing facility stays with no copay for the first 20 days. However, this plan does not cover cardiac rehabilitation services, and some services may require prior authorization.
Inpatient Hospital See details
Inpatient Hospital services are covered, including Inpatient Hospital-Acute and Inpatient Hospital Psychiatric. For Inpatient Hospital-Acute, you will pay a $100 copay for days 1-5, and no copay for days 6-90; for Inpatient Hospital Psychiatric, you will pay a $100 copay for days 1-5, and no copay for days 6-90. Additional days for Inpatient Hospital-Acute are covered, while Non-Medicare-covered stays and upgrades for Inpatient Hospital-Acute, and additional days and Non-Medicare-covered stays for Inpatient Hospital Psychiatric are not covered.
Outpatient Services See details
Outpatient Services, including Outpatient Hospital Services and Observation Services, are covered by Devoted PREMIUM Florida (HMO), with copays ranging from $0 to $175 and $100, respectively. Ambulatory Surgical Center (ASC) Services are covered with no copay, while Outpatient Substance Abuse Services, including individual and group sessions, are not covered.
Partial Hospitalization See details
Partial Hospitalization is covered, but requires prior authorization. The copay for this benefit is $50.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered by the Devoted PREMIUM Florida (HMO) plan. Ground ambulance services have a copay between $0 and $300, while air ambulance services have a 20% coinsurance. Transportation services to any health-related location are not covered.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered by the Devoted PREMIUM Florida (HMO) plan. Emergency Services have a $140 copay, while Urgently Needed Services have a copay of $0-$45. Worldwide Emergency Services have a $140 copay for Worldwide Emergency and Urgent Coverage, and a $300 copay with 20% coinsurance for Worldwide Emergency Transportation.
Primary Care See details
The Devoted PREMIUM Florida (HMO) plan covers primary care physician services, occupational therapy services, physician specialist services, other health care professional, physical therapy and speech-language pathology services, opioid treatment program services, and additional telehealth benefits. Chiropractic services, mental health specialty services, and psychiatric services are partially covered, and routine chiropractic care, individual and group sessions for mental health specialty services, individual and group sessions for psychiatric services are not covered. Occupational therapy services have a copay between $0 and $50, and physical therapy and speech-language pathology services have a copay between $0 and $50.
Preventive Services See details
Preventive Services include coverage for Medicare-covered services, annual physical exams, and additional services like Health Education, Personal Emergency Response System, Weight Management Programs, Alternative Therapies, Nutritional/Dietary Benefit, Fitness Benefit, Home and Bathroom Safety Devices and Modifications, Glaucoma Screening, Diabetes Self-Management Training, Barium Enemas, Digital Rectal Exams, and EKG following Welcome Visit. Some services, such as In-Home Safety Assessment, 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, and fitting/evaluation for hearing aids, with no deductible. Routine hearing exams are covered once per year. Prescription hearing aids (all types) are covered with a copay between $199 and $499 per year, but prescription hearing aids for the inner ear, outer ear, and over the ear are not covered, along with OTC hearing aids.
Vision Services See details
The Devoted PREMIUM Florida (HMO) plan covers vision services, including routine eye exams once per year, eyewear with a combined maximum of $500 per year, contact lenses, eyeglasses (lenses and frames), eyeglass lenses, eyeglass frames, and upgrades. There is no copay or coinsurance for the covered benefits.
Dental Services See details
Dental Services includes coverage for oral exams, dental x-rays, other diagnostic dental services, prophylaxis (cleaning), fluoride treatment, other preventive dental services, restorative services, adjunctive general services, endodontics, periodontics, prosthodontics (removable and fixed), and oral and maxillofacial surgery. The plan has a maximum benefit 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 by the Devoted PREMIUM Florida (HMO) plan. Insulin drugs have a $35 copay and a 20% coinsurance, while Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs have a 0-20% coinsurance.
Dialysis Services See details
Dialysis Services are covered by the Devoted PREMIUM Florida (HMO) plan with a coinsurance of 20%.
Medical Equipment See details
Medical Equipment coverage includes Durable Medical Equipment (DME) with a 0-50% coinsurance and no copay, Prosthetic Devices with a 0-20% coinsurance and no copay, and Medical Supplies with a 20% coinsurance and no copay, while Durable Medical Equipment for use outside the home, Diabetic Supplies, and Diabetic Therapeutic Shoes/Inserts are not covered.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered, including diagnostic procedures and tests with a copay between $0 and $95, and lab services with no copay. Diagnostic Radiological Services have a copay up to $300, while Therapeutic Radiological Services have a coinsurance of at least 20%. Outpatient X-Ray Services have no copay.
Home Health Services See details
Home Health Services are covered by the Devoted PREMIUM Florida (HMO) plan with no copay and no coinsurance. Additional Hours of Care and Personal Care Services are not covered.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are technically covered, but none of the sub-services are covered, including Cardiac Rehabilitation Services, Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, and SET for PAD Services. Therefore, this plan does not provide coverage for Cardiac Rehabilitation Services.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by the Devoted PREMIUM Florida (HMO) plan, but require prior authorization. There is no copay for days 1-20, and a $214 copay for days 21-100.
Other Services See details
The Devoted PREMIUM Florida (HMO) plan does not cover 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 Services are covered.
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