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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 for your prescriptions based on the drug tier and pharmacy you use. For Tier 1 preferred generic drugs, you will have no copay if you use a standard or mail-order pharmacy. For other tiers, you will pay 25% coinsurance at standard and mail-order pharmacies. Once your total drug costs reach $2000, you will enter the catastrophic coverage phase and pay nothing for your prescriptions.
Additional Benefits
The Devoted PREMIUM Florida (HMO) plan offers a range of benefits with varying costs. You can expect to pay a $175 copay for inpatient hospital stays for the first 5 days, and no copay for days 6-90. Outpatient services have copays ranging from $0 to $175, while emergency services have a $140 copay. This plan includes coverage for primary care, specialist visits, and mental health services, with copays typically between $0 and $5. Hearing exams have a $5 copay, and vision services include routine eye exams with a $5 copay, plus eyewear benefits. Dental services have a $5 copay for Medicare-covered services and a $500 annual maximum for other services.
Inpatient Hospital See details
Inpatient Hospital services, including acute and psychiatric, are covered. For Inpatient Hospital-Acute, you'll pay a $175 copay for days 1-5, and no copay for days 6-90; for Inpatient Hospital Psychiatric, you'll pay a $175 copay for days 1-5, and no copay for days 6-90. Additional days for Inpatient Hospital-Acute are covered, but Non-Medicare-covered stays and upgrades for Inpatient Hospital-Acute are not covered, as are additional days and Non-Medicare-covered stays for Inpatient Hospital Psychiatric.
Outpatient Services See details
Outpatient services include coverage for all outpatient hospital services with a copay between $0 and $175, observation services with a $175 copay, and ambulatory surgical center services with no copay. Outpatient substance abuse services include individual and group sessions with a copay between $5 and $5, and outpatient blood services are also covered.
Partial Hospitalization See details
Partial Hospitalization is covered by the Devoted PREMIUM Florida (HMO) plan with a $55 copay, and prior authorization is required.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered by the Devoted PREMIUM Florida (HMO) plan, with prior authorization required for all ambulance services. 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 are covered under the Devoted PREMIUM Florida (HMO) plan. For emergency services, you will pay a $140 copay, with no coinsurance. For urgently needed services, you will pay a copay between $0 and $45, with no coinsurance. Worldwide Emergency Services are also 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
The Devoted PREMIUM Florida (HMO) plan covers primary care physician services, chiropractic services with a $5 copay for routine care, occupational therapy services with a $0-$50 copay, physician specialist services with a $0-$5 copay, and mental health specialty services with a $5 copay for individual and group sessions. The plan also covers other health care professionals with a $0-$5 copay, psychiatric services with a $5 copay for individual and group sessions, physical therapy and speech-language pathology services with a $0-$50 copay, and opioid treatment program services with a $5 copay. Additional telehealth benefits and other health care professional services require a doctor referral.
Preventive Services See details
Preventive Services are covered, including Medicare-covered preventive services, an annual physical exam, and other preventive services. Some services such as 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 (including Web/Phone-based technologies and Nursing Hotline), and Counseling Services are not covered.
Hearing Services See details
Hearing exams are covered with a $5 copay, including routine hearing exams. Prescription hearing aids are covered, but inner ear, outer ear, and over-the-ear hearing aids are not covered.
Vision Services See details
Vision Services include coverage for routine eye exams with a $5 copay, and eyewear with a combined maximum benefit of $500 every year. 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 dental services including oral exams, dental x-rays, and other diagnostic and preventive services with a $5 copay for Medicare dental services. Other dental services have a $500 annual maximum. Orthodontic services are covered under diagnostic and preventive dental. 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 with a $35 copay and 20% coinsurance, Medicare Part B Chemotherapy/Radiation Drugs with 0% to 20% coinsurance, and Other Medicare Part B Drugs with 0% to 20% coinsurance. Prior authorization is required.
Dialysis Services See details
Dialysis Services are covered by the Devoted PREMIUM Florida (HMO) plan. The coinsurance for these services is 20%.
Medical Equipment See details
Medical Equipment benefits include Durable Medical Equipment (DME) with a coinsurance between 0% and 50%, Prosthetic Devices with a coinsurance between 0% and 20%, and Medical Supplies with a 20% coinsurance; however, Durable Medical Equipment for use outside the home, Diabetic Supplies, and Diabetic Therapeutic Shoes/Inserts are not covered. There is no copay for any of these services.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services include coverage for all diagnostic services, with a copay for Medicare-covered diagnostic procedures, tests, and lab services, ranging from $0 to $95. Radiological services are covered with a copay for Medicare-covered diagnostic and therapeutic radiological services, and up to 20% coinsurance for therapeutic radiological services, while 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, but additional hours of care and personal care services are not covered. Prior authorization is required for this benefit.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered by the Devoted PREMIUM Florida (HMO) plan. This includes Cardiac Rehabilitation Services, Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, and SET for PAD 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. Additional days beyond Medicare-covered for SNF, and Non-Medicare-covered stays for SNF are not covered.
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, including $0 preventive services, are covered.
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