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Devoted DUAL Florida (HMO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Devoted DUAL Florida (HMO D-SNP). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Devoted DUAL Florida (HMO D-SNP) in 2025, please refer to our full plan details page.
Devoted DUAL Florida (HMO D-SNP) is a HMO D-SNP plan offered by Devoted Health, Inc. available for enrollment in 2025 to people living in Brevard, Indian River, Martin, St. Lucie Counties. This plan received an overall rating of 4.5 out of 5 stars in 2025.
It's important to know that Devoted DUAL Florida (HMO D-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Important:
Devoted DUAL Florida (HMO D-SNP)is a Special Needs Type (SNP) plan. This means you can only enroll in this plan if you meet specific criteria. See our full plan details page for more information.
Key Plan Facts
Below are a few key facts and commonly-asked questions about Devoted DUAL Florida (HMO D-SNP).
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 DUAL Florida (HMO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $1.80. 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 $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 $4900.00 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 DUAL Florida (HMO D-SNP) plan has an enhanced alternative drug benefit. The plan has a $590 deductible for prescription drugs. After you meet your deductible, you will pay 25% coinsurance for most drugs, depending on the pharmacy and the drug tier. For drugs in the specialty tier, there is no copay. After your yearly out-of-pocket drug costs reach $2000, you pay nothing for your Part D covered drugs.
Additional Benefits
The Devoted DUAL Florida (HMO D-SNP) plan provides comprehensive coverage including inpatient and outpatient hospital services, with varying copays. You'll have no copay for primary care, but some services like specialist visits and mental health care come with a $15 copay. Emergency services have a $125 copay, while ambulance services have a copay between $0 and $350. This plan also offers benefits for hearing, vision, and dental services. Hearing services include routine exams and hearing aids with copays, while vision covers eye exams and eyewear up to $400 per year. Dental services cover a range of procedures with a $15 copay for Medicare-covered services.
Inpatient Hospital See details
Inpatient Hospital benefits for Devoted DUAL Florida (HMO D-SNP) include coverage for Inpatient Hospital-Acute and Inpatient Hospital Psychiatric services. For days 1-6, the copay is $175, and for days 7-90, there is no copay. 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 include coverage for outpatient hospital services with a copay between $0 and $175, observation services with a $175 copay, ambulatory surgical center services with no copay, outpatient substance abuse services with a $15 copay for individual and group sessions, and outpatient blood services.
Partial Hospitalization See details
Partial Hospitalization is covered under the Devoted DUAL Florida (HMO D-SNP) plan, but requires prior authorization. The copay for this benefit is $60.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered by the Devoted DUAL Florida (HMO D-SNP) plan. Ground ambulance services have a copay between $0 and $350, 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 DUAL Florida (HMO D-SNP) plan. Emergency Services has a $125 copay, and Urgently Needed Services has a copay between $0 and $45. Worldwide Emergency Coverage and Worldwide Urgent Coverage have a $125 copay, while Worldwide Emergency Transportation has a $350 copay and 20% coinsurance.
Primary Care See details
The Devoted DUAL Florida (HMO D-SNP) plan covers primary care physician services, chiropractic services with a $15 copay, occupational therapy services with a $15-$45 copay, physician specialist services with a $15 copay, mental health specialty services with a $15 copay, podiatry services with a $15 copay, other health care professional services with a $0-$15 copay, psychiatric services with a $15 copay, physical therapy and speech-language pathology services with a $15-$50 copay, additional telehealth benefits with a $0-$15 copay, and opioid treatment program services with a $15 copay. Routine chiropractic care is not covered.
Preventive Services See details
Preventive services, including annual physical exams and additional services like health education, are covered by the Devoted DUAL Florida (HMO D-SNP) plan. Other covered services include Personal Emergency Response System (PERS), Weight Management Programs, Alternative Therapies, Nutritional/Dietary Benefit, Fitness Benefit, Home and Bathroom Safety Devices and Modifications, Kidney Disease Education Services, Glaucoma Screening, Diabetes Self-Management Training, Barium Enemas, Digital Rectal Exams, and EKG following Welcome Visit. Some preventive 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, Counseling Services, Enhanced Disease Management, Telemonitoring Services, Remote Access Technologies, and Nursing Hotline are not covered.
Hearing Services See details
Hearing Services include Routine Hearing Exams with a $15 copay, Fitting/Evaluation for Hearing Aid with no copay, and Prescription Hearing Aids with a copay between $0 and $299. Prescription Hearing Aids - Inner Ear, Prescription Hearing Aids - Outer Ear, Prescription Hearing Aids - Over the Ear, and OTC Hearing Aids are not covered.
Vision Services See details
Vision Services include routine eye exams with a $15 copay, and eyewear coverage with a combined maximum of $400 per year. Contact lenses, eyeglasses (lenses and frames), eyeglass lenses, eyeglass frames, and upgrades are also covered.
Dental Services See details
The Devoted DUAL Florida (HMO D-SNP) plan covers Medicare Dental Services with a $15 copay, as well as oral exams, dental x-rays, cleanings, fluoride treatments, restorative services, endodontics, periodontics, removable prosthodontics, fixed prosthodontics, and oral and maxillofacial surgery, with varying limitations. Orthodontic services have a yearly maximum benefit of $2500, while maxillofacial prosthetics, implants, and orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered under the Devoted DUAL Florida (HMO D-SNP) plan. Medicare Part B Insulin Drugs have a $35 copay and 20% coinsurance, while Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs have up to 20% coinsurance with no copay.
Dialysis Services See details
Dialysis Services are covered by the Devoted DUAL Florida (HMO D-SNP) plan. You will pay 20% coinsurance for these services.
Medical Equipment See details
Medical Equipment benefits include Durable Medical Equipment (DME), Prosthetics/Medical Supplies, and Diabetic Equipment. DME has a coinsurance between 0% and 50%, while Prosthetic Devices have a coinsurance between 0% and 20%, and Medical Supplies have a 20% coinsurance. 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/Tests, Lab Services, and Radiological Services. Diagnostic Procedures/Tests have a copay between $0 and $95, and Lab Services have no copay. Diagnostic Radiological Services have a copay of at most $300, and 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 DUAL Florida (HMO D-SNP) plan with no copay or coinsurance, but prior authorization is required. Additional Hours of Care and Personal Care Services are not covered.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered by the Devoted DUAL Florida (HMO D-SNP) plan. However, all sub-services, including Medicare-covered Intensive Cardiac Rehabilitation Services, Medicare-covered Pulmonary Rehabilitation Services, Medicare-covered Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD) Services, and Additional Cardiac Rehabilitation Services are not covered.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by Devoted DUAL Florida (HMO D-SNP). For days 1-20, there is no copay, and for days 21-100, the copay is $214. 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, and many other services. "Other 2" benefits are covered, including $0 preventive services.
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