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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 Flagler and Volusia 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 $4.00. 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 a $590 deductible. After the deductible, you pay 25% coinsurance for most drugs. For those who qualify for the low-income subsidy (LIS), the copay is $4.00. Once your total drug costs reach $2000, you enter the catastrophic coverage phase, and you pay nothing for covered drugs.
Additional Benefits
The Devoted DUAL Florida (HMO D-SNP) plan offers a range of benefits, including inpatient hospital stays with a $275 copay for days 1-5, and no copay for days 6-90. Outpatient services have varying copays, while emergency services have a $125 copay, and primary care visits start with a $10 copay. Preventive services are covered with no copay, and the plan also includes coverage for hearing, vision, and dental services with copays and coverage limits. Additional benefits include coverage for ambulance services, dialysis services with a 20% coinsurance, and home health services with no copay. The plan also covers diagnostic and radiological services with copays, and skilled nursing facility services with no copay for days 1-20. However, the plan does not cover certain services like acupuncture, over-the-counter items, and private duty nursing services.
Inpatient Hospital See details
Inpatient Hospital coverage includes Inpatient Hospital-Acute and Inpatient Hospital Psychiatric. For Inpatient Hospital-Acute, you will pay a $275 copay for days 1-5, and no copay for days 6-90. For Inpatient Hospital Psychiatric, you will pay a $275 copay for days 1-5, and no copay for days 6-90. Non-Medicare-covered stays and upgrades are not covered for Inpatient Hospital-Acute or Inpatient Hospital Psychiatric, and additional days 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 $275, observation services with a $275 copay, and ambulatory surgical center services with no copay. Outpatient substance abuse services include individual and group sessions, each with a copay between $10 and $10, and outpatient blood services are covered.
Partial Hospitalization See details
Partial Hospitalization is covered under the Devoted DUAL Florida (HMO D-SNP) plan, but requires prior authorization. You will pay a $60 copay for this benefit.
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; however, 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. For Emergency Services, you will pay a $125 copay, but the copay is waived if admitted to the hospital within 24 hours. Urgently Needed Services have 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 $10 copay, occupational therapy services with a $10-$45 copay, and physician specialist services with a $10 copay. Mental health specialty services, podiatry services, psychiatric services, and opioid treatment program services are also covered with varying copays, while physical therapy and speech-language pathology services have a $10-$50 copay, and additional telehealth benefits have a $0-$10 copay.
Preventive Services See details
Preventive Services include coverage for Medicare-covered services, Annual Physical Exams, Health Education, Personal Emergency Response Systems, Weight Management Programs, Alternative Therapies, Nutritional/Dietary Benefits, Fitness Benefits, Home and Bathroom Safety Devices and Modifications, Kidney Disease Education Services, Glaucoma Screenings, Diabetes Self-Management Training, Barium Enemas, Digital Rectal Exams, and EKGs following Welcome Visits, with no copay or coinsurance. 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 with a $10 copay, fitting/evaluation for hearing aids, and prescription hearing aids with a copay between $0 and $299. Prescription hearing aids for the inner, outer, and over the ear are not covered, nor are OTC hearing aids.
Vision Services See details
The Devoted DUAL Florida (HMO D-SNP) plan covers vision services, including eye exams with a $10 copay, and eyewear, with a combined maximum of $400 every 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 $10 copay, and covers other dental services including oral exams, dental x-rays, cleanings, and fluoride treatments, with specific limitations on the number of visits and frequency per year. Orthodontic services are covered up to a maximum of $2,500 per year, while 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 Devoted DUAL Florida (HMO D-SNP). There is a 20% coinsurance for these services.
Medical Equipment See details
Medical Equipment benefits include Durable Medical Equipment (DME) with a coinsurance between 0% and 50%, and Prosthetic Devices with a coinsurance between 0% and 20%. Medical Supplies have a 20% coinsurance, and Diabetic Equipment is partially covered, with Diabetic Supplies and Diabetic Therapeutic Shoes/Inserts not covered.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered, and may require prior authorization. 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, Therapeutic Radiological Services have a coinsurance of at least 20%, and 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 and no coinsurance. 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, Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, and SET for PAD Services are not covered.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by the Devoted DUAL Florida (HMO D-SNP) plan, but require prior authorization. There is no copay for days 1-20, a $214 copay for days 21-60, and no copay for days 61-100. Additional days beyond Medicare-covered and non-Medicare-covered SNF stays are not covered.
Other Services See details
Other Services are not covered, including 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 2 benefits are covered, including $0 preventive services.
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