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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 Escambia, Santa Rosa 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 $11.20. 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 $6700.00 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 for prescription drugs. After meeting the deductible, you will pay the costs for drugs in each tier until your total drug costs reach $2000, after which you enter the next coverage phase. If you qualify for the low-income subsidy, you will pay $11.20 for Part D.
Additional Benefits
The Devoted DUAL Florida (HMO D-SNP) plan offers comprehensive coverage, including inpatient and outpatient hospital services with varying copays. Emergency services have a $125 copay, and primary care, hearing, vision, and dental services are covered with copays ranging from $20 to $40. This plan also includes additional benefits like home health services with no copay, and coverage for medical equipment, diagnostic services, and skilled nursing facility stays. However, certain services such as acupuncture, over-the-counter items, and private duty nursing are not covered.
Inpatient Hospital See details
Inpatient Hospital services, including those not usually covered by Medicare plans, are covered. For Inpatient Hospital-Acute and Inpatient Hospital Psychiatric stays, you will pay a $275 copay for days 1-6, and no copay for days 7-90.
Outpatient Services See details
Outpatient Services include coverage for all outpatient hospital services with a copay between $0 and $375, observation services with a $275 copay, and ambulatory surgical center (ASC) services with no copay. Individual and group sessions for outpatient substance abuse have a copay of $40, and outpatient blood services are also covered.
Partial Hospitalization See details
Partial Hospitalization is covered under the Devoted DUAL Florida (HMO D-SNP) plan, but requires prior authorization. You will have 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 $295, while air ambulance services have a 20% coinsurance. Transportation services to any health-related location are not covered.
Emergency Services See details
Emergency Services, including Urgently Needed Services and Worldwide Emergency Services, are covered. Emergency Services have a $125 copay, while Urgently Needed Services have a copay between $0 and $45; both have no coinsurance. Worldwide Emergency Transportation has a $295 copay and 20% coinsurance, while Worldwide Emergency Coverage and Worldwide Urgent Coverage have a $125 copay and no coinsurance.
Primary Care See details
The Devoted DUAL Florida (HMO D-SNP) plan covers primary care physician services, chiropractic services with a $20 copay, occupational therapy services with a $40-$45 copay, physician specialist services with a $40 copay, mental health specialty services with a $40 copay, podiatry services with a $40 copay, other health care professional services with a $0-$40 copay, psychiatric services with a $40 copay, physical therapy and speech-language pathology services with a $40-$50 copay, additional telehealth benefits with a $0-$40 copay, and opioid treatment program services with a $40 copay. Routine chiropractic care is not covered.
Preventive Services See details
Preventive Services, including 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 are covered. However, 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 $40 copay, fitting/evaluation for hearing aids with no copay, and prescription hearing aids with a copay between $0 and $299. Prescription hearing aids - Inner Ear, Outer Ear, and Over the Ear are not covered, nor are OTC hearing aids.
Vision Services See details
Vision services include eye exams with a $40 copay, and eyewear, including contact lenses, eyeglasses (lenses and frames), eyeglass lenses, eyeglass frames, and upgrades. Eyewear has a combined maximum benefit of $300 per year.
Dental Services See details
The Devoted DUAL Florida (HMO D-SNP) plan covers Medicare dental services with a $40 copay, and other dental services including oral exams, dental x-rays, cleanings, fluoride treatments, and orthodontics, though specific limits and frequencies apply. The plan also offers a maximum of $2,000 per year for orthodontic services, and some services like maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered by the Devoted DUAL Florida (HMO D-SNP) plan, including Medicare Part B insulin drugs with a $35 copay and 20% coinsurance, Medicare Part B Chemotherapy/Radiation Drugs with 0-20% coinsurance, and Other Medicare Part B Drugs with 0-20% coinsurance. Prior authorization is required.
Dialysis Services See details
Dialysis Services are covered by the Devoted DUAL Florida (HMO D-SNP) plan with a coinsurance between 20% and 20%.
Medical Equipment See details
Medical Equipment is covered by the Devoted DUAL Florida (HMO D-SNP) plan, including Durable Medical Equipment (DME) with a coinsurance between 0% and 50% and no copay, though Durable Medical Equipment for use outside the home is not covered. Prosthetic Devices have a coinsurance between 0% and 20% and no copay, while Medical Supplies have a 20% coinsurance and no copay. Diabetic Equipment is covered, but Diabetic Supplies and Diabetic Therapeutic Shoes/Inserts are not covered.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered, with prior authorization required. Diagnostic Procedures/Tests have a copay between $0 and $95, Lab Services have no copay, and Outpatient X-Ray Services have no copay. Diagnostic Radiological Services have a copay up to $300, and Therapeutic Radiological Services have a coinsurance of at least 20%.
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, 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 covered under the Devoted DUAL Florida (HMO D-SNP) plan, but the specific services are not covered. The plan has a copay, but the amount is not specified in the provided information.
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, and a $214 copay for days 21-100.
Other Services See details
Other Services are not covered by the Devoted DUAL Florida (HMO D-SNP) plan. Specifically, 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 are not covered.
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