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DEVOTED DUAL PLUS 052 FL (HMO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for DEVOTED DUAL PLUS 052 FL (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 PLUS 052 FL (HMO D-SNP) in 2026, please refer to our full plan details page.
DEVOTED DUAL PLUS 052 FL (HMO D-SNP) is a HMO D-SNP plan offered by Devoted Health, Inc. available for enrollment in 2025 to people living in Florida. This plan received an overall rating of 5 out of 5 stars in 2026.
It's important to know that DEVOTED DUAL PLUS 052 FL (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 PLUS 052 FL (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 PLUS 052 FL (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 PLUS 052 FL (HMO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $0.00. 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 $615.00 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 $9250.00 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 PLUS 052 FL (HMO D-SNP) Medicare plan has an annual prescription drug deductible of $615. During the initial coverage phase, there is no copay for Tier 1 preferred generic drugs and Tier 6 select care drugs. This no-copay benefit applies to one-month, two-month, and three-month supplies filled at standard pharmacies and through standard mail order. For Tier 2 generic drugs, Tier 3 preferred brand drugs, and Tier 4 non-preferred drugs, you will pay a 25% coinsurance for one-month, two-month, or three-month supplies. Tier 5 specialty drugs also carry a 25% coinsurance, which is limited to a one-month supply. These coinsurance rates apply to both standard pharmacy and standard mail-order services.
Additional Benefits
The DEVOTED DUAL PLUS 052 FL (HMO D-SNP) offers robust healthcare coverage featuring no copays and no coinsurance for primary care visits and preventive services. For inpatient hospital stays, members pay a copay of $2,230 per stay for acute care or $2,080 for psychiatric care, with no coinsurance required. Outpatient services, specialist visits, and emergency care are covered with no copays and coinsurance rates typically ranging from 0% to 20%. In addition to medical care, the plan provides valuable supplemental benefits, including dental coverage up to $2,500 annually and eyewear up to $400 annually with no copays or coinsurance. Hearing aids are covered with no coinsurance and range from no copay up to a $299 copay, while routine vision and hearing exams require no copay and up to 20% coinsurance. Members also benefit from a $50 over-the-counter allowance every three months and no copays for the first 20 days of skilled nursing facility care.
Inpatient Hospital See details
DEVOTED DUAL PLUS 052 FL (HMO D-SNP) covers inpatient hospital services with no coinsurance, requiring prior authorization and a $2,230 copay per stay for acute care or a $2,080 copay per stay for psychiatric care. This benefit is partially covered, as upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
DEVOTED DUAL PLUS 052 FL (HMO D-SNP) covers outpatient services with no copay, with coinsurance ranging from 0% to 20% depending on the service. This coverage includes outpatient hospital, ambulatory surgical center, substance abuse, and blood services, most of which require prior authorization.
Partial Hospitalization See details
DEVOTED DUAL PLUS 052 FL (HMO D-SNP) covers partial hospitalization services with no copay and a 20% coinsurance. Prior authorization is required to access this benefit.
Ambulance and Transportation Services See details
Ambulance services are covered by DEVOTED DUAL PLUS 052 FL (HMO D-SNP) with no copay, requiring a 0% to 20% coinsurance for ground transport and a 20% coinsurance for air transport, both of which require prior authorization. Transportation services to plan-approved or other health-related locations are not covered.
Emergency Services See details
DEVOTED DUAL PLUS 052 FL (HMO D-SNP) covers emergency services with a $115 copay (waived if admitted within 24 hours) and no coinsurance, and urgently needed services with no copay and a 0% to 20% coinsurance up to $40 per visit. Worldwide emergency, urgent, and transportation services are also covered up to a $25,000 limit with no copay and no coinsurance.
Primary Care See details
DEVOTED DUAL PLUS 052 FL (HMO D-SNP) covers primary care physician services with no copay and no coinsurance, while most specialist, therapy, and mental health services require no copay and a 20% coinsurance. Chiropractic services are partially covered, offering routine care with no copay and 20% coinsurance, while other chiropractic services are not covered.
Preventive Services See details
Preventive services are covered by DEVOTED DUAL PLUS 052 FL (HMO D-SNP) with no copay and no coinsurance, though additional preventive benefits are only partially covered. Not covered sub-services include In-Home Safety Assessments, Personal Emergency Response Systems (PERS), 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, Support for Caregivers of Enrollees, Additional Sessions of Smoking and Tobacco Cessation Counseling, Enhanced Disease Management, Telemonitoring Services, Remote Access Technologies, and Counseling Services.
Hearing Services See details
DEVOTED DUAL PLUS 052 FL (HMO D-SNP) hearing services are partially covered, offering hearing exams with no copay and a 20% coinsurance, alongside prescription hearing aids with no coinsurance and a copay ranging from $0 to $299. OTC hearing aids, as well as inner ear, outer ear, and over the ear prescription hearing aids, are not covered.
Vision Services See details
DEVOTED DUAL PLUS 052 FL (HMO D-SNP) partially covers vision services with no deductibles, providing one routine eye exam per year with no copay and 0% to 20% coinsurance, while other eye exam services are not covered. Eyewear is covered with no copay and no coinsurance, offering up to a $400 annual maximum benefit for contacts, eyeglasses, frames, and upgrades.
Dental Services See details
Dental services are partially covered by DEVOTED DUAL PLUS 052 FL (HMO D-SNP), featuring Medicare-covered dental with no copay and a 20% coinsurance. Other covered dental services have no copay and no coinsurance up to a $2,500 annual limit, though other diagnostic, other preventive, maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
DEVOTED DUAL PLUS 052 FL (HMO D-SNP) covers home infusion bundled services with no copay, though prior authorization is required. Under this plan, Medicare Part B chemotherapy, radiation, and other drugs carry between no coinsurance and 20% coinsurance, while Part B insulin drugs require a $35 copay and between no coinsurance and 20% coinsurance.
Dialysis Services See details
DEVOTED DUAL PLUS 052 FL (HMO D-SNP) covers Dialysis Services with no copay and a 20% coinsurance. Prior authorization is required for this benefit.
Medical Equipment See details
DEVOTED DUAL PLUS 052 FL (HMO D-SNP) covers medical equipment, including durable medical equipment (DME), prosthetics, and diabetic supplies, with no copay and coinsurance ranging from no coinsurance up to 20%. Prior authorization is required for these benefits, and certain items are limited to preferred vendors or specified manufacturers.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by DEVOTED DUAL PLUS 052 FL (HMO D-SNP) with no copayments, though prior authorization is required. There is no coinsurance for diagnostic procedures and tests, while lab services, diagnostic and therapeutic radiological services, and outpatient X-rays require a 20% coinsurance.
Home Health Services See details
DEVOTED DUAL PLUS 052 FL (HMO D-SNP) covers home health services with no copay and no coinsurance. Prior authorization is required to receive this benefit.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered under DEVOTED DUAL PLUS 052 FL (HMO D-SNP) with no copay and require prior authorization. While some services are covered, cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) are not covered and require a 20% coinsurance.
Skilled Nursing Facility (SNF) See details
DEVOTED DUAL PLUS 052 FL (HMO D-SNP) covers Skilled Nursing Facility (SNF) care with no coinsurance and requires no prior three-day hospital stay, though prior authorization is required. There is no copay for days 1 through 20, a $218 daily copay for days 21 through 100, and additional days beyond the Medicare-covered limit are not covered.
Other Services See details
DEVOTED DUAL PLUS 052 FL (HMO D-SNP) partially covers other services, offering over-the-counter items with a fifty dollar limit every three months and additional preventive services, both with no copay and no coinsurance. Acupuncture and meal benefits are not covered under this plan.
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