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Devoted DUAL PLUS Florida (HMO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Devoted DUAL PLUS 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 PLUS Florida (HMO D-SNP) in 2025, please refer to our full plan details page.
Devoted DUAL PLUS Florida (HMO D-SNP) is a HMO D-SNP plan offered by Devoted Health, Inc. available for enrollment in 2025 to people living in Miami-Dade County. This plan received an overall rating of 4.5 out of 5 stars in 2025.
It's important to know that Devoted DUAL PLUS 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 PLUS 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 PLUS 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 PLUS Florida (HMO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $13.30. 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 $3400.00 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 Florida (HMO D-SNP) plan has an enhanced alternative drug benefit. The plan has a deductible of $590.00. During the initial coverage phase, after the deductible is met, you will pay 25% coinsurance for most drugs. However, specialty tier drugs have no copay. Once your total drug costs reach $2000.00, you enter the catastrophic coverage phase, where you pay nothing for covered drugs.
Additional Benefits
The Devoted DUAL PLUS Florida (HMO D-SNP) plan offers a range of benefits with a focus on no copays. Emergency, ambulance, and home health services are covered with no copay, and routine services such as vision, dental, and hearing exams are also covered with no copay. Additionally, the plan covers prescription hearing aids (with a copay), along with services such as diagnostic and radiological services, dialysis, and medical equipment with no copay. This plan also includes coverage for outpatient services, partial hospitalization, and skilled nursing facilities, but may require prior authorization. The plan covers a variety of preventive services, including annual physical exams, weight management programs, and fitness benefits. However, some services, such as cardiac rehabilitation, acupuncture, and certain home-based services are not covered.
Inpatient Hospital See details
Inpatient Hospital benefits are covered, including Inpatient Hospital-Acute and Inpatient Hospital Psychiatric. Additional Days for Inpatient Hospital-Acute are covered, but Non-Medicare-covered Stay and Upgrades for Inpatient Hospital-Acute, as well as Additional Days for Inpatient Hospital Psychiatric and Non-Medicare-covered Stay for Inpatient Hospital Psychiatric are not covered.
Outpatient Services See details
Outpatient Services are covered, including outpatient hospital services, ambulatory surgical center services, and outpatient blood services. Observation services have no copay, while outpatient substance abuse services are not covered.
Partial Hospitalization See details
Partial Hospitalization is covered by Devoted DUAL PLUS Florida (HMO D-SNP), but requires prior authorization. The plan covers this benefit, but the specific costs associated with it are not mentioned in this summary.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are partially covered by the Devoted DUAL PLUS Florida (HMO D-SNP) plan. All Ambulance Services are covered with no copay and no coinsurance, while Ground and Air Ambulance Services are not covered; Transportation Services to a Plan Approved Health-related Location are covered with no copay and no coinsurance, but 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 PLUS Florida (HMO D-SNP) plan with no copay and no coinsurance. Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation are also covered.
Primary Care See details
The Devoted DUAL PLUS Florida (HMO D-SNP) plan covers Primary Care Physician Services, Chiropractic Services, Occupational Therapy Services, Physician Specialist Services (with a doctor referral), Podiatry Services, Other Health Care Professional (with prior authorization and a doctor referral), Psychiatric Services (with prior authorization), Physical Therapy and Speech-Language Pathology Services, Additional Telehealth Benefits (with a doctor referral), and Opioid Treatment Program Services. Individual and Group Sessions for Mental Health Specialty Services and Individual and Group Sessions for Psychiatric Services are not covered.
Preventive Services See details
The Devoted DUAL PLUS Florida (HMO D-SNP) plan covers preventive services, including annual physical exams, health education, Personal Emergency Response System (PERS), weight management programs, alternative therapies, nutritional/dietary benefits, in-home support services, fitness benefits, 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. In-Home Safety Assessment, Medical Nutrition Therapy (MNT), Post discharge In-Home Medication Reconciliation, Re-admission Prevention, Wigs for Hair Loss Related to Chemotherapy, 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
The Devoted DUAL PLUS Florida (HMO D-SNP) plan covers hearing exams and evaluations for hearing aids with no deductible, and routine hearing exams once per year. Prescription hearing aids (all types) are covered with a copay between $0 and $299, up to two per year. Prescription hearing aids for the inner, outer, and over the ear are not covered, and OTC hearing aids are not covered.
Vision Services See details
The Devoted DUAL PLUS Florida (HMO D-SNP) plan covers vision services including routine eye exams, with one exam per year, and eyewear with a combined maximum of $500 per year. Contact lenses, eyeglasses (lenses and frames), eyeglass lenses, eyeglass frames, and upgrades are also covered.
Dental Services See details
The Devoted DUAL PLUS Florida (HMO D-SNP) plan covers a variety of dental services, including oral exams (up to 2 per year), dental x-rays (frequency varies), cleanings (up to 2 per year), and fluoride treatments (up to 2 per year), with no copay. Orthodontic services are covered up to a maximum of $2,500 per year. Some services, such as 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 PLUS Florida (HMO D-SNP) plan, including insulin; however, Medicare Part B Chemotherapy/Radiation Drugs are not covered. Prior authorization is required.
Dialysis Services See details
Dialysis Services are covered by the Devoted DUAL PLUS Florida (HMO D-SNP) plan. There is no copay or coinsurance for this benefit.
Medical Equipment See details
Medical Equipment is covered by Devoted DUAL PLUS Florida (HMO D-SNP), including Durable Medical Equipment and Prosthetics/Medical Supplies, but Durable Medical Equipment for use outside the home, Prosthetic Devices, Medical Supplies, Diabetic Supplies, and Diabetic Therapeutic Shoes/Inserts are not covered. There is no copay or coinsurance for Durable Medical Equipment and Prosthetics/Medical Supplies.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered by the Devoted DUAL PLUS Florida (HMO D-SNP) plan, but the plan does not cover diagnostic procedures/tests, lab services, diagnostic radiological services, therapeutic radiological services, and outpatient X-ray services. There is no copay for diagnostic and radiological services.
Home Health Services See details
Home Health Services are covered by the Devoted DUAL PLUS Florida (HMO D-SNP) plan with no copay and no coinsurance, but require authorization. Additional Hours of Care and Personal Care Services are not covered.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered by the Devoted DUAL PLUS Florida (HMO D-SNP) plan. Specifically, Cardiac Rehabilitation Services, 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, but additional days beyond Medicare coverage and non-Medicare-covered stays are not covered. Prior authorization is required.
Other Services See details
The Devoted DUAL PLUS Florida (HMO D-SNP) 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 are covered, including $0 preventive services.
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