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DEVOTED DUAL PLUS 053 FL (HMO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for DEVOTED DUAL PLUS 053 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 053 FL (HMO D-SNP) in 2026, please refer to our full plan details page.
DEVOTED DUAL PLUS 053 FL (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 5 out of 5 stars in 2026.
It's important to know that DEVOTED DUAL PLUS 053 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 053 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 053 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 053 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 053 FL (HMO D-SNP) Medicare plan features an annual prescription drug deductible of $615. For Tiers 1 through 4, which cover preferred generic, generic, preferred brand, and non-preferred drugs, you will pay a 25% coinsurance at standard pharmacies and standard mail order. Tier 5 specialty drugs also require a 25% coinsurance for a 1-month supply at standard pharmacies and standard mail order. Beneficiaries using Tier 6 select care drugs will pay no copay for 1-month, 2-month, or 3-month supplies at standard pharmacies and standard mail order. This plan helps manage your prescription medication costs in Florida with predictable coinsurance rates and no-cost select care medications.
Additional Benefits
The DEVOTED DUAL PLUS 053 FL (HMO D-SNP) offers robust medical coverage featuring no copay and no coinsurance for primary care visits, preventive services, and home health care. For specialist visits, outpatient procedures, diagnostic services, and durable medical equipment, members generally pay no copay alongside a coinsurance of up to 20%. Inpatient hospital stays require a copay of $2,230 for acute care per stay, while skilled nursing facility stays are covered with no copay for the first 20 days. This plan also includes key supplemental benefits, such as preventive and comprehensive dental care up to $2,500 annually and eyewear up to $400 annually, both with no copays or coinsurance. Members also receive a $50 allowance every three months for over-the-counter items and emergency room coverage with a $115 copay that is waived if admitted. Routine hearing and vision exams are covered with no copay, though they may require up to 20% coinsurance.
Inpatient Hospital See details
DEVOTED DUAL PLUS 053 FL (HMO D-SNP) partially covers inpatient hospital services with no coinsurance, requiring a $2,230 copay per stay for acute care and a $2,080 copay per stay for psychiatric care. Prior authorization is required, and non-Medicare-covered stays, upgrades, and additional psychiatric days are not covered.
Outpatient Services See details
DEVOTED DUAL PLUS 053 FL (HMO D-SNP) covers outpatient services with no copays, though coinsurance ranging from 0% to 20% applies depending on the service. Outpatient hospital, ambulatory surgical center, substance abuse, and blood services all feature no copay, but carry up to 20% coinsurance and generally require prior authorization.
Partial Hospitalization See details
DEVOTED DUAL PLUS 053 FL (HMO D-SNP) covers partial hospitalization services with no copay and a 20% coinsurance. Prior authorization is required for this benefit.
Ambulance and Transportation Services See details
Ambulance and transportation services are covered by DEVOTED DUAL PLUS 053 FL (HMO D-SNP), with ambulance services requiring prior authorization and carrying no copay, a 20% coinsurance for air transport, and a coinsurance ranging from no coinsurance to 20% for ground transport. For transportation benefits, some services are covered but transportation to plan-approved health-related locations and any health-related locations is not covered.
Emergency Services See details
DEVOTED DUAL PLUS 053 FL (HMO D-SNP) covers emergency services with a $115 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services have no copay and a 0% to 20% coinsurance (maximum $40 per visit), while worldwide emergency, urgent, and transportation services are covered up to $25,000 with no copay and no coinsurance.
Primary Care See details
DEVOTED DUAL PLUS 053 FL (HMO D-SNP) covers primary care physician services with no copay and no coinsurance, while specialist, therapy, and mental health services feature no copay and a 20% coinsurance. Chiropractic services are partially covered with no copay and a 20% coinsurance for routine care, but other chiropractic services are not covered.
Preventive Services See details
Preventive Services for DEVOTED DUAL PLUS 053 FL (HMO D-SNP) are covered with no copay and no coinsurance, including annual physicals, kidney disease education, and diabetes self-management. While additional benefits like fitness programs, weight management, and nutritional counseling are covered, several services such as personal emergency response systems (PERS) and in-home safety assessments are not covered.
Hearing Services See details
DEVOTED DUAL PLUS 053 FL (HMO D-SNP) covers one annual routine hearing exam with no copay and a 20% coinsurance, plus unlimited fitting evaluations. Up to two prescription hearing aids are covered per year with no coinsurance and copays ranging from no copay up to $299, though OTC hearing aids and inner ear, outer ear, or over-the-ear prescription models are not covered.
Vision Services See details
DEVOTED DUAL PLUS 053 FL (HMO D-SNP) offers partially covered vision services, featuring one routine eye exam per year with no copay and 0% to 20% coinsurance, though other eye exam services are not covered. Eyewear is covered with no copay, no coinsurance, and no deductible, up to a $400 annual limit for contacts, eyeglasses, frames, and upgrades.
Dental Services See details
DEVOTED DUAL PLUS 053 FL (HMO D-SNP) partially covers dental services, offering Medicare-covered dental care with no copay and 20% coinsurance, alongside preventive and comprehensive dental benefits up to $2,500 annually with no copay and no coinsurance. While services like cleanings, exams, x-rays, fillings, and dentures are covered, other diagnostic services, other preventive services, maxillofacial prosthetics, implants, and orthodontics are not covered.
Home Infusion bundled Services See details
DEVOTED DUAL PLUS 053 FL (HMO D-SNP) covers home infusion bundled services with no copay, though prior authorization is required. Medicare Part B chemotherapy, radiation, and other Part B drugs incur no coinsurance to 20% coinsurance, while Part B insulin is covered with a $35 copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
DEVOTED DUAL PLUS 053 FL (HMO D-SNP) covers dialysis services with no copay and a 20% coinsurance. Prior authorization is required to receive these covered services.
Medical Equipment See details
DEVOTED DUAL PLUS 053 FL (HMO D-SNP) covers medical equipment with no copay, though prior authorization is required. Members will pay a 20% coinsurance for durable medical equipment and diabetic supplies, and between no coinsurance and 20% coinsurance for prosthetic devices and medical supplies.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered under DEVOTED DUAL PLUS 053 FL (HMO D-SNP) with prior authorization required and no copays. Diagnostic procedures and tests feature no coinsurance, while lab services, outpatient X-rays, and both diagnostic and therapeutic radiological services require a 20% coinsurance.
Home Health Services See details
DEVOTED DUAL PLUS 053 FL (HMO D-SNP) covers Home Health Services with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
DEVOTED DUAL PLUS 053 FL (HMO D-SNP) covers some cardiac rehabilitation services with no copay, but intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered and require a 20% coinsurance.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by DEVOTED DUAL PLUS 053 FL (HMO D-SNP) with no coinsurance, featuring no copay for days 1 through 20 and a $218 copay for days 21 through 100. Prior authorization is required, a prior three-day hospital stay is not required, and additional days beyond the standard Medicare benefit are not covered.
Other Services See details
DEVOTED DUAL PLUS 053 FL (HMO D-SNP) partially covers other services, offering additional preventive services and up to $50 every three months for over-the-counter (OTC) items with no copay and no coinsurance. Acupuncture, meal benefits, and highly integrated SNP services are not covered.
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