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DEVOTED DUAL PLUS 054 FL (HMO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for DEVOTED DUAL PLUS 054 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 054 FL (HMO D-SNP) in 2026, please refer to our full plan details page.
DEVOTED DUAL PLUS 054 FL (HMO D-SNP) is a HMO D-SNP plan offered by Devoted Health, Inc. available for enrollment in 2025 to people living in Broward County. This plan received an overall rating of 5 out of 5 stars in 2026.
It's important to know that DEVOTED DUAL PLUS 054 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 054 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 054 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 054 FL (HMO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $4.80. 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 054 FL (HMO D-SNP) plan features an annual prescription drug deductible of $615. Under this plan, Tier 6 select care drugs are highly affordable, offering no copay for one-month, two-month, and three-month supplies at standard pharmacies and standard mail order. For Tier 1 through Tier 4 drugs, which cover generic and brand-name medications, you will pay a 25% coinsurance for all supply lengths at standard pharmacies and standard mail order. Tier 5 specialty drugs also require a 25% coinsurance for a one-month supply through standard pharmacies and standard mail order.
Additional Benefits
The DEVOTED DUAL PLUS 054 FL (HMO D-SNP) plan offers robust coverage with no copays for primary care physician visits, preventive services, and home health care. For hospital stays, members pay a $2,230 copay per inpatient admission, while outpatient services feature no copay and a coinsurance ranging from 0% to 20%. Emergency room visits require a $115 copay, which is waived if you are admitted to the hospital. This plan also includes valuable supplemental benefits such as dental, vision, and hearing coverage with no copays for routine eye exams and preventive dental care up to a $2,000 annual limit. Skilled nursing facility care starts with no copay for the first 20 days, followed by a $218 daily copay for days 21 through 100. Durable medical equipment and diagnostic services also feature no copays, though a coinsurance of up to 20% may apply depending on the equipment or service.
Inpatient Hospital See details
DEVOTED DUAL PLUS 054 FL (HMO D-SNP) covers inpatient acute hospital stays with a $2,230 copay per admission, no coinsurance, and unlimited additional days, excluding upgrades and non-Medicare-covered stays. Inpatient psychiatric hospital stays are covered with a $2,080 copay per admission and no coinsurance, though additional days and non-Medicare-covered stays are not covered.
Outpatient Services See details
DEVOTED DUAL PLUS 054 FL (HMO D-SNP) covers outpatient services with no copays, though prior authorization is required for most care. You will pay 0% to 20% coinsurance for outpatient hospital and ambulatory surgical center services, and 20% coinsurance for outpatient substance abuse sessions and blood services with no deductible.
Partial Hospitalization See details
Partial hospitalization is covered by DEVOTED DUAL PLUS 054 FL (HMO D-SNP) with no copay and a 20% coinsurance. Prior authorization is required for these services.
Ambulance and Transportation Services See details
DEVOTED DUAL PLUS 054 FL (HMO D-SNP) covers ambulance services with no copay and a coinsurance of 0% to 20% for ground transport and 20% for air transport, subject to prior authorization. While some transportation services are covered, trips to plan-approved or any health-related locations are not covered in practice.
Emergency Services See details
DEVOTED DUAL PLUS 054 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 up to $40, 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 054 FL (HMO D-SNP) covers primary care physician services with no copay and no coinsurance, while most specialist, therapy, and mental health services feature no copay and up to 20% coinsurance. Chiropractic services are partially covered, offering up to 12 routine visits per year with no copay and 20% coinsurance, while other chiropractic services are not covered.
Preventive Services See details
DEVOTED DUAL PLUS 054 FL (HMO D-SNP) covers preventive services, including annual physical exams and kidney disease education, with no copay and no coinsurance. Additional preventive services are partially covered with no copay and no coinsurance, offering benefits like fitness programs and home safety devices, while services such as therapeutic massages and personal emergency response systems are not covered.
Hearing Services See details
DEVOTED DUAL PLUS 054 FL (HMO D-SNP) covers hearing services, offering one routine hearing exam annually with a 20% coinsurance and no copay, plus unlimited fitting evaluations with no copay. Prescription hearing aids are partially covered with no coinsurance and a copay ranging from $0 to $299 for up to two devices per year, though OTC, inner ear, outer ear, and over-the-ear models are not covered.
Vision Services See details
Vision services are partially covered by DEVOTED DUAL PLUS 054 FL (HMO D-SNP) because other eye exam services are not covered. Routine eye exams are covered with no copay, 0% to 20% coinsurance, and no deductible, while eyewear is covered with no copay, no coinsurance, no deductible, and a $400 annual maximum.
Dental Services See details
DEVOTED DUAL PLUS 054 FL (HMO D-SNP) offers partially covered dental services, featuring Medicare-covered dental at no copay and 20% coinsurance, plus other preventive and comprehensive dental care at no copay or coinsurance up to a $2,000 annual limit. Covered services include exams, cleanings, x-rays, and major restorative work, while orthodontic services, implants, maxillofacial prosthetics, and other diagnostic or preventive services are not covered.
Home Infusion bundled Services See details
Home infusion bundled services are covered by DEVOTED DUAL PLUS 054 FL (HMO D-SNP) with no copay and no coinsurance, subject to prior authorization. Associated Medicare Part B chemotherapy, radiation, and other drugs carry no copay and a 0% to 20% coinsurance, while covered Part B insulin drugs require a $35 copay and a 0% to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered by DEVOTED DUAL PLUS 054 FL (HMO D-SNP) with no copay and a 20% coinsurance. Prior authorization is required for this benefit.
Medical Equipment See details
DEVOTED DUAL PLUS 054 FL (HMO D-SNP) covers durable medical equipment, prosthetics, medical supplies, and diabetic equipment with no copay. Prior authorization is required, and coinsurance ranges from no coinsurance to 20% depending on the specific equipment or supply.
Diagnostic and Radiological Services See details
DEVOTED DUAL PLUS 054 FL (HMO D-SNP) covers diagnostic and radiological services with no copays, 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-ray services carry a 20% coinsurance.
Home Health Services See details
DEVOTED DUAL PLUS 054 FL (HMO D-SNP) covers Home Health Services with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered under the DEVOTED DUAL PLUS 054 FL (HMO D-SNP) plan with no copay and require prior authorization, but only some services are covered. Specifically, Cardiac Rehabilitation, Intensive Cardiac Rehabilitation, Pulmonary Rehabilitation, and Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD) are not covered and require 20% coinsurance.
Skilled Nursing Facility (SNF) See details
DEVOTED DUAL PLUS 054 FL (HMO D-SNP) covers Skilled Nursing Facility (SNF) care with no coinsurance, requiring prior authorization but no prior three-day hospital stay. There is no copay for days 1 through 20, followed by a $218 daily copay for days 21 through 100, though additional days beyond the Medicare-covered limit are not covered.
Other Services See details
Other Services are partially covered by DEVOTED DUAL PLUS 054 FL (HMO D-SNP), providing over-the-counter (OTC) items and additional preventive services with no copay and no coinsurance. Acupuncture, meal benefits, and other miscellaneous services are not covered under this benefit.
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