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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 Palm Beach 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 $13.90. 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 a $590 deductible for prescription drugs. During the initial coverage phase, after you meet your deductible, you pay 25% coinsurance for most drugs, with the exception of the specialty tier, which has no copay. After your total drug costs reach $2000, 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 comprehensive coverage, including no copay for emergency, ambulance, and home health services. The plan covers a wide range of services, such as primary care, preventive services, hearing aids, vision, and dental, with varying copays and coverage limits. This plan also covers essential services like dialysis and medical equipment, with some services requiring prior authorization. While the plan provides extensive benefits, it's important to note that certain services, such as cardiac rehabilitation and some "Other Services," are not covered.
Inpatient Hospital See details
Inpatient Hospital benefits are covered under the Devoted DUAL PLUS Florida (HMO D-SNP) plan. The plan covers Inpatient Hospital-Acute and Inpatient Hospital Psychiatric services, but Non-Medicare-covered stays and Upgrades for Inpatient Hospital-Acute, as well as Additional Days and Non-Medicare-covered stays for Inpatient Hospital Psychiatric, are not covered.
Outpatient Services See details
Outpatient Services includes coverage for all outpatient hospital services, Ambulatory Surgical Center (ASC) 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 the Devoted DUAL PLUS Florida (HMO D-SNP) plan, but requires prior authorization.
Ambulance and Transportation Services See details
The Devoted DUAL PLUS Florida (HMO D-SNP) plan covers all ambulance services with no copay or coinsurance, but requires prior authorization, and does not cover ground or air ambulance services. Transportation services to plan-approved health-related locations are covered with no copay or coinsurance, but transportation to any health-related location is not covered.
Emergency Services See details
Emergency Services, Urgently Needed Services, Worldwide Emergency Services, Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation are covered by the Devoted DUAL PLUS Florida (HMO D-SNP) plan with no copay and no coinsurance.
Primary Care See details
The Devoted DUAL PLUS Florida (HMO D-SNP) plan covers primary care physician services, chiropractic services (up to 12 visits per year), occupational therapy, physician specialist services (with a referral), podiatry services (up to 12 visits per year), other health care professional services (with prior authorization and a referral), psychiatric services (with prior authorization), physical therapy and speech-language pathology, additional telehealth benefits (with a referral), and opioid treatment program services. Individual and group sessions for mental health and 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 systems, 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 screenings, diabetes self-management training, barium enemas, digital rectal exams, and EKG following Welcome Visit. In-home safety assessments, 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, 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 coverage for hearing exams and prescription hearing aids. Routine hearing exams are covered once per year, and fitting/evaluation for hearing aids is covered with no limit. Prescription hearing aids (all types) are covered with a copay between $0 and $299 for 2 per year, while inner ear, outer ear, and over the ear 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 once per year, with no copay or coinsurance. Eyewear is covered with a combined maximum benefit of $500 every year for contact lenses, eyeglasses (lenses and frames), eyeglass lenses, eyeglass frames, and upgrades.
Dental Services See details
The Devoted DUAL PLUS Florida (HMO D-SNP) plan covers various dental services, including oral exams, dental x-rays, cleanings, fluoride treatments, restorative services, endodontics, periodontics, prosthodontics (removable and fixed), and oral surgery; however, maxillofacial prosthetics, implant services, and orthodontics are not covered. This plan also offers orthodontic services with a maximum benefit of $2,500 per year.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered, but require prior authorization. The plan covers Insulin, including Medicare Part B Insulin Drugs. Medicare Part B Chemotherapy/Radiation Drugs are not covered.
Dialysis Services See details
Dialysis Services are covered under the Devoted DUAL PLUS Florida (HMO D-SNP) plan. There is no copay or coinsurance for this benefit.
Medical Equipment See details
Medical Equipment benefits are covered by the Devoted DUAL PLUS Florida (HMO D-SNP) plan, but Durable Medical Equipment for use outside the home, Prosthetic Devices, Medical Supplies, Diabetic Supplies, and Diabetic Therapeutic Shoes/Inserts are not covered. Durable Medical Equipment (DME) and Prosthetics/Medical Supplies - Non-Medicare benefits have no copay or coinsurance.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered by the Devoted DUAL PLUS Florida (HMO D-SNP) plan, but some services are not covered, including Diagnostic Procedures/Tests, Lab Services, Diagnostic Radiological Services, Therapeutic Radiological Services, and Outpatient X-Ray Services. There is no copay for the covered 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 prior authorization is required. 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. This includes Cardiac Rehabilitation Services, Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, and SET for PAD Services.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered, but additional days beyond Medicare-covered and non-Medicare-covered stays are not covered. Prior authorization is required.
Other Services See details
Other Services are not covered, including acupuncture, over-the-counter (OTC) 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 (Other 2) are covered, including $0 for preventive services.
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