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Devoted EXTRA Florida (HMO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Devoted EXTRA Florida (HMO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Devoted EXTRA Florida (HMO) in 2025, please refer to our full plan details page.
Devoted EXTRA Florida (HMO) is a HMO plan offered by Devoted Health, Inc. available for enrollment in 2025 to people living in Broward County. This plan received an overall rating of 4.5 out of 5 stars in 2025.
It's important to know that Devoted EXTRA Florida (HMO) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Key Plan Facts
Below are a few key facts and commonly-asked questions about Devoted EXTRA Florida (HMO).
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 EXTRA Florida (HMO), 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 $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 $3900.00 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 EXTRA Florida (HMO) plan has a $590 deductible for prescription drugs. After the deductible is met, you'll pay for your medications based on the drug tier and the pharmacy you use. For preferred generic drugs, you'll have no copay if you use a standard or mail order pharmacy. For standard generic, preferred brand, and non-preferred drugs, you will pay 25% coinsurance. Once your total drug costs reach $2000, you'll enter the catastrophic coverage phase, where you pay nothing for covered drugs.
Additional Benefits
The Devoted EXTRA Florida (HMO) plan offers a range of benefits with varying costs. Hospital stays have a copay, while outpatient services have a mix of copays and no copays, depending on the service. The plan also covers primary care, preventive services, and services for hearing, vision, and dental with specific copays and maximum annual benefits. Additional benefits include ambulance services, emergency services, and home health services, along with coverage for medical equipment and diagnostic services. The plan also covers skilled nursing facility stays and dialysis services with cost-sharing. However, certain services like outpatient substance abuse and home healthcare are not covered.
Inpatient Hospital See details
Inpatient Hospital benefits, including acute and psychiatric, are covered by the Devoted EXTRA Florida (HMO) plan. For Inpatient Hospital-Acute, you'll pay a $175 copay for days 1-5, and no copay for days 6-90; Inpatient Hospital-Psychiatric has the same cost-sharing.
Outpatient Services See details
Outpatient Services are covered by Devoted EXTRA Florida (HMO), with varying costs depending on the service. Outpatient Hospital Services have a copay of $0-$175, Observation Services have a $175 copay, and Ambulatory Surgical Center (ASC) Services have no copay. Outpatient Substance Abuse Services are not covered, and Outpatient Blood Services are covered.
Partial Hospitalization See details
Partial Hospitalization is covered by the Devoted EXTRA Florida (HMO) plan, but requires prior authorization. You will pay a $50 copay for this benefit.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered by Devoted EXTRA Florida (HMO). Ground ambulance services have a copay of $0-$300, while air ambulance services have a 20% coinsurance. 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. Emergency Services have a $140 copay and no coinsurance, and the copay is waived if you are admitted to the hospital within 24 hours. Urgently Needed Services have a copay between $0 and $45 and no coinsurance. Worldwide Emergency Coverage and Worldwide Urgent Coverage have a $140 copay and no coinsurance. Worldwide Emergency Transportation has a $300 copay and 20% coinsurance.
Primary Care See details
The Devoted EXTRA Florida (HMO) plan covers Primary Care Physician Services, Occupational Therapy Services (with a copay between $0 and $50), Physician Specialist Services, Other Health Care Professional, Physical Therapy and Speech-Language Pathology Services (with a copay between $0 and $50), Additional Telehealth Benefits, and Opioid Treatment Program Services. Chiropractic Services, Mental Health Specialty Services, and Psychiatric Services do not cover individual or group sessions.
Preventive Services See details
Preventive Services are covered, including Medicare-covered preventive services, annual physical exams, and additional preventive services. Additional services like In-Home Safety Assessment, Personal Emergency Response System (PERS), Medical Nutrition Therapy (MNT), Post discharge In-Home Medication Reconciliation, Re-admission Prevention, Wigs for Hair Loss Related to Chemotherapy, Telemonitoring Services, Remote Access Technologies, and Counseling Services are not covered. Other covered services include Health Education, Weight Management Programs, Alternative Therapies, Nutritional/Dietary Benefit, Fitness Benefit, 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.
Hearing Services See details
Devoted EXTRA Florida (HMO) covers hearing exams, including routine hearing exams once per year, and fitting/evaluation for hearing aids. Prescription hearing aids (all types) are covered with a copay between $399 and $699 per year, but prescription hearing aids for the inner ear, outer ear, and over the ear are not covered, and OTC hearing aids are not covered.
Vision Services See details
Vision services with the Devoted EXTRA Florida (HMO) plan include coverage for eye exams with no copay, and eyewear with a combined maximum benefit of $1250 per year for contact lenses, eyeglasses (lenses and frames), eyeglass lenses, and eyeglass frames, and upgrades. Routine eye exams are limited to one per year.
Dental Services See details
The Devoted EXTRA Florida (HMO) plan covers a range of dental services, including oral exams, dental x-rays, other diagnostic dental services, prophylaxis (cleaning), fluoride treatment, other preventive dental services, restorative services, adjunctive general services, endodontics, periodontics, prosthodontics (removable and fixed), and oral and maxillofacial surgery. This plan offers a maximum of $1250 per year for dental services, but does not cover maxillofacial prosthetics, implant services, or orthodontics.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered by the Devoted EXTRA Florida (HMO) plan, with prior authorization required. Medicare Part B Insulin Drugs have a $35 copay and a 20% coinsurance, while Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs have between 0% and 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered by the Devoted EXTRA Florida (HMO) plan with a coinsurance between 20% and 20%.
Medical Equipment See details
Medical Equipment benefits are covered by the Devoted EXTRA Florida (HMO) plan, including Durable Medical Equipment (DME) with 0-25% coinsurance and no copay, Prosthetics/Medical Supplies - Non-Medicare benefit, with coinsurance, and Diabetic Equipment. Durable Medical Equipment for use outside the home, Diabetic Supplies, and Diabetic Therapeutic Shoes/Inserts are not covered.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services, including diagnostic procedures/tests, lab services, and outpatient X-ray services, are covered by the Devoted EXTRA Florida (HMO) plan. Diagnostic Procedures/Tests have a copay between $0 and $95, lab services have no copay, diagnostic radiological services have a copay up to $300, and therapeutic radiological services have a coinsurance of at least 20%, while outpatient X-ray services have no copay.
Home Health Services See details
Home Health Services are covered by the Devoted EXTRA Florida (HMO) 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 technically covered, but some services are not covered, including 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 by the Devoted EXTRA Florida (HMO) plan, with a $0 copay for days 1-20 and a $214 copay for days 21-100. Additional days beyond Medicare-covered and non-Medicare-covered SNF stays are not covered.
Other Services See details
The "Devoted EXTRA Florida (HMO)" plan's other services benefit 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. However, it does cover other services, including $0 preventive services.
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