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DEVOTED CORE 056 FL (HMO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for DEVOTED CORE 056 FL (HMO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on DEVOTED CORE 056 FL (HMO) in 2026, please refer to our full plan details page.
DEVOTED CORE 056 FL (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 5 out of 5 stars in 2026.
It's important to know that DEVOTED CORE 056 FL (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 CORE 056 FL (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 CORE 056 FL (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 no drug deductible. Your prescription medication coverage will start immediately.
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 CORE 056 FL (HMO) plan features a $0 drug deductible, allowing your prescription drug coverage to start right away. You will pay no copay for Tier 1 preferred generic and Tier 2 generic drugs, whether you fill a one-, two-, or three-month supply at a standard pharmacy or through standard mail order. This ensures that essential, everyday generic medications remain highly accessible and affordable. For Tier 3 preferred brand drugs, the standard pharmacy copay is $47.00 for a one-month supply, with standard mail order offering a reduced $117.50 copay for a three-month supply. Tier 4 non-preferred drugs require a 25% coinsurance across all available supply lengths, while Tier 5 specialty drugs require a 33% coinsurance for a one-month supply. These structured costs make it easy to plan and budget for your monthly medication expenses.
Additional Benefits
The DEVOTED CORE 056 FL (HMO) plan offers comprehensive medical coverage featuring no copay and no coinsurance for primary care, specialist visits, and preventive services like fitness programs. For inpatient hospital stays, members pay a copay of $130 per day for days 1 through 5, and no copay for days 6 through 90. Emergency services require a $150 copay, which is waived if admitted, while urgently needed care ranges from no copay to a $45 copay. Additional benefits include dental coverage up to a $3,500 annual limit with no copay for covered services and 0% to 50% coinsurance for comprehensive care. Members also receive a $400 annual allowance for eyewear, routine hearing and eye exams with no copay, and prescription hearing aids with copays between $399 and $699. Furthermore, the plan offers no copay for home health services and a $100 quarterly allowance for over-the-counter items.
Inpatient Hospital See details
DEVOTED CORE 056 FL (HMO) covers inpatient acute and psychiatric hospital stays with no coinsurance and a copay of $130 per day for days 1 through 5, and no copay for days 6 through 90. Unlimited additional days are covered for acute care, but upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
Outpatient services covered by DEVOTED CORE 056 FL (HMO) feature no copay and no coinsurance for ambulatory surgical center and blood services, while outpatient hospital services require a $0 to $130 copay and observation services require a $130 copay per stay, both with no coinsurance. For outpatient substance abuse, some services are covered but individual and group sessions are not covered.
Partial Hospitalization See details
Partial hospitalization is covered by DEVOTED CORE 056 FL (HMO) with a $50.00 copay and no coinsurance. Prior authorization is required to access these services.
Ambulance and Transportation Services See details
DEVOTED CORE 056 FL (HMO) covers ground ambulance services with a copay ranging from no copay to $300 and no coinsurance, and air ambulance services with a 20% coinsurance and no copay, both requiring prior authorization. Transportation services are not covered.
Emergency Services See details
Emergency services are covered by DEVOTED CORE 056 FL (HMO) with a $150 copay and no coinsurance, with the copay waived if you are admitted to the hospital within 24 hours. Urgently needed services require no copay to a $45 copay and no coinsurance, while worldwide emergency services are covered up to $25,000 with copays ranging from $150 to $300 and 20% coinsurance for emergency transportation.
Primary Care See details
DEVOTED CORE 056 FL (HMO) covers primary care, specialist, and opioid treatment services with no copay and no coinsurance. Occupational, physical, and speech therapy services require a $0 to $50 copay and no coinsurance, and telehealth benefits have a $0 to $45 copay and no coinsurance, while chiropractic, podiatry, mental health, and psychiatric services are not covered.
Preventive Services See details
Preventive services are partially covered by DEVOTED CORE 056 FL (HMO) with no copay and no coinsurance for covered benefits like annual physicals, fitness programs, and nutritional counseling. Sub-services that are not covered under this plan include in-home safety assessments, personal emergency response systems (PERS), medical nutrition therapy, post-discharge medication reconciliation, re-admission prevention, chemotherapy wigs, therapeutic massage, adult day health, home-based palliative care, in-home support, caregiver support, enhanced disease management, telemonitoring, remote access technologies, and counseling.
Hearing Services See details
Hearing services with DEVOTED CORE 056 FL (HMO) are covered with no copay and no coinsurance for hearing exams, which include one routine exam per year and unlimited fitting evaluations. Prescription hearing aids are partially covered with no coinsurance and a copay ranging from $399 to $699 for up to two devices per year, though OTC, inner ear, outer ear, and over the ear hearing aids are not covered.
Vision Services See details
DEVOTED CORE 056 FL (HMO) vision services are partially covered with no copay, no coinsurance, and no deductibles for covered benefits. Routine eye exams are covered once per year (prior authorization required), while other eye exam services are not covered, and members receive a $400 annual allowance for eyewear like contacts, eyeglasses, and upgrades.
Dental Services See details
Dental services are partially covered by DEVOTED CORE 056 FL (HMO) up to a $3,500 annual maximum, featuring no copay for all covered services and no coinsurance for preventive care, periodontics, and oral surgery. Comprehensive services like restorative care and endodontics have no copay and 0% to 50% coinsurance, though implants, orthodontics, and maxillofacial prosthetics are not covered.
Home Infusion bundled Services See details
Home infusion bundled services are covered by DEVOTED CORE 056 FL (HMO) with no copay, though prior authorization is required. Associated Medicare Part B drugs, including chemotherapy, radiation, and insulin, feature no coinsurance to 20% coinsurance, with insulin also requiring a $35 copay.
Dialysis Services See details
Dialysis Services are covered by DEVOTED CORE 056 FL (HMO) with no copay and a 20% coinsurance, though prior authorization is required.
Medical Equipment See details
DEVOTED CORE 056 FL (HMO) covers medical equipment with no copays, though prior authorization is required. Durable medical equipment carries a 20% to 50% coinsurance, and prosthetics and medical supplies range from no coinsurance to 20% coinsurance. Diabetic equipment is partially covered with diabetic supplies ranging from no coinsurance to 50% coinsurance, while diabetic therapeutic shoes and inserts are not covered.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by DEVOTED CORE 056 FL (HMO) with prior authorization required. Diagnostic services feature no coinsurance, with no copay for lab services and a $0 to $95 copay for diagnostic procedures and tests. Radiological services include no copay for outpatient X-rays, a minimum $0 copay for diagnostic radiological services, and a minimum 20% coinsurance for therapeutic radiological services.
Home Health Services See details
DEVOTED CORE 056 FL (HMO) covers Home Health Services with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered under DEVOTED CORE 056 FL (HMO) with no copay and no coinsurance, requiring prior authorization. Although some services are covered, standard cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered.
Skilled Nursing Facility (SNF) See details
DEVOTED CORE 056 FL (HMO) covers Skilled Nursing Facility (SNF) services with no coinsurance, requiring prior authorization but no prior three-day inpatient hospital stay. There is no copay for days 1 through 20 and a $218 daily copay for days 21 through 100, though additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
DEVOTED CORE 056 FL (HMO) partially covers other services, offering no copay and no coinsurance for additional preventive services and Over-the-Counter (OTC) items up to $100 every three months. Acupuncture, meal benefits, and other additional services are not covered.
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