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DEVOTED CORE 061 FL (HMO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for DEVOTED CORE 061 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 061 FL (HMO) in 2026, please refer to our full plan details page.
DEVOTED CORE 061 FL (HMO) is a HMO plan offered by Devoted Health, Inc. available for enrollment in 2025 to people living in Manatee. This plan received an overall rating of 5 out of 5 stars in 2026.
It's important to know that DEVOTED CORE 061 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 061 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 061 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 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 $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 061 FL (HMO) Medicare Advantage plan features an annual prescription drug deductible of $615. For budget-friendly medications, this plan offers great savings with no copay for Tier 1 (Preferred Generic) and Tier 2 (Generic) drugs. This $0 cost-sharing applies to 1-month, 2-month, and 3-month supplies filled at standard retail pharmacies or through standard mail-order services. For higher-tier medications, including Tier 3 (Preferred Brand) and Tier 4 (Non-Preferred Drug), members are responsible for a 25% coinsurance at standard pharmacies and through standard mail order. Tier 5 (Specialty Tier) drugs also require a 25% coinsurance for a 1-month supply. This straightforward cost-sharing structure helps you easily estimate your out-of-pocket prescription drug expenses.
Additional Benefits
The DEVOTED CORE 061 FL (HMO) plan offers affordable medical coverage with no copay and no coinsurance for primary care visits, while specialist and mental health visits require a $15 copay. Inpatient hospital stays feature no coinsurance and a $175 daily copay for the first five days, followed by no copay for days six through 90. Emergency room visits carry a $150 copay, which is waived if you are admitted within 24 hours, and urgent care services range from no copay to a $45 copay. This plan also provides valuable supplemental benefits, including preventive dental care and home health services with no copay and no coinsurance. Vision benefits include routine eye exams with a $0 to $15 copay and up to $200 annually for eyewear with no copay, while hearing aids are covered with copays between $399 and $699. Additionally, members receive a $100 quarterly allowance for over-the-counter items and have no copays for lab services, home infusion therapies, and medical equipment.
Inpatient Hospital See details
DEVOTED CORE 061 FL (HMO) covers inpatient acute and psychiatric hospital stays with no coinsurance, requiring a $175 daily copay for days 1 to 5 and no copay for days 6 to 90. Unlimited additional acute days are covered, but non-Medicare-covered stays, upgrades, and additional psychiatric days are not covered.
Outpatient Services See details
DEVOTED CORE 061 FL (HMO) covers outpatient services with no coinsurance, featuring no copay for ambulatory surgical center and blood services, a $15 copay for outpatient substance abuse sessions, and a $0 to $175 copay for outpatient hospital and observation services. Prior authorization is required for most outpatient services, and substance abuse services also require a referral.
Partial Hospitalization See details
Partial hospitalization is covered by DEVOTED CORE 061 FL (HMO) with a $55.00 copay and no coinsurance, and prior authorization is required.
Ambulance and Transportation Services See details
Ambulance services are covered by DEVOTED CORE 061 FL (HMO) with prior authorization, requiring no copay to a $350 copay and coinsurance for ground transport, and a 20% coinsurance and a copay for air transport. Transportation services to health-related locations are not covered under this plan.
Emergency Services See details
Emergency services are covered by DEVOTED CORE 061 FL (HMO) with a $150 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours, and urgently needed services carry no copay to a $45 copay and no coinsurance. Worldwide emergency and urgent care are covered up to $25,000 with a $150 copay and no coinsurance for medical services, and a $350 copay with 20% coinsurance for emergency transportation.
Primary Care See details
DEVOTED CORE 061 FL (HMO) provides primary care physician services with no copay and no coinsurance, while specialist, mental health, psychiatric, and opioid treatment services require a $15 copay and no coinsurance. Physical, occupational, and speech therapies have a $15 to $50 copay and no coinsurance, podiatry is not covered, and some chiropractic services are covered but routine and other chiropractic services are not.
Preventive Services See details
DEVOTED CORE 061 FL (HMO) covers preventive services with no copay and no coinsurance, but the benefit is only partially covered. Non-covered services include In-Home Safety Assessments, Personal Emergency Response Systems (PERS), Medical Nutrition Therapy (MNT), post-discharge medication reconciliation, re-admission prevention, wigs for chemotherapy hair loss, therapeutic massage, adult day health services, home-based palliative care, in-home support services, caregiver support, additional smoking cessation counseling, enhanced disease management, telemonitoring, remote access technologies, and counseling.
Hearing Services See details
DEVOTED CORE 061 FL (HMO) offers partially covered hearing services, featuring routine hearing exams for a $15 copay and no coinsurance, though prior authorization is required. Up to two prescription hearing aids per year are covered with no coinsurance and a copay ranging from $399 to $699, but OTC hearing aids and inner, outer, or over-the-ear prescription aids are not covered.
Vision Services See details
DEVOTED CORE 061 FL (HMO) provides partially covered vision services, which include one annual routine eye exam with a $0 to $15 copay and no coinsurance, while other eye exam services are not covered. Eyewear is covered with no copay, no coinsurance, and no deductible, offering up to a $200 yearly maximum for contacts, eyeglasses, and upgrades.
Dental Services See details
Dental services are partially covered by DEVOTED CORE 061 FL (HMO), offering up to a $1,500 annual maximum with no copay and no coinsurance for preventive care, and no copay with 0% to 50% coinsurance for comprehensive services. Medicare-covered dental services require a $15 copay and no coinsurance, while maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
DEVOTED CORE 061 FL (HMO) covers home infusion bundled services with no copay, though prior authorization is required. Covered Medicare Part B drugs, including insulin, chemotherapy, and radiation, carry a coinsurance ranging from no coinsurance to 20% coinsurance, with insulin drugs also requiring a $35 copay.
Dialysis Services See details
DEVOTED CORE 061 FL (HMO) covers Dialysis Services with no copay and a 20% coinsurance. Prior authorization is required for these services.
Medical Equipment See details
DEVOTED CORE 061 FL (HMO) covers medical equipment with no copays, although prior authorization is required. Durable medical equipment has a 20% to 50% coinsurance, prosthetics and medical supplies range from no coinsurance to 20% coinsurance, and diabetic supplies range from no coinsurance to 50% coinsurance, while diabetic therapeutic shoes and inserts are not covered.
Diagnostic and Radiological Services See details
DEVOTED CORE 061 FL (HMO) covers diagnostic and radiological services with prior authorization, offering lab services with no copay and no coinsurance, and diagnostic tests with a $0 to $95 copay and no coinsurance. Diagnostic radiological services have a copay starting at $0, outpatient X-rays have no copay but are subject to coinsurance, and therapeutic radiological services require both a copay and a minimum 20% coinsurance.
Home Health Services See details
Home health services are covered by DEVOTED CORE 061 FL (HMO) with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac rehabilitation services are covered by DEVOTED CORE 061 FL (HMO) with no copay, no coinsurance, and prior authorization required, though only some services are covered. Specifically, cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) rehabilitation services are not covered and require a $15 copay.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by DEVOTED CORE 061 FL (HMO) with no coinsurance, featuring no copay for days 1 through 20 and a $218 daily copay for days 21 through 100. Prior authorization is required, a prior three-day hospital stay is not required before admission, and additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
DEVOTED CORE 061 FL (HMO) partially covers other services, offering additional preventive services and a $100 quarterly allowance for over-the-counter (OTC) items with no copay and no coinsurance. Acupuncture and meal benefits are not covered under this plan.
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