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DEVOTED CORE 062 FL (HMO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for DEVOTED CORE 062 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 062 FL (HMO) in 2026, please refer to our full plan details page.
DEVOTED CORE 062 FL (HMO) is a HMO plan offered by Devoted Health, Inc. available for enrollment in 2025 to people living in Miami-Dade County. This plan received an overall rating of 5 out of 5 stars in 2026.
It's important to know that DEVOTED CORE 062 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 062 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 062 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 062 FL (HMO) Medicare plan features a $0 drug deductible, meaning your prescription coverage begins immediately with no upfront deductible costs. For Tier 1 preferred generic and Tier 2 generic drugs, you will pay no copay for one-month, two-month, or three-month supplies at standard pharmacies and standard mail order. This plan provides affordable access to essential everyday medications. For Tier 3 preferred brand drugs, standard pharmacy copays range from $47 for a one-month supply to $141 for a three-month supply, though standard mail order reduces the three-month copay to $117.50. Tier 4 non-preferred drugs require a 25% coinsurance across all supply lengths, while Tier 5 specialty drugs have a 33% coinsurance for a one-month supply. These clear cost-sharing tiers help you accurately plan your healthcare budget.
Additional Benefits
The DEVOTED CORE 062 FL (HMO) plan offers comprehensive medical coverage with no copays and no coinsurance for primary care, specialist visits, and preventive services. For inpatient hospital stays, members pay a $130 daily copay for the first five days and no copay for days six through 90, with no coinsurance required. Emergency room visits carry a $150 copay, which is waived if admitted, while outpatient services range from no copay to a $130 copay. Ancillary benefits include comprehensive dental coverage up to $3,500 annually with no copays and coinsurance up to 50%, alongside routine vision exams and a $400 annual allowance for eyewear with no copay. Routine hearing exams feature no copay, and prescription hearing aids are covered with copays between $399 and $699. Additionally, members benefit from no copays on home health care, cardiac rehabilitation, and over-the-counter items up to $100 every three months.
Inpatient Hospital See details
DEVOTED CORE 062 FL (HMO) covers inpatient acute and psychiatric hospital stays with no coinsurance, requiring a $130 daily copay for days 1 through 5 and no copay for days 6 through 90. Prior authorization is required, and while acute care includes unlimited additional days, psychiatric additional days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
Outpatient services are covered by DEVOTED CORE 062 FL (HMO), featuring outpatient hospital services with no coinsurance and copays ranging from no copay to $130, and ambulatory surgical center services with no copay and no coinsurance. Outpatient blood services are covered with no copay and no coinsurance, while outpatient substance abuse services are not covered in practice since both individual and group sessions are excluded.
Partial Hospitalization See details
Partial hospitalization is covered by DEVOTED CORE 062 FL (HMO) with a $50.00 copay and no coinsurance, though prior authorization is required.
Ambulance and Transportation Services See details
DEVOTED CORE 062 FL (HMO) covers ground ambulance services with a copay of $0 to $300 and no coinsurance, and air ambulance services with a 20% coinsurance and no copay, with prior authorization required for both. Transportation services are not covered.
Emergency Services See details
DEVOTED CORE 062 FL (HMO) covers emergency services with a $150 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services require no copay to a $45 copay with no coinsurance, while worldwide emergency services are covered up to a $25,000 limit with copays up to $300 and 20% coinsurance for worldwide emergency transportation.
Primary Care See details
DEVOTED CORE 062 FL (HMO) provides primary care, specialist, and opioid treatment services with no copay and no coinsurance, while podiatry, chiropractic, mental health, and psychiatric services are not covered. Physical, occupational, and speech therapy require a $0.00 to $50.00 copay with no coinsurance, and additional telehealth benefits are available with a $0.00 to $45.00 copay and no coinsurance.
Preventive Services See details
Preventive services are covered by DEVOTED CORE 062 FL (HMO) with no copay and no coinsurance, including annual physical exams, kidney disease education, and select screenings. Additional preventive benefits are partially covered with no copay and no coinsurance, excluding in-home safety assessments, PERS, medical nutrition therapy, post-discharge medication reconciliation, readmission prevention, chemotherapy wigs, therapeutic massage, adult day health, palliative care, in-home support, caregiver support, extended smoking cessation, enhanced disease management, telemonitoring, remote access, and counseling.
Hearing Services See details
DEVOTED CORE 062 FL (HMO) covers hearing services with no copay or coinsurance for routine hearing exams and fitting evaluations, though prior authorization is required. Prescription hearing aids are partially covered with no coinsurance and a copay ranging from $399 to $699, but inner ear, outer ear, over the ear, and over-the-counter (OTC) hearing aids are not covered.
Vision Services See details
Vision services are partially covered by DEVOTED CORE 062 FL (HMO) with no copay, no coinsurance, and no deductible. Covered benefits include one routine eye exam per year (prior authorization required) and up to $400 annually for contacts and eyeglasses, while other eye exam services are not covered.
Dental Services See details
Dental services are partially covered by DEVOTED CORE 062 FL (HMO) up to a maximum benefit of $3,500 per year, featuring no copays for all covered services and coinsurance ranging from no coinsurance up to 50%. While preventive care, periodontics, and oral surgery are covered, orthodontics, implant services, and maxillofacial prosthetics are not covered.
Home Infusion bundled Services See details
Home infusion bundled services are covered by DEVOTED CORE 062 FL (HMO) with no copay, though prior authorization is required. Associated Medicare Part B chemotherapy, radiation, and other drugs require between no coinsurance and 20% coinsurance, while Part B insulin is covered with a $35 copay and between no coinsurance and 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered under the DEVOTED CORE 062 FL (HMO) plan with no copay and a 20% coinsurance, with prior authorization required.
Medical Equipment See details
DEVOTED CORE 062 FL (HMO) covers medical equipment with no copays, though prior authorization is required. Durable medical equipment requires a 20% to 50% coinsurance, prosthetics and medical supplies have no coinsurance to 20% coinsurance, and diabetic equipment is partially covered with no coinsurance to 50% coinsurance for supplies, while diabetic therapeutic shoes and inserts are not covered.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by DEVOTED CORE 062 FL (HMO), with prior authorization required for these benefits. There is no coinsurance and a $0 to $95 copay for diagnostic tests, no copay for lab services, outpatient X-rays, and diagnostic radiology, and a 20% coinsurance for therapeutic radiological services.
Home Health Services See details
Home Health Services are covered under the DEVOTED CORE 062 FL (HMO) plan with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered under the DEVOTED CORE 062 FL (HMO) plan with no copay and no coinsurance, though prior authorization is required. While some services are covered, Cardiac Rehabilitation, Intensive Cardiac Rehabilitation, Pulmonary Rehabilitation, and SET for PAD services are not covered.
Skilled Nursing Facility (SNF) See details
DEVOTED CORE 062 FL (HMO) covers Skilled Nursing Facility (SNF) services with no coinsurance and no prior three-day hospital stay required, though prior authorization is necessary. There is no copay for days 1 through 20, a $218 daily copay for days 21 through 100, and additional days beyond the standard Medicare-covered period are not covered.
Other Services See details
Other Services under the DEVOTED CORE 062 FL (HMO) plan are partially covered, featuring additional preventive services and over-the-counter (OTC) items with no copay and no coinsurance. While OTC items are covered up to $100 every three months, acupuncture and meal benefits are not covered.
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