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DEVOTED CORE 063 FL (HMO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for DEVOTED CORE 063 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 063 FL (HMO) in 2026, please refer to our full plan details page.
DEVOTED CORE 063 FL (HMO) is a HMO plan offered by Devoted Health, Inc. available for enrollment in 2025 to people living in Osceola, Seminole, and Orange Counties. This plan received an overall rating of 5 out of 5 stars in 2026.
It's important to know that DEVOTED CORE 063 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 063 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 063 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 063 FL (HMO) Medicare plan features a $0 drug deductible, meaning your prescription drug coverage begins immediately. Under this plan, you will pay no copay for Tier 1 preferred generic and Tier 2 generic medications filled at standard pharmacies or through standard mail order. This applies to one-month, two-month, and three-month supplies, helping you save on common prescriptions. For Tier 3 preferred brand drugs, you will pay a $47 copay for a one-month supply, with standard mail order offering a discounted three-month supply of $117.50. Tier 4 non-preferred medications require a 25% coinsurance for all supply lengths, while Tier 5 specialty drugs have a 33% coinsurance for a one-month supply. These clear cost-sharing tiers make it easy to plan your healthcare budget.
Additional Benefits
The DEVOTED CORE 063 FL (HMO) plan offers robust medical coverage with low out-of-pocket costs, featuring no copay and no coinsurance for primary care visits, home health services, and laboratory tests. For specialist visits and routine hearing exams, you will pay a low $5 copay with no coinsurance. Inpatient hospital stays require a $175 daily copay for the first five days and no copay for days 6 through 90, while emergency room visits carry a $150 copay that is waived upon admission. This plan also provides valuable dental, vision, and hearing benefits, including preventive dental care and eyewear up to a $400 annual limit with no copay. Skilled nursing facility stays feature no copay for the first 20 days, and over-the-counter items are covered with no copay or coinsurance. While many diagnostic services and medical equipment options require no copay, certain durable medical equipment and dialysis services require a 20% to 50% coinsurance.
Inpatient Hospital See details
DEVOTED CORE 063 FL (HMO) covers inpatient hospital services with no coinsurance, requiring a $175 daily copay for days 1 through 5 and no copay for days 6 through 90 for both acute and psychiatric stays. Prior authorization is required, and while unlimited additional days are covered for acute stays, additional psychiatric days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
DEVOTED CORE 063 FL (HMO) covers outpatient services with no coinsurance, featuring a $0 to $175 copay for outpatient hospital services and a $175 copay per stay for observation services. There is no copay and no coinsurance for ambulatory surgical center and blood services, while outpatient substance abuse services require a $5 copay per session with no coinsurance.
Partial Hospitalization See details
DEVOTED CORE 063 FL (HMO) covers partial hospitalization services with a $55.00 copay and no coinsurance. Prior authorization is required to receive this benefit.
Ambulance and Transportation Services See details
DEVOTED CORE 063 FL (HMO) covers ambulance services with prior authorization, featuring a copay of no copay to $300 for ground transport and a 20% coinsurance for air transport. Transportation services to plan-approved or other health-related locations are not covered.
Emergency Services See details
DEVOTED CORE 063 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 have no coinsurance and a copay ranging from no copay to $45, while worldwide emergency services are covered up to $25,000 with copays up to $300 and 20% coinsurance for emergency transportation.
Primary Care See details
DEVOTED CORE 063 FL (HMO) covers primary care physician services with no copay and no coinsurance, while specialist, mental health, and psychiatric visits require a $5 copay and no coinsurance. Physical, occupational, and speech therapies feature copays ranging from $5 to $50 with no coinsurance, though chiropractic and podiatry services are not covered.
Preventive Services See details
Preventive services for DEVOTED CORE 063 FL (HMO) are partially covered with no copay and no coinsurance for all covered care, such as annual physical exams, fitness benefits, and kidney disease education. Non-covered sub-services include in-home safety assessments, personal emergency response systems (PERS), medical nutrition therapy, post-discharge medication reconciliation, readmission prevention, wigs, therapeutic massage, adult day health, home-based palliative care, in-home support, caregiver support, additional smoking cessation, enhanced disease management, telemonitoring, remote access, and counseling.
Hearing Services See details
Hearing services are partially covered by DEVOTED CORE 063 FL (HMO), featuring routine hearing exams with a $5 copay and no coinsurance. Prescription hearing aids are covered with no coinsurance and copays ranging from $399 to $699, though OTC hearing aids and inner ear, outer ear, or over the ear prescription hearing aids are not covered.
Vision Services See details
DEVOTED CORE 063 FL (HMO) partially covers vision services, offering one routine eye exam per year with a $0 to $5 copay and no coinsurance, while other eye exam services are not covered. Eyewear is covered with no copay and no coinsurance up to a $400 annual limit for contacts, lenses, frames, and upgrades.
Dental Services See details
DEVOTED CORE 063 FL (HMO) partially covers dental services up to a $3,500 annual limit, offering no copay and no coinsurance for preventive care, periodontics, and oral surgery. Medicare-covered dental services have a $5 copay and no coinsurance, while other covered comprehensive services require no copay and 0% to 50% coinsurance; however, maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
DEVOTED CORE 063 FL (HMO) covers home infusion bundled services with no copay, though prior authorization is required. Associated Medicare Part B chemotherapy, radiation, and other drugs feature no copay and no coinsurance to 20% coinsurance, while Part B insulin requires a $35 copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered by DEVOTED CORE 063 FL (HMO) with no copay and a 20% coinsurance, although prior authorization is required.
Medical Equipment See details
DEVOTED CORE 063 FL (HMO) partially covers medical equipment with no copays for all covered services, though prior authorization is required. Durable medical equipment carries 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 063 FL (HMO) covers diagnostic and radiological services with prior authorization required for both. Diagnostic services feature no coinsurance, offering lab services with no copay and diagnostic procedures ranging from a $0 to $95 copay, while radiological services require no copay for outpatient X-rays and a minimum 20% coinsurance for therapeutic services.
Home Health Services See details
Home Health Services are covered by the DEVOTED CORE 063 FL (HMO) plan with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
DEVOTED CORE 063 FL (HMO) covers Cardiac Rehabilitation Services with no coinsurance, though prior authorization is required. While some services are covered, standard cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered and require a $5 copay.
Skilled Nursing Facility (SNF) See details
DEVOTED CORE 063 FL (HMO) covers Skilled Nursing Facility (SNF) services with no coinsurance, requiring prior authorization but no prior three-day hospital stay. There is no copay for days 1 through 20, a $218 copay for days 21 through 100, and additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
Other Services are partially covered by DEVOTED CORE 063 FL (HMO), offering over-the-counter (OTC) items and additional preventive services with no copay and no coinsurance. However, acupuncture and meal benefits are not covered under this plan.
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