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DEVOTED CORE 064 FL (HMO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for DEVOTED CORE 064 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 064 FL (HMO) in 2026, please refer to our full plan details page.
DEVOTED CORE 064 FL (HMO) is a HMO plan offered by Devoted Health, Inc. available for enrollment in 2025 to people living in Palm Beach County. This plan received an overall rating of 5 out of 5 stars in 2026.
It's important to know that DEVOTED CORE 064 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 064 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 064 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 064 FL (HMO) prescription drug plan features a $0 drug deductible, allowing your coverage to start on day one. Beneficiaries enjoy no copay for Tier 1 preferred generic and Tier 2 generic drugs when using standard pharmacies or standard mail order services for up to a 3-month supply. This makes routine medications highly accessible and budget-friendly. For higher-tier medications, Tier 3 preferred brand drugs have a standard pharmacy copay of $47 for a 1-month supply, with a reduced 3-month mail-order copay of $117.50. Tier 4 non-preferred drugs carry a 25% coinsurance for standard pharmacy and mail-order fills. Tier 5 specialty drugs require a 33% coinsurance for a 1-month supply.
Additional Benefits
The DEVOTED CORE 064 FL (HMO) plan offers comprehensive medical coverage with no copay and no coinsurance for primary care and specialist visits. Inpatient hospital stays require a daily copay of $130 for the first five days and no copay for days six through 90, while outpatient hospital services range from no copay up to a $130 copay. Emergency room visits carry a $150 copay, which is waived if you are admitted, and urgent care services range from no copay up to a $45 copay. For supplemental care, the plan features a generous $3,500 annual dental benefit with no copay for preventive services, alongside a $400 yearly allowance for eyewear and routine hearing exams with no copay. Prescription hearing aids are covered with copays between $399 and $699, and members receive a $100 over-the-counter allowance every three months. Additionally, home health care, lab services, and cardiac rehabilitation are fully covered with no copay or coinsurance.
Inpatient Hospital See details
DEVOTED CORE 064 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. Unlimited additional days are covered for acute care, but additional psychiatric days, room upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
Outpatient services are covered by DEVOTED CORE 064 FL (HMO) with no coinsurance, featuring no copays for ambulatory surgical center and outpatient blood services, and a copay of $0 to $130 for outpatient hospital services. While outpatient substance abuse services have no copay and no coinsurance, only some services are covered because individual and group sessions are not covered.
Partial Hospitalization See details
DEVOTED CORE 064 FL (HMO) covers partial hospitalization services with a $50.00 copay and no coinsurance. Prior authorization is required to receive this covered benefit.
Ambulance and Transportation Services See details
Ambulance and transportation services are covered by DEVOTED CORE 064 FL (HMO), where ground ambulance services carry a copay of $0 (no copay) to $300 and air ambulance services require a 20% coinsurance, with prior authorization required for both. Transportation services to plan-approved or any other health-related locations are not covered.
Emergency Services See details
Emergency services are covered under DEVOTED CORE 064 FL (HMO) with a $150 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services require a copay ranging from no copay to $45 and no coinsurance, while worldwide emergency services are covered up to a $25,000 limit with a $150 copay and no coinsurance for emergency or urgent care, and a $300 copay and 20% coinsurance for emergency transportation.
Primary Care See details
DEVOTED CORE 064 FL (HMO) covers primary care, specialist visits, and opioid treatment with no copay and no coinsurance, while telehealth and therapy services have copays up to $50 with no coinsurance. Podiatry is not covered, and while some chiropractic, mental health, and psychiatric services are covered, routine chiropractic care as well as individual and group mental health and psychiatric sessions are not covered.
Preventive Services See details
DEVOTED CORE 064 FL (HMO) covers preventive services, including annual physical exams and kidney disease education, with no copay and no coinsurance. Additional preventive benefits are partially covered, excluding services such as in-home safety assessments, personal emergency response systems, therapeutic massages, and home-based palliative care.
Hearing Services See details
DEVOTED CORE 064 FL (HMO) covers hearing services, offering routine exams and fitting evaluations with no copay and no coinsurance. Prescription hearing aids are partially covered with no coinsurance and a copay of $399 to $699 for up to two devices per year, though OTC hearing aids and inner ear, outer ear, and over-the-ear prescription models are not covered.
Vision Services See details
Vision services are partially covered by DEVOTED CORE 064 FL (HMO), which offers one routine eye exam per year with no copay and no coinsurance, but does not cover other eye exam services. Covered eyewear, including contacts, eyeglasses, lenses, frames, and upgrades, has no copay or coinsurance up to a combined maximum benefit of $400 per year.
Dental Services See details
Dental services are partially covered by DEVOTED CORE 064 FL (HMO) with an annual maximum benefit of $3,500, offering no copay and no coinsurance for preventive, diagnostic, periodontic, and oral surgery services. Restorative, endodontic, and prosthodontic services are covered with no copay and 0% to 50% coinsurance, but maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
Home infusion bundled services are covered by DEVOTED CORE 064 FL (HMO) with no copay, though prior authorization is required. Covered Medicare Part B drugs, including chemotherapy and radiation, require coinsurance ranging from no coinsurance up to 20%, while Medicare Part B insulin is covered with a $35 copay and coinsurance ranging from no coinsurance up to 20%.
Dialysis Services See details
Dialysis Services are covered by DEVOTED CORE 064 FL (HMO) with no copay and a 20% coinsurance, though prior authorization is required.
Medical Equipment See details
Medical equipment is covered by DEVOTED CORE 064 FL (HMO) with no copays, though prior authorization is required and coinsurance rates apply. 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
Diagnostic and radiological services are covered under DEVOTED CORE 064 FL (HMO), though prior authorization is required. There is no copay for lab services or outpatient X-rays, diagnostic procedures feature no coinsurance and a copay of $0 to $95, and therapeutic radiological services carry a 20% coinsurance.
Home Health Services See details
The DEVOTED CORE 064 FL (HMO) plan covers home health services with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
DEVOTED CORE 064 FL (HMO) covers Cardiac Rehabilitation Services 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
Skilled Nursing Facility (SNF) services are covered by DEVOTED CORE 064 FL (HMO) with no coinsurance, requiring prior authorization but no prior three-day hospital stay. There is no copay for days 1 through 20, followed by a $218 daily copay for days 21 through 100, with no coverage for additional days beyond the Medicare limit.
Other Services See details
Other Services are partially covered by DEVOTED CORE 064 FL (HMO), offering no copay and no coinsurance for Over-the-Counter (OTC) items up to $100 every three months and for additional preventive services. Acupuncture, meal benefits, and other services under this category are not covered.
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