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DEVOTED C-SNP PREMIUM 070 FL (HMO C-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for DEVOTED C-SNP PREMIUM 070 FL (HMO C-SNP). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on DEVOTED C-SNP PREMIUM 070 FL (HMO C-SNP) in 2026, please refer to our full plan details page.
DEVOTED C-SNP PREMIUM 070 FL (HMO C-SNP) is a HMO C-SNP plan offered by Devoted Health, Inc. available for enrollment in 2026 to people living in Lake, Marion, and Sumter Counties. This plan received an overall rating of 5 out of 5 stars in 2026.
It's important to know that DEVOTED C-SNP PREMIUM 070 FL (HMO C-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Important:
DEVOTED C-SNP PREMIUM 070 FL (HMO C-SNP)is a Special Needs Type (SNP) plan. This means you can only enroll in this plan if you meet specific criteria. See our full plan details page for more information.
Key Plan Facts
Below are a few key facts and commonly-asked questions about DEVOTED C-SNP PREMIUM 070 FL (HMO C-SNP).
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 C-SNP PREMIUM 070 FL (HMO C-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $4.80. 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 C-SNP PREMIUM 070 FL (HMO C-SNP) prescription drug plan features an annual drug deductible of $615. For Tier 1 preferred generic drugs, you will pay an $18 copay for a one-month supply at standard pharmacies and standard mail-order services, while Tier 2 generic drugs carry a $20 copay. Notably, Tier 6 select care drugs are covered with no copay for up to a three-month supply. For brand-name and specialty medications, your costs are based on coinsurance percentages. You will pay a 23% coinsurance for Tier 3 preferred brand drugs, a 26% coinsurance for Tier 4 non-preferred drugs, and a 25% coinsurance for a one-month supply of Tier 5 specialty drugs. These standard pharmacy and standard mail-order rates help you easily project your out-of-pocket prescription expenses.
Additional Benefits
The DEVOTED C-SNP PREMIUM 070 FL (HMO C-SNP) plan offers comprehensive medical coverage with predictable out-of-pocket costs, including no copay for primary care doctor visits and a $15 copay for specialists. Inpatient hospital stays require a $175 daily copay for the first five days and no copay for days six through 90, with no coinsurance. Additionally, home health services and covered preventive care are available to members with no copays or coinsurance. This plan also features robust supplemental benefits, such as dental coverage with no copay up to a $2,000 annual maximum and a $300 yearly allowance for eyewear. Routine hearing exams carry a $15 copay, while up to two prescription hearing aids are covered annually with copays ranging from $399 to $699. Members also receive a $50 allowance every three months for over-the-counter items with no copay.
Inpatient Hospital See details
DEVOTED C-SNP PREMIUM 070 FL (HMO C-SNP) offers partial coverage for inpatient hospital services with no coinsurance and a copay of $175 per day for days 1 through 5, and no copay for days 6 through 90. While unlimited additional acute care days are covered, upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
Outpatient services are covered by DEVOTED C-SNP PREMIUM 070 FL (HMO C-SNP) with no coinsurance, including no copay for ambulatory surgical center and blood services. Outpatient hospital services have a copay of $0 to $175, observation services require a $175 copay per stay, and outpatient substance abuse sessions have a $15 copay.
Partial Hospitalization See details
Partial hospitalization is covered by the DEVOTED C-SNP PREMIUM 070 FL (HMO C-SNP) plan with a $55.00 copay and no coinsurance. Prior authorization is required for this benefit.
Ambulance and Transportation Services See details
DEVOTED C-SNP PREMIUM 070 FL (HMO C-SNP) covers ground ambulance services with no copay to a $240 copay plus coinsurance, and air ambulance services with a 20% coinsurance and a copay, both requiring prior authorization. While transportation services are listed as covered, some services are covered but transportation to plan-approved or any health-related locations is not covered.
Emergency Services See details
Emergency Services under the DEVOTED C-SNP PREMIUM 070 FL (HMO C-SNP) plan are covered with a $150 copay and no coinsurance, with the copay waived if you are admitted to the hospital within 24 hours. Urgently needed services feature a copay ranging from no copay to $45 with no coinsurance, while worldwide emergency services are covered up to a $25,000 maximum limit with copays up to $240 and a 20% coinsurance for emergency transportation.
Primary Care See details
DEVOTED C-SNP PREMIUM 070 FL (HMO C-SNP) covers primary care physician services with no copay and no coinsurance, while specialist, psychiatric, mental health, and podiatry visits require a $15 copay and no coinsurance. Physical, occupational, and speech therapies carry a $15 to $50 copay with no coinsurance, telehealth services range from a $0 to $45 copay with no coinsurance, and chiropractic services are not covered.
Preventive Services See details
DEVOTED C-SNP PREMIUM 070 FL (HMO C-SNP) provides partially covered preventive services with no copay and no coinsurance for covered benefits like annual physical exams, fitness programs, and nutritional therapy. Uncovered services under this benefit include in-home safety assessments, personal emergency response systems (PERS), therapeutic massage, and counseling.
Hearing Services See details
Hearing services are partially covered by DEVOTED C-SNP PREMIUM 070 FL (HMO C-SNP) with no deductible, featuring a $15 copay and no coinsurance for routine exams, and no coinsurance with a $399 to $699 copay for up to two prescription hearing aids yearly. OTC hearing aids and inner ear, outer ear, and over the ear prescription hearing aids are not covered.
Vision Services See details
DEVOTED C-SNP PREMIUM 070 FL (HMO C-SNP) partially covers vision services with no deductibles, offering one annual routine eye exam with no copay to a $15 copay and no coinsurance, while other eye exam services are not covered. Eyewear is also covered with no deductible, no copay, and no coinsurance up to a $300 yearly maximum for contacts, eyeglasses, lenses, frames, and upgrades.
Dental Services See details
Dental services are partially covered by DEVOTED C-SNP PREMIUM 070 FL (HMO C-SNP), offering Medicare-covered dental with a $15 copay and no coinsurance, and other covered services with no copay or coinsurance up to a $2,000 annual maximum. While many preventive and comprehensive treatments are covered, other diagnostic dental, other preventive dental, maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
DEVOTED C-SNP PREMIUM 070 FL (HMO C-SNP) covers Home Infusion bundled Services with no copay, though prior authorization and step therapy are required. Associated Medicare Part B drugs, including chemotherapy, radiation, and insulin, carry between no coinsurance and 20% coinsurance, with insulin also requiring a $35 copay.
Dialysis Services See details
Dialysis Services are covered by DEVOTED C-SNP PREMIUM 070 FL (HMO C-SNP) with no copay and a 20% coinsurance. Prior authorization is required to receive these services.
Medical Equipment See details
DEVOTED C-SNP PREMIUM 070 FL (HMO C-SNP) covers medical equipment with no copays, although prior authorization is required. Durable medical equipment carries a 20% to 50% coinsurance, while prosthetic devices and medical supplies range from no coinsurance to 20% coinsurance. Diabetic equipment is partially covered with no coinsurance to 50% coinsurance for supplies, but diabetic therapeutic shoes and inserts are not covered.
Diagnostic and Radiological Services See details
DEVOTED C-SNP PREMIUM 070 FL (HMO C-SNP) covers diagnostic and radiological services with prior authorization, offering lab services, outpatient X-rays, and diagnostic radiological services with no copay. Diagnostic procedures and tests have no coinsurance and a copay of $0 to $95, while therapeutic radiological services require a 20% coinsurance.
Home Health Services See details
Home Health Services are covered under the DEVOTED C-SNP PREMIUM 070 FL (HMO C-SNP) plan with no copay and no coinsurance. Prior authorization is required to access these services.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services under the DEVOTED C-SNP PREMIUM 070 FL (HMO C-SNP) plan require prior authorization and feature no coinsurance, meaning some services are covered. However, standard cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered in practice and carry a $15 copay.
Skilled Nursing Facility (SNF) See details
DEVOTED C-SNP PREMIUM 070 FL (HMO C-SNP) 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, followed by a $218 daily copay for days 21 through 100, though additional days beyond the Medicare-covered limit are not covered.
Other Services See details
Other Services are partially covered by DEVOTED C-SNP PREMIUM 070 FL (HMO C-SNP), featuring no copay and no coinsurance for over-the-counter items (up to $50 every three months), non-Medicare diabetic shoes, and additional preventive services. Acupuncture, meal benefits, and highly integrated dual-eligible SNP services are not covered.
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