Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for DEVOTED DUAL FULL 078 FL (HMO D-SNP). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on DEVOTED DUAL FULL 078 FL (HMO D-SNP) in 2026, please refer to our full plan details page.
DEVOTED DUAL FULL 078 FL (HMO D-SNP) is a HMO D-SNP plan offered by Devoted Health, Inc. available for enrollment in 2026 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 DUAL FULL 078 FL (HMO D-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Important:
DEVOTED DUAL FULL 078 FL (HMO D-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.
Below are a few key facts and commonly-asked questions about DEVOTED DUAL FULL 078 FL (HMO D-SNP).
The cost of a Medicare Advantage Plan is made up of four main parts.
For DEVOTED DUAL FULL 078 FL (HMO D-SNP), 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 $9250.00 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.
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
The DEVOTED DUAL FULL 078 FL (HMO D-SNP) Medicare plan features an annual prescription drug deductible of $615. For medications in Tiers 1 through 4, beneficiaries pay a 25% coinsurance for 1-month, 2-month, and 3-month fills at standard pharmacies and standard mail order. Tier 5 specialty drugs also carry a 25% coinsurance for a 1-month supply at standard pharmacies and mail order. Tier 6 select care drugs offer excellent savings with no copay for 1-month, 2-month, and 3-month supplies filled at standard pharmacies or standard mail order. This D-SNP prescription plan provides a clear cost structure to help you estimate your out-of-pocket drug expenses.
The DEVOTED DUAL FULL 078 FL (HMO D-SNP) plan offers comprehensive medical coverage with no copay and no coinsurance for primary care visits, home health services, and the first 20 days of skilled nursing facility care. For inpatient hospital stays, members face a $2,230 copayment per stay for acute care and a $2,080 copayment per stay for psychiatric care, with no coinsurance required. Emergency room visits require a $115 copay, which is waived if admitted, while outpatient services and diagnostic tests generally feature no copays and coinsurance ranging up to 20 percent. This plan also includes supplemental benefits, such as dental coverage up to a $3,500 annual limit and eyewear coverage up to $400, both featuring no copays and no coinsurance for covered services. Routine hearing and vision exams require no copays with coinsurance up to 20 percent, and prescription hearing aids are available with no coinsurance and copays ranging from no copay to $299. Additionally, members can access covered durable medical equipment and over-the-counter items with no copay, though some medical equipment may require up to 20 percent coinsurance.
DEVOTED DUAL FULL 078 FL (HMO D-SNP) inpatient hospital benefits are partially covered, requiring no coinsurance alongside a $2,230 copayment per stay for acute care and a $2,080 copayment per stay for psychiatric care. While unlimited additional acute days are covered, upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
DEVOTED DUAL FULL 078 FL (HMO D-SNP) covers outpatient services with no copays and coinsurance ranging from no coinsurance up to 20%. Covered benefits include outpatient hospital, ambulatory surgical center, substance abuse, and blood services, which typically require prior authorization.
Partial hospitalization services are covered by DEVOTED DUAL FULL 078 FL (HMO D-SNP) with no copay and a 20% coinsurance. Prior authorization is required for these services.
Ambulance services are covered by DEVOTED DUAL FULL 078 FL (HMO D-SNP) with no copay, requiring a 0% to 20% coinsurance for ground services and a 20% coinsurance for air services, with prior authorization required. Transportation services to plan-approved or other health-related locations are not covered under this plan.
Emergency services are covered by the DEVOTED DUAL FULL 078 FL (HMO D-SNP) plan with a $115 copay and no coinsurance, with the copay waived if you are admitted to the hospital within 24 hours. Urgently needed services require no copay and a 0% to 20% coinsurance (up to $40), while worldwide emergency, urgent, and transportation services are covered up to $25,000 with no copay and no coinsurance.
DEVOTED DUAL FULL 078 FL (HMO D-SNP) covers primary care physician services with no copay and no coinsurance, while most other primary care benefits feature no copay and up to 20% coinsurance. Chiropractic services are partially covered, offering up to 12 routine visits per year with no copay and 20% coinsurance, while other chiropractic services are not covered.
Preventive Services are partially covered by DEVOTED DUAL FULL 078 FL (HMO D-SNP) with no copay and no coinsurance for covered services like annual physical exams, fitness benefits, and kidney education. However, several services are not covered, including in-home safety assessments, personal emergency response systems (PERS), medical nutrition therapy, post-discharge medication reconciliation, readmission prevention, chemotherapy wigs, therapeutic massage, adult day health, palliative care, caregiver support, smoking cessation counseling, disease management, telemonitoring, remote access technologies, and counseling.
DEVOTED DUAL FULL 078 FL (HMO D-SNP) covers hearing services, including one routine exam per year with no copay and 20% coinsurance. Prescription hearing aids are partially covered with no coinsurance and copays ranging from $0 to $299 for up to two aids yearly, but OTC hearing aids and inner ear, outer ear, or over the ear prescription models are not covered.
Vision Services are partially covered by DEVOTED DUAL FULL 078 FL (HMO D-SNP), offering one routine eye exam per year with no copay, 0% to 20% coinsurance, and no deductible, though other eye exam services are not covered. Covered eyewear benefits include contacts, eyeglasses, and upgrades with no copay, no coinsurance, and no deductible, up to a $400 annual limit.
DEVOTED DUAL FULL 078 FL (HMO D-SNP) offers partially covered dental services with no copay and a 20% coinsurance for Medicare-covered dental, and no copay and no coinsurance for other covered dental services up to a $3,500 annual maximum. Sub-services that are not covered under this plan include other diagnostic dental services, other preventive dental services, maxillofacial prosthetics, implant services, and orthodontics.
DEVOTED DUAL FULL 078 FL (HMO D-SNP) covers home infusion bundled services with no copay, though prior authorization and step therapy may apply. Covered Medicare Part B chemotherapy, radiation, and other Part B drugs require coinsurance ranging from no coinsurance to 20%, while Part B insulin drugs have a $35 copay and coinsurance ranging from no coinsurance to 20%.
Dialysis Services are covered under the DEVOTED DUAL FULL 078 FL (HMO D-SNP) plan with no copay and a 20% coinsurance. Prior authorization is required to receive these covered services.
DEVOTED DUAL FULL 078 FL (HMO D-SNP) covers durable medical equipment, prosthetics, medical supplies, and diabetic equipment with no copay for all services. Prior authorization is required, and coinsurance ranges from no coinsurance up to 20% depending on the item.
DEVOTED DUAL FULL 078 FL (HMO D-SNP) covers diagnostic and radiological services with prior authorization required and no copays. Diagnostic procedures and tests have no coinsurance, while lab services, diagnostic and therapeutic radiological services, and outpatient X-rays require a 20% coinsurance.
Home Health Services are covered under the DEVOTED DUAL FULL 078 FL (HMO D-SNP) plan with no copay and no coinsurance, although prior authorization is required.
Cardiac rehabilitation services are covered by DEVOTED DUAL FULL 078 FL (HMO D-SNP) with no copay and prior authorization, but some services are covered with a 20% coinsurance. Specifically, intensive cardiac, pulmonary, and SET for PAD rehabilitation are not covered under the $0 copay and require a 20% coinsurance.
DEVOTED DUAL FULL 078 FL (HMO D-SNP) covers skilled nursing facility (SNF) care with no coinsurance, requiring no copay for days 1 through 20 and a $218 daily copay for days 21 through 100. Prior authorization is required, and additional days beyond the standard 100-day Medicare benefit period are not covered.
DEVOTED DUAL FULL 078 FL (HMO D-SNP) partially covers other services, providing over-the-counter (OTC) items and additional preventive services with no copay and no coinsurance. Acupuncture and meal benefits are not covered under this benefit.
SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
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* Benefit(s) mentioned may be part of a special supplemental program for chronically ill members with one of the following conditions: Diabetes mellitus, Cardiovascular disorders, Chronic and disabling mental health conditions, Chronic lung disorders, Chronic heart failure. This is not a complete list of qualifying conditions. Having a qualifying condition alone does not mean you will receive the benefit(s). Other requirements may apply.
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