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DEVOTED DUAL FULL 079 FL (HMO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for DEVOTED DUAL FULL 079 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 079 FL (HMO D-SNP) in 2026, please refer to our full plan details page.
DEVOTED DUAL FULL 079 FL (HMO D-SNP) is a HMO D-SNP plan offered by Devoted Health, Inc. available for enrollment in 2026 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 DUAL FULL 079 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 079 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.
Key Plan Facts
Below are a few key facts and commonly-asked questions about DEVOTED DUAL FULL 079 FL (HMO D-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 DUAL FULL 079 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.
Common Services:
Doctor Visits:
Specialist Visits:
Emergency Room:
Urgent Care:
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Drug Coverage
The DEVOTED DUAL FULL 079 FL (HMO D-SNP) Medicare plan features an annual prescription drug deductible of $615. During the initial coverage phase, standard pharmacies and standard mail order services charge a 25% coinsurance for Tier 1 preferred generics, Tier 2 generics, Tier 3 preferred brands, and Tier 4 non-preferred drugs. This 25% coinsurance also applies to a 1-month supply of Tier 5 specialty tier drugs at standard pharmacies and standard mail order. Conversely, Tier 6 select care drugs feature no copay for 1-month, 2-month, and 3-month supplies at standard pharmacies and standard mail order. This plan also provides preferred pharmacy and preferred mail order options to help manage your prescription drug costs.
Additional Benefits
The DEVOTED DUAL FULL 079 FL (HMO D-SNP) plan offers comprehensive coverage designed to minimize out-of-pocket costs, featuring no copay and no coinsurance for primary care visits, preventive services, and home health care. For inpatient hospital stays, members pay no coinsurance, though a $2,230 copay applies per acute care stay and a $2,080 copay applies per psychiatric stay. Most outpatient services, diagnostic tests, and specialist visits also feature no copays, though coinsurance ranging from 0% to 20% may apply. Additional benefits include routine dental care with no copay and no coinsurance up to a $3,500 annual limit, alongside a $400 yearly allowance for eyewear. Skilled nursing facility care is covered with no coinsurance, requiring no copay for the first 20 days and a $218 daily copay for days 21 through 100. Members also benefit from an over-the-counter item allowance of up to $50 every three months with no copay and no coinsurance.
Inpatient Hospital See details
DEVOTED DUAL FULL 079 FL (HMO D-SNP) covers inpatient hospital services with no coinsurance, requiring a $2,230 copay per stay for acute care and a $2,080 copay per stay for psychiatric care. This benefit is partially covered, as upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered, though unlimited additional acute care days are included.
Outpatient Services See details
DEVOTED DUAL FULL 079 FL (HMO D-SNP) covers outpatient services with no copay, though coinsurance ranging from 0% to 20% applies to outpatient hospital, observation, ambulatory surgical, substance abuse, and blood services. Prior authorization is required for most of these outpatient services, and substance abuse services also require a referral.
Partial Hospitalization See details
Partial hospitalization is covered by DEVOTED DUAL FULL 079 FL (HMO D-SNP) with no copay and a 20% coinsurance. Prior authorization is required to receive these services.
Ambulance and Transportation Services See details
DEVOTED DUAL FULL 079 FL (HMO D-SNP) covers ambulance services with no copay, requiring a 0% to 20% coinsurance for ground transport and a 20% coinsurance for air transport. While some transportation services are covered, transportation to plan-approved health-related locations and any health-related locations is not covered.
Emergency Services See details
Emergency services are covered by DEVOTED DUAL FULL 079 FL (HMO D-SNP) with a $115 copay, which is waived if admitted to the hospital within 24 hours, and no coinsurance. Urgently needed services require no copay and a 0% to 20% coinsurance (up to $40 per visit), while worldwide emergency, urgent, and transportation services are covered with no copay or coinsurance up to a $25,000 maximum limit.
Primary Care See details
DEVOTED DUAL FULL 079 FL (HMO D-SNP) covers primary care physician services with no copay and no coinsurance, while specialists, therapy, mental health, and podiatry services have no copay and 20% coinsurance (0% to 20% for telehealth). Chiropractic services are partially covered, offering up to 12 routine visits per year with no copay and 20% coinsurance, but other chiropractic services are not covered.
Preventive Services See details
Preventive services are partially covered by DEVOTED DUAL FULL 079 FL (HMO D-SNP) with no copay and no coinsurance for covered care such as annual physical exams, fitness benefits, and alternative therapies. Sub-services that are not covered under this plan include in-home safety assessments, personal emergency response systems (PERS), medical nutrition therapy, post-discharge medication reconciliation, re-admission prevention, wigs for hair loss, therapeutic massage, adult day health, home-based palliative care, caregiver support, enhanced disease management, telemonitoring, remote access technologies, and counseling.
Hearing Services See details
Hearing services covered by DEVOTED DUAL FULL 079 FL (HMO D-SNP) include one annual routine exam with no copay and a 20% coinsurance. Prescription hearing aids are partially covered with no coinsurance and a copay of $0 to $299 for up to two devices per year, but OTC hearing aids as well as inner ear, outer ear, and over the ear prescription models are not covered.
Vision Services See details
Vision services are partially covered by DEVOTED DUAL FULL 079 FL (HMO D-SNP) with no deductibles, offering one annual routine eye exam with no copay and 0% to 20% coinsurance, while other eye exam services are not covered. Eyewear is covered with no copay and no coinsurance up to a $400 yearly maximum for contacts, lenses, frames, and upgrades.
Dental Services See details
DEVOTED DUAL FULL 079 FL (HMO D-SNP) partially covers dental services up to $3,500 annually with no copay and no coinsurance for most preventive and comprehensive care, though Medicare-covered dental services require no copay and a 20% coinsurance. Sub-services that are not covered include other diagnostic dental services, other preventive dental services, maxillofacial prosthetics, implant services, and orthodontics.
Home Infusion bundled Services See details
Home infusion bundled services are covered by DEVOTED DUAL FULL 079 FL (HMO D-SNP) with no copay, though prior authorization is required. Covered Medicare Part B chemotherapy, radiation, and other drugs require no copay and no coinsurance to 20% coinsurance, while Part B insulin drugs require a $35 copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered by DEVOTED DUAL FULL 079 FL (HMO D-SNP) with a 20% coinsurance and no copay, though prior authorization is required.
Medical Equipment See details
DEVOTED DUAL FULL 079 FL (HMO D-SNP) covers durable medical equipment, prosthetics, medical supplies, and diabetic services with no copays, though prior authorization is required. Members pay a 20% coinsurance for durable medical equipment and diabetic supplies, while coinsurance for prosthetics and medical supplies ranges from no coinsurance to 20%.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by DEVOTED DUAL FULL 079 FL (HMO D-SNP) with prior authorization required and no copays for any services. There is no coinsurance for diagnostic procedures and tests, while lab services, diagnostic and therapeutic radiological services, and outpatient X-rays require a 20% coinsurance.
Home Health Services See details
Home Health Services are covered under the DEVOTED DUAL FULL 079 FL (HMO D-SNP) plan with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac rehabilitation services are covered by DEVOTED DUAL FULL 079 FL (HMO D-SNP) with no copay and require prior authorization, though some services are not covered. Standard cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for peripheral artery disease (PAD) services are not covered and carry a 20% coinsurance.
Skilled Nursing Facility (SNF) See details
DEVOTED DUAL FULL 079 FL (HMO D-SNP) covers Skilled Nursing Facility (SNF) care with no coinsurance, featuring no copay for days 1 through 20 and a $218 daily copay for days 21 through 100. Prior authorization is required, but a prior three-day inpatient hospital stay is not, and additional days beyond the Medicare-covered limit are not covered.
Other Services See details
DEVOTED DUAL FULL 079 FL (HMO D-SNP) offers partially covered Other Services with no copay and no coinsurance for over-the-counter items (up to $50 every three months) and additional preventive services, while acupuncture and meal benefits are not covered.
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