Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for DEVOTED DUAL FULL 081 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 081 FL (HMO D-SNP) in 2026, please refer to our full plan details page.
DEVOTED DUAL FULL 081 FL (HMO D-SNP) is a HMO D-SNP plan offered by Devoted Health, Inc. available for enrollment in 2026 to people living in Greater Tampa Bay. This plan received an overall rating of 5 out of 5 stars in 2026.
It's important to know that DEVOTED DUAL FULL 081 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 081 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 081 FL (HMO D-SNP).
The cost of a Medicare Advantage Plan is made up of four main parts.
For DEVOTED DUAL FULL 081 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 081 FL (HMO D-SNP) Medicare plan features an annual prescription drug deductible of $615. For Tier 1 through Tier 4 drugs, which cover preferred generics, generics, preferred brands, and non-preferred drugs, standard pharmacies and standard mail order services charge a 25% coinsurance. You can minimize your out-of-pocket prescription costs by using preferred pharmacies or preferred mail order services, which feature no copay for these tiers. For Tier 5 specialty drugs, standard pharmacies and standard mail order services require a 25% coinsurance for a 1-month supply, whereas preferred pharmacy and mail order options offer no copay. Additionally, Tier 6 select care drugs have no copay for both standard and preferred pharmacies and mail order services. This plan provides cost-effective prescription drug coverage, particularly when utilizing preferred network pharmacies.
The DEVOTED DUAL FULL 081 FL (HMO D-SNP) plan offers comprehensive healthcare coverage with no copay for primary care visits, home health services, and routine preventive care. Outpatient services, diagnostic tests, and specialist visits also feature no copays, though they may require a coinsurance of up to 20 percent. For inpatient hospital stays, members pay a copay of $2,230 per stay for acute care and $2,080 per stay for psychiatric care, with no coinsurance required. This plan also provides key supplemental benefits, including dental coverage with no copay and no coinsurance up to a $3,500 annual limit for select services. Vision and hearing benefits feature no copays for routine exams and eyewear, alongside a prescription hearing aid benefit with copays ranging from no copay to $299. Additionally, members receive an over-the-counter allowance of $50 every three months for health-related items.
Inpatient hospital services are partially covered by DEVOTED DUAL FULL 081 FL (HMO D-SNP) with no coinsurance, requiring a $2,230 copay per stay for acute care and a $2,080 copay per stay for psychiatric care. While unlimited additional days are covered for acute care, psychiatric additional days, upgrades, and non-Medicare-covered stays are not covered.
DEVOTED DUAL FULL 081 FL (HMO D-SNP) covers outpatient services, including outpatient hospital, ambulatory surgical center, substance abuse, and blood services, with no copays and coinsurance ranging from 0% to 20%. Prior authorization is required for most of these outpatient services, and substance abuse services also require a referral.
Partial hospitalization services are covered by the DEVOTED DUAL FULL 081 FL (HMO D-SNP) plan with no copay and a 20% coinsurance. Prior authorization is required for this benefit.
Ambulance and transportation services are covered under the DEVOTED DUAL FULL 081 FL (HMO D-SNP) plan with no copay, featuring a 20% coinsurance for air ambulance services and 0% to 20% coinsurance for ground ambulance services, which both require prior authorization. While some transportation services are covered, transportation to plan-approved locations and any health-related locations is not covered.
DEVOTED DUAL FULL 081 FL (HMO D-SNP) covers emergency services with a $115 copay and no coinsurance, which is waived if admitted to the hospital within 24 hours. Urgently needed services require no copay and a 0% to 20% coinsurance (maximum $40 per visit), while worldwide emergency, urgent, and transportation services are covered up to $25,000 with no copay and no coinsurance.
DEVOTED DUAL FULL 081 FL (HMO D-SNP) covers primary care physician services with no copay and no coinsurance. Most specialty services, including physical therapy, mental health, and specialist visits, require no copay and 20% coinsurance, while chiropractic care is only partially covered because other chiropractic services are excluded.
Preventive services are covered by DEVOTED DUAL FULL 081 FL (HMO D-SNP) with no copay and no coinsurance, including annual physical exams and kidney disease education. However, additional preventive benefits are only partially covered, excluding services like in-home safety assessments, personal emergency response systems (PERS), medical nutrition therapy, and caregiver support.
DEVOTED DUAL FULL 081 FL (HMO D-SNP) covers hearing services, featuring one routine hearing exam per year with a 20% coinsurance and no copay, and unlimited fitting evaluations with no copay and no coinsurance. Prescription hearing aids are partially covered with no coinsurance and a copay ranging from $0 to $299 for up to two aids yearly, though OTC hearing aids and inner ear, outer ear, and over the ear prescription models are not covered.
DEVOTED DUAL FULL 081 FL (HMO D-SNP) covers vision services, featuring one annual routine eye exam with no copay, 0% to 20% coinsurance, and no deductible, though other eye exam services are not covered. Eyewear is covered with no copay, no coinsurance, and no deductible, providing up to a $400 yearly maximum for contacts, lenses, frames, and upgrades.
DEVOTED DUAL FULL 081 FL (HMO D-SNP) offers partially covered dental services, featuring Medicare-covered dental with no copay and 20% coinsurance, and other dental services with no copay and no coinsurance up to a $3,500 annual maximum. Sub-services not covered by this plan include other diagnostic dental, other preventive dental, maxillofacial prosthetics, implants, and orthodontics.
Home Infusion bundled Services are covered under the DEVOTED DUAL FULL 081 FL (HMO D-SNP) plan with no copay, though prior authorization is required. Associated Medicare Part B chemotherapy, radiation, and other drugs have no coinsurance to 20% coinsurance, while Part B insulin has a $35 copay and no coinsurance to 20% coinsurance.
Dialysis services are covered by the DEVOTED DUAL FULL 081 FL (HMO D-SNP) plan with no copay and a 20% coinsurance, and prior authorization is required.
Medical equipment is covered by DEVOTED DUAL FULL 081 FL (HMO D-SNP) with no copay, though prior authorization is required for these services. Beneficiaries will pay a 20% coinsurance for durable medical equipment (DME) and diabetic supplies, and between no coinsurance and 20% coinsurance for prosthetics and medical supplies.
DEVOTED DUAL FULL 081 FL (HMO D-SNP) covers diagnostic and radiological services with prior authorization required and no copays. Covered outpatient diagnostic procedures and tests have no coinsurance, while lab services, outpatient X-rays, and diagnostic or therapeutic radiological services require a 20% coinsurance.
Home Health Services are covered by DEVOTED DUAL FULL 081 FL (HMO D-SNP) with no copay and no coinsurance. Prior authorization is required before you can receive these services.
DEVOTED DUAL FULL 081 FL (HMO D-SNP) covers Cardiac Rehabilitation Services with no copay, though only some services are covered. Standard cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) services are not covered and require a 20% coinsurance.
DEVOTED DUAL FULL 081 FL (HMO D-SNP) covers Skilled Nursing Facility (SNF) services with no coinsurance, requiring prior authorization but no prior three-day inpatient hospital stay. Under this plan, there is no copay for days 1 through 20 and a $218 daily copay for days 21 through 100, though additional days beyond the Medicare-covered limit are not covered.
Other services are partially covered by DEVOTED DUAL FULL 081 FL (HMO D-SNP), which offers over-the-counter (OTC) items up to $50 every three months and additional preventive services with no copay and no coinsurance. Acupuncture and meal benefits are not covered under this plan.
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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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