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DEVOTED DUAL FULL 083 FL (HMO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for DEVOTED DUAL FULL 083 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 083 FL (HMO D-SNP) in 2026, please refer to our full plan details page.
DEVOTED DUAL FULL 083 FL (HMO D-SNP) is a HMO D-SNP plan offered by Devoted Health, Inc. available for enrollment in 2026 to people living in Clay, Duval, Nassau, and St. Johns Counties. This plan received an overall rating of 5 out of 5 stars in 2026.
It's important to know that DEVOTED DUAL FULL 083 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 083 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 083 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 083 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 083 FL (HMO D-SNP) prescription drug plan features an annual drug deductible of $615. For Tiers 1 through 4—covering preferred generic, generic, preferred brand, and non-preferred drugs—members pay a 25% coinsurance for 1-month, 2-month, or 3-month supplies at standard pharmacies and standard mail order. This consistent coinsurance rate helps you easily estimate your out-of-pocket costs for standard prescription fills. Tier 5 specialty drugs also require a 25% coinsurance for a 1-month supply through standard pharmacies and standard mail order. Meanwhile, Tier 6 select care drugs offer excellent value with no copay for 1-month, 2-month, or 3-month supplies at standard pharmacies and standard mail order.
Additional Benefits
The DEVOTED DUAL FULL 083 FL (HMO D-SNP) plan offers robust healthcare coverage with no copay and no coinsurance for primary care, home health, and preventive services. For specialist visits, diagnostic tests, and outpatient care, members generally enjoy no copay but will be responsible for a coinsurance of up to 20%. Higher-tier medical needs, such as inpatient acute hospital stays, require a $2,230 copay per stay, while emergency room visits feature a $115 copay. In addition to medical care, this plan provides generous supplemental benefits, including up to $3,500 annually for covered dental services and a $400 annual limit for eyewear with no copay and no coinsurance. Members also benefit from a $50 quarterly over-the-counter item allowance and hearing aid coverage featuring either no copay or a copay up to $299. Skilled nursing facility care is covered with no copay for the first 20 days, followed by a daily copay of $218 for days 21 through 100.
Inpatient Hospital See details
DEVOTED DUAL FULL 083 FL (HMO D-SNP) partially covers inpatient hospital services, featuring a $2,230 copay per stay for acute care and a $2,080 copay per stay for psychiatric care, with no coinsurance required for either. While unlimited additional days for acute care are covered, additional psychiatric days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
DEVOTED DUAL FULL 083 FL (HMO D-SNP) covers outpatient services, including hospital, ambulatory surgical center, substance abuse, and blood services, with no copay and coinsurance ranging from no coinsurance to 20%. Prior authorization is required for most of these outpatient services, and substance abuse services also require a referral.
Partial Hospitalization See details
DEVOTED DUAL FULL 083 FL (HMO D-SNP) covers partial hospitalization services with no copay and a 20% coinsurance. Prior authorization is required to access this benefit.
Ambulance and Transportation Services See details
DEVOTED DUAL FULL 083 FL (HMO D-SNP) covers ambulance services with no copay, requiring a 0% to 20% coinsurance for ground ambulance and a 20% coinsurance for air ambulance. Transportation services are not covered.
Emergency Services See details
Emergency services are covered by DEVOTED DUAL FULL 083 FL (HMO D-SNP) with a $115 copay and no coinsurance, which is 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.
Primary Care See details
DEVOTED DUAL FULL 083 FL (HMO D-SNP) covers primary care physician services with no copay and no coinsurance, while most specialty, therapy, and psychiatric services feature no copay and a 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 See details
DEVOTED DUAL FULL 083 FL (HMO D-SNP) covers preventive services with no copay and no coinsurance, though the benefit is only partially covered. Excluded sub-services include in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge medication reconciliation, readmission prevention, wigs for hair loss, therapeutic massage, adult day health, home-based palliative care, caregiver support, additional smoking cessation counseling, enhanced disease management, telemonitoring, remote access technologies, and counseling services.
Hearing Services See details
Hearing services are partially covered by DEVOTED DUAL FULL 083 FL (HMO D-SNP), offering routine hearing exams with no copay and 20% coinsurance, and fitting evaluations with no copay or coinsurance. Up to two prescription hearing aids are covered per year with no coinsurance and a copay of $0 to $299, though inner ear, outer ear, over the ear, and OTC hearing aids are not covered.
Vision Services See details
DEVOTED DUAL FULL 083 FL (HMO D-SNP) vision services are partially covered, offering one routine eye exam per year with no copay and 0% to 20% coinsurance, though other eye exam services are not covered. Eyewear is covered with no copay, no coinsurance, and no deductible up to a $400 annual maximum for contacts, lenses, frames, and upgrades.
Dental Services See details
Dental services are partially covered by DEVOTED DUAL FULL 083 FL (HMO D-SNP), featuring no copay and a 20% coinsurance for Medicare-covered dental care, and no copay and no coinsurance for other covered services up to a $3,500 annual maximum. While preventive and comprehensive care like cleanings, x-rays, and fillings are included, other diagnostic services, other preventive services, maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
DEVOTED DUAL FULL 083 FL (HMO D-SNP) covers Home Infusion bundled Services with no copay, though prior authorization is required. Covered Medicare Part B drugs, including chemotherapy, radiation, and other drugs, feature a coinsurance ranging from 0% to 20%, while Part B insulin has a $35 copay and 0% to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered by the DEVOTED DUAL FULL 083 FL (HMO D-SNP) plan with no copay and a 20% coinsurance, although prior authorization is required.
Medical Equipment See details
DEVOTED DUAL FULL 083 FL (HMO D-SNP) covers medical equipment with no copay, though prior authorization is required. Durable medical equipment, diabetic supplies, and therapeutic shoes or inserts carry a 20% coinsurance, while prosthetic devices and medical supplies range from no coinsurance to 20% coinsurance.
Diagnostic and Radiological Services See details
DEVOTED DUAL FULL 083 FL (HMO D-SNP) covers diagnostic and radiological services with no copays, although prior authorization is required. Outpatient 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 See details
DEVOTED DUAL FULL 083 FL (HMO D-SNP) covers home health services 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 083 FL (HMO D-SNP) with no copay and require prior authorization, although some services are not covered. Standard cardiac, intensive cardiac, and pulmonary rehabilitation, along with supervised exercise therapy (SET) for peripheral artery disease (PAD), are not covered by the plan and carry a 20% coinsurance.
Skilled Nursing Facility (SNF) See details
DEVOTED DUAL FULL 083 FL (HMO D-SNP) covers Skilled Nursing Facility (SNF) services with no coinsurance and requires no prior 3-day hospital stay, though prior authorization is necessary. There is no copay for days 1 through 20, followed by a $218 daily copay for days 21 through 100, but additional days beyond the Medicare-covered limit are not covered.
Other Services See details
Other services are partially covered by DEVOTED DUAL FULL 083 FL (HMO D-SNP), featuring over-the-counter (OTC) items up to $50 every three months and additional preventive services with no copay and no coinsurance. However, acupuncture, meal benefits, and highly integrated SNP services are not covered.
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