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DEVOTED C-SNP PLUS 084 FL (HMO C-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for DEVOTED C-SNP PLUS 084 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 PLUS 084 FL (HMO C-SNP) in 2026, please refer to our full plan details page.
DEVOTED C-SNP PLUS 084 FL (HMO C-SNP) is a HMO C-SNP plan offered by Devoted Health, Inc. available for enrollment in 2026 to people living in Broward County. This plan received an overall rating of 5 out of 5 stars in 2026.
It's important to know that DEVOTED C-SNP PLUS 084 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 PLUS 084 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 PLUS 084 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 PLUS 084 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 $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 C-SNP PLUS 084 FL (HMO C-SNP) Medicare plan features an annual drug deductible of $615. For Tier 1 preferred generic drugs, standard pharmacy and mail order options require an $18 copay for a one-month supply, while Tier 2 generics have a $19 copay. Notably, Tier 6 select care drugs are covered with no copay for up to a three-month supply through standard retail and mail order services. For higher-tier medications, costs are calculated as a percentage of the drug price. Tier 3 preferred brands and Tier 5 specialty drugs require a 25% coinsurance, whereas Tier 4 non-preferred drugs carry a 32% coinsurance. These coinsurance rates apply to standard pharmacy and standard mail order fills, with Tier 5 specialty drugs limited to a one-month supply.
Additional Benefits
The DEVOTED C-SNP PLUS 084 FL (HMO C-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 a skilled nursing facility stay. For inpatient hospitalizations, members pay a copay of $2,230 per acute admission or $2,080 for psychiatric stays, with no coinsurance. Outpatient services, diagnostic tests, and emergency care are also widely covered, featuring no copays for most outpatient procedures and a $115 copay for emergency room visits. Routine care benefits include dental coverage with no copay or coinsurance up to a $3,500 annual limit, and a $300 yearly allowance for eyewear with no copay or coinsurance. Hearing exams and prescription hearing aids are covered, with hearing aid copays ranging from $399 to $699 per device. Additionally, members benefit from no copays on medical equipment, home infusion services, and a quarterly $50 allowance for over-the-counter items.
Inpatient Hospital See details
Inpatient hospital stays are partially covered by DEVOTED C-SNP PLUS 084 FL (HMO C-SNP) with no coinsurance, though prior authorization is required. Medicare-covered acute stays incur a $2,230 copay per admission with unlimited additional days, while psychiatric stays require a $2,080 copay per admission, but upgrades and non-Medicare-covered stays are not covered.
Outpatient Services See details
Outpatient services are covered by DEVOTED C-SNP PLUS 084 FL (HMO C-SNP) with no copays, featuring 0% to 40% coinsurance for outpatient hospital and ambulatory surgical center services. Outpatient substance abuse and blood services are also covered with no copay and 30% coinsurance, with most of these services requiring prior authorization.
Partial Hospitalization See details
DEVOTED C-SNP PLUS 084 FL (HMO C-SNP) covers partial hospitalization services with no copay and a 20% coinsurance. Prior authorization is required to receive coverage for these services.
Ambulance and Transportation Services See details
DEVOTED C-SNP PLUS 084 FL (HMO C-SNP) covers emergency ground and air ambulance services with prior authorization, featuring no copay and a coinsurance of 0% to 50% for ground transport and 50% for air transport. Routine transportation services to health-related locations are not covered under this plan.
Emergency Services See details
DEVOTED C-SNP PLUS 084 FL (HMO C-SNP) covers emergency services with a $115 copay and no coinsurance, with the copay waived if you are admitted to the hospital within 24 hours. Urgently needed services are covered with no copay and a 0% to 20% coinsurance (up to $40 per visit), while worldwide emergency, urgent, and transportation services are covered up to a $25,000 lifetime maximum with no copay and no coinsurance.
Primary Care See details
DEVOTED C-SNP PLUS 084 FL (HMO C-SNP) offers primary care physician services with no copay and no coinsurance, while chiropractic services are not covered. Most other outpatient services, including specialist visits, therapy, mental health, and telehealth, are covered with no copay and coinsurance ranging from 0% to 30%.
Preventive Services See details
Preventive services are partially covered by DEVOTED C-SNP PLUS 084 FL (HMO C-SNP) with no copay and no coinsurance for covered benefits like annual physicals, kidney disease education, and fitness programs. While various wellness and alternative therapies are included, several sub-services such as in-home safety assessments, personal emergency response systems, therapeutic massage, and in-home support services are not covered.
Hearing Services See details
DEVOTED C-SNP PLUS 084 FL (HMO C-SNP) covers hearing services, featuring one annual routine exam with no copay and 40% coinsurance, plus unlimited fitting evaluations. Prescription hearing aids are partially covered with no coinsurance and a copay ranging from $399 to $699 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 C-SNP PLUS 084 FL (HMO C-SNP), which offers one routine eye exam annually with no copay and 0% to 40% coinsurance, but excludes other eye exam services. Eyewear is covered with no copay, no coinsurance, and a $300 yearly maximum allowance for contacts, lenses, frames, and upgrades.
Dental Services See details
DEVOTED C-SNP PLUS 084 FL (HMO C-SNP) partially covers dental services, featuring Medicare-covered dental with no copay and 30% coinsurance, alongside other covered dental services with no copay and no coinsurance up to a $3,500 annual maximum. Preventive and comprehensive care like cleanings, exams, and fillings are covered, but implants, orthodontics, maxillofacial prosthetics, and other diagnostic or preventive services are not covered.
Home Infusion bundled Services See details
DEVOTED C-SNP PLUS 084 FL (HMO C-SNP) covers home infusion bundled services with no copay, though prior authorization and step therapy are required. Covered Medicare Part B drugs, including chemotherapy, radiation, and insulin, carry a coinsurance ranging from no coinsurance to 20%, with insulin also requiring a $35 copay that counts toward the plan deductible.
Dialysis Services See details
DEVOTED C-SNP PLUS 084 FL (HMO C-SNP) covers Dialysis Services with no copay and a 20% coinsurance. Prior authorization is required to receive these covered services.
Medical Equipment See details
DEVOTED C-SNP PLUS 084 FL (HMO C-SNP) covers medical equipment with no copays, though prior authorization is required. Durable medical equipment requires a 20% coinsurance, prosthetic devices and medical supplies range from no coinsurance to 20% coinsurance, and diabetic equipment is partially covered as diabetic therapeutic shoes and inserts are not covered.
Diagnostic and Radiological Services See details
DEVOTED C-SNP PLUS 084 FL (HMO C-SNP) covers diagnostic and radiological services with prior authorization and no copay. There is no coinsurance for diagnostic procedures, while therapeutic radiology has a 20% coinsurance, and lab services, diagnostic radiology, and outpatient X-rays carry a 40% coinsurance.
Home Health Services See details
Home health services are covered under the DEVOTED C-SNP PLUS 084 FL (HMO C-SNP) plan with no copay and no coinsurance. Prior authorization is required to receive these services.
Cardiac Rehabilitation Services See details
DEVOTED C-SNP PLUS 084 FL (HMO C-SNP) offers cardiac rehabilitation services with no copay, but in practice, cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered and require a 30% coinsurance.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) care is covered by DEVOTED C-SNP PLUS 084 FL (HMO C-SNP) 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, and coverage does not extend to additional days beyond the standard Medicare-covered limit.
Other Services See details
DEVOTED C-SNP PLUS 084 FL (HMO C-SNP) partially covers other services with no copay and no coinsurance, which includes diabetic shoes, additional preventive services, and up to $50 every three months for over-the-counter items. Acupuncture and meal benefits are not covered.
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