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DEVOTED C-SNP PLUS 085 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 085 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 085 FL (HMO C-SNP) in 2026, please refer to our full plan details page.
DEVOTED C-SNP PLUS 085 FL (HMO C-SNP) is a HMO C-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 C-SNP PLUS 085 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 085 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 085 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 085 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 085 FL (HMO C-SNP) Medicare plan features an annual prescription drug deductible of $615. For Tier 1 preferred generic drugs, you will pay an $18 copay for a 1-month supply, or $54 for a 3-month supply, at standard pharmacies and through standard mail order. Tier 2 generic drugs require a $19 copay for a 1-month supply and a $57 copay for a 3-month supply at standard pharmacies. For higher-tier medications, Tier 3 preferred brand drugs carry a 25% coinsurance, while Tier 4 non-preferred drugs require a 31% coinsurance. Tier 5 specialty drugs have a 25% coinsurance for a 1-month supply. Fortunately, Tier 6 select care drugs are covered with no copay for 1-month, 2-month, or 3-month supplies through standard pharmacies and mail order.
Additional Benefits
The DEVOTED C-SNP PLUS 085 FL (HMO C-SNP) plan offers comprehensive medical coverage with no copay for primary care visits, while specialty care and outpatient services feature no copays and coinsurance ranging from 0% to 50%. Inpatient hospital stays require a copay of $2,230 for acute care or $2,080 for psychiatric care, with no coinsurance. Emergency room visits have a $115 copay, which is waived if you are admitted to the hospital within 24 hours. This plan also includes key supplemental benefits, such as preventive and comprehensive dental care with no copay or coinsurance up to a $3,500 annual limit. Routine vision and hearing exams are available with no copay, and members receive a $300 annual allowance for eyewear and a $50 quarterly allowance for over-the-counter items. Additionally, skilled nursing facility stays have no copay for the first 20 days, followed by a $218 daily copay for days 21 through 100.
Inpatient Hospital See details
DEVOTED C-SNP PLUS 085 FL (HMO C-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 because upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
DEVOTED C-SNP PLUS 085 FL (HMO C-SNP) covers outpatient services with no copays, though coinsurance ranges from no coinsurance up to 50% depending on the service. Outpatient hospital and ambulatory surgical center services require no copay and up to 50% coinsurance, while outpatient substance abuse and blood services have no copay and 30% coinsurance.
Partial Hospitalization See details
Partial hospitalization is covered by DEVOTED C-SNP PLUS 085 FL (HMO C-SNP) with no copay and a 20% coinsurance, and prior authorization is required.
Ambulance and Transportation Services See details
Ambulance services are covered by DEVOTED C-SNP PLUS 085 FL (HMO C-SNP) with no copays, requiring 50% coinsurance for air ambulance and no coinsurance to 50% coinsurance for ground ambulance, while transportation services are not covered.
Emergency Services See details
DEVOTED C-SNP PLUS 085 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 with no copay or coinsurance up to a $25,000 lifetime maximum.
Primary Care See details
DEVOTED C-SNP PLUS 085 FL (HMO C-SNP) offers primary care physician services with no copay and no coinsurance, but chiropractic services are not covered. Most other specialty, therapy, mental health, and telehealth services are covered with no copay and a coinsurance ranging from 0% to 30% depending on the service.
Preventive Services See details
Preventive services are partially covered under DEVOTED C-SNP PLUS 085 FL (HMO C-SNP) with no copay and no coinsurance for covered benefits such as annual physical exams, fitness programs, and kidney disease education. Non-covered sub-services include in-home safety assessments, personal emergency response systems, post-discharge medication reconciliation, readmission prevention, chemotherapy wigs, therapeutic massage, adult day health, home-based palliative care, in-home support, caregiver support, additional smoking cessation, enhanced disease management, telemonitoring, remote access technologies, and counseling.
Hearing Services See details
DEVOTED C-SNP PLUS 085 FL (HMO C-SNP) covers hearing exams with no copay, though routine exams require a 50% coinsurance. Prescription hearing aids are partially covered with no coinsurance and copays ranging from $399 to $699, while OTC, inner ear, outer ear, and over the ear hearing aids are not covered.
Vision Services See details
Vision services are partially covered by DEVOTED C-SNP PLUS 085 FL (HMO C-SNP), offering one annual routine eye exam with no copay and 0% to 50% coinsurance, while other eye exam services are not covered. Eyewear is covered with no copay and no coinsurance up to a $300 annual maximum for contacts, eyeglasses, and upgrades.
Dental Services See details
DEVOTED C-SNP PLUS 085 FL (HMO C-SNP) partially covers dental services with no copay and no coinsurance for preventive and comprehensive care up to a $3,500 annual maximum, while Medicare-covered dental services require no copay and 30% coinsurance. Implants, orthodontics, maxillofacial prosthetics, other diagnostic, and other preventive dental services are not covered under this plan.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered under DEVOTED C-SNP PLUS 085 FL (HMO C-SNP) with no copay, though prior authorization is required. Associated Medicare Part B chemotherapy, radiation, and other drugs require coinsurance ranging from no coinsurance to 20%, while Part B insulin drugs require a $35 copay and coinsurance ranging from no coinsurance to 20%.
Dialysis Services See details
Dialysis services are covered under the DEVOTED C-SNP PLUS 085 FL (HMO C-SNP) plan with no copay and a 20% coinsurance. Prior authorization is required to receive this benefit.
Medical Equipment See details
Medical equipment is partially covered by DEVOTED C-SNP PLUS 085 FL (HMO C-SNP) with no copay, though prior authorization is required. Durable medical equipment and diabetic supplies carry a 20% coinsurance, prosthetics and medical supplies range from no coinsurance to 20% coinsurance, and diabetic therapeutic shoes or inserts are not covered.
Diagnostic and Radiological Services See details
DEVOTED C-SNP PLUS 085 FL (HMO C-SNP) covers diagnostic and radiological services with prior authorization required and no copayments. Diagnostic procedures and tests have no coinsurance, while therapeutic radiology has a 20% coinsurance, and lab services, diagnostic radiology, and outpatient X-rays require a 50% coinsurance.
Home Health Services See details
Home Health Services are covered under the DEVOTED C-SNP PLUS 085 FL (HMO C-SNP) plan with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered under the DEVOTED C-SNP PLUS 085 FL (HMO C-SNP) plan. In practice, standard cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are all not covered and carry a 30% coinsurance.
Skilled Nursing Facility (SNF) See details
DEVOTED C-SNP PLUS 085 FL (HMO C-SNP) covers Skilled Nursing Facility (SNF) services with no coinsurance, requiring prior authorization but no prior three-day hospital stay. There is no copay for days 1 through 20, a $218 daily copay for days 21 through 100, and additional days beyond the standard 100 days are not covered.
Other Services See details
DEVOTED C-SNP PLUS 085 FL (HMO C-SNP) partially covers other services, offering no copay and no coinsurance for over-the-counter (OTC) items up to $50 every three months, diabetic shoes, and additional preventive services. Acupuncture and meal benefits are not covered.
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1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
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