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DEVOTED C-SNP PLUS 086 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 086 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 086 FL (HMO C-SNP) in 2026, please refer to our full plan details page.
DEVOTED C-SNP PLUS 086 FL (HMO C-SNP) is a HMO C-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 C-SNP PLUS 086 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 086 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 086 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 086 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 086 FL (HMO C-SNP) plan features an annual prescription drug deductible of $615. For Tier 6 select care drugs, there is no copay for one-month, two-month, or three-month supplies filled through standard pharmacies or standard mail order. Tier 1 preferred generics have an $18 copay for a one-month supply, while Tier 2 generics require a $19 copay for a one-month supply at standard pharmacies and standard mail order. For brand-name and specialty medications, costs are calculated as a percentage of the drug's price. Tier 3 preferred brand drugs and Tier 5 specialty drugs both require 25% coinsurance at standard pharmacies and standard mail-order services. Tier 4 non-preferred drugs require 31% coinsurance for one-month, two-month, and three-month supplies.
Additional Benefits
The DEVOTED C-SNP PLUS 086 FL (HMO C-SNP) plan offers comprehensive medical coverage featuring no copay and no coinsurance for primary care visits, home health care, and annual physicals. Emergency care is available with a $115 copay, which is waived if you are admitted, while inpatient hospital stays require a copay of $2,230 per stay with no coinsurance. Specialist visits, outpatient services, and diagnostic tests generally feature no copays but do require coinsurance ranging from 20% to 50%. For routine wellness, the plan provides generous dental coverage up to $3,500 annually and eyewear up to $300 yearly with no copays and no coinsurance. Prescription hearing aids are covered with copays ranging from $399 to $699, while routine hearing exams require no copay and a 50% coinsurance. Additionally, members can access over-the-counter items with no copay or coinsurance up to a $50 limit every three months.
Inpatient Hospital See details
DEVOTED C-SNP PLUS 086 FL (HMO C-SNP) covers inpatient acute hospital stays with a $2,230 copay per stay and no coinsurance, and inpatient psychiatric stays with a $2,080 copay per stay and no coinsurance. Prior authorization is required for these services, and upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
DEVOTED C-SNP PLUS 086 FL (HMO C-SNP) covers outpatient services with no copays, though coinsurance and prior authorization are required for most care. Outpatient hospital and ambulatory surgical center services feature a 0% to 50% coinsurance, while outpatient substance abuse and blood services require a 30% coinsurance.
Partial Hospitalization See details
DEVOTED C-SNP PLUS 086 FL (HMO C-SNP) covers partial hospitalization services with no copay and a 20% coinsurance. Prior authorization is required to receive this benefit.
Ambulance and Transportation Services See details
Ambulance and transportation services are covered by DEVOTED C-SNP PLUS 086 FL (HMO C-SNP), with ambulance services requiring prior authorization and featuring no copay, alongside 50% coinsurance for air transport and no coinsurance to 50% coinsurance for ground transport. Although some transportation services are covered, transportation to plan-approved or any health-related locations is not covered.
Emergency Services See details
DEVOTED C-SNP PLUS 086 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), while worldwide emergency, urgent, and transportation services are covered up to $25,000 with no copay or coinsurance.
Primary Care See details
DEVOTED C-SNP PLUS 086 FL (HMO C-SNP) offers primary care physician services with no copay and no coinsurance, while chiropractic services are not covered. Other covered benefits, including specialist visits, mental health, therapy, and podiatry, feature no copay and 30% coinsurance, with telehealth services available for no copay and no coinsurance to 30% coinsurance.
Preventive Services See details
Preventive Services are partially covered by DEVOTED C-SNP PLUS 086 FL (HMO C-SNP) with no copay and no coinsurance for covered options like annual physicals, fitness benefits, and nutrition therapy. However, several sub-services are not covered, including in-home safety assessments, personal emergency response systems (PERS), therapeutic massage, and counseling services.
Hearing Services See details
Hearing services are partially covered by DEVOTED C-SNP PLUS 086 FL (HMO C-SNP), as OTC hearing aids, inner ear, outer ear, and over the ear prescription hearing aids are not covered. Covered hearing exams require no copay and a 50% coinsurance for routine visits, while covered prescription hearing aids carry a copay of $399 to $699 and no coinsurance.
Vision Services See details
Vision services are partially covered by DEVOTED C-SNP PLUS 086 FL (HMO C-SNP), which offers one routine eye exam annually with no copay and 0% to 50% coinsurance, while other eye exam services are not covered. Covered eyewear, including contacts and eyeglasses, has no copay and no coinsurance up to a $300 yearly maximum limit.
Dental Services See details
DEVOTED C-SNP PLUS 086 FL (HMO C-SNP) partially covers dental services with an annual maximum of $3,500, featuring no copay and no coinsurance for covered preventive and comprehensive services, and no copay with 30% coinsurance for Medicare-covered dental. Sub-services that are not covered under this plan include other diagnostic, other preventive, maxillofacial prosthetics, implant services, and orthodontics.
Home Infusion bundled Services See details
Home infusion bundled services are covered by DEVOTED C-SNP PLUS 086 FL (HMO C-SNP) with no copay and no coinsurance, though prior authorization is required. Medicare Part B chemotherapy and other drugs carry no copay and range from no coinsurance to 20% coinsurance, while Part B insulin requires a $35 copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered under the DEVOTED C-SNP PLUS 086 FL (HMO C-SNP) plan with no copay and a 20% coinsurance, though prior authorization is required.
Medical Equipment See details
DEVOTED C-SNP PLUS 086 FL (HMO C-SNP) partially covers medical equipment with no copays, requiring prior authorization and coinsurance ranging from no coinsurance to 20%. While durable medical equipment, prosthetics, and diabetic supplies are covered, diabetic therapeutic shoes and inserts are not covered.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by DEVOTED C-SNP PLUS 086 FL (HMO C-SNP) with prior authorization required and no copays. There is no coinsurance for diagnostic procedures and tests, while members pay a 20% coinsurance for therapeutic radiological services and a 50% coinsurance for lab services, diagnostic radiology, and outpatient X-rays.
Home Health Services See details
Home health services are covered by the DEVOTED C-SNP PLUS 086 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 offered by DEVOTED C-SNP PLUS 086 FL (HMO C-SNP) with no copay and require prior authorization. While some services are covered, specific programs including cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) are not covered and require a 30% coinsurance.
Skilled Nursing Facility (SNF) See details
DEVOTED C-SNP PLUS 086 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 and a $218 daily copay for days 21 through 100, though additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
DEVOTED C-SNP PLUS 086 FL (HMO C-SNP) partially covers other services with no copay and no coinsurance for diabetic shoes, additional preventive services, and over-the-counter (OTC) items up to $50 every three months. Acupuncture, meal benefits, and other services are not covered.
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