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DEVOTED C-SNP PLUS 088 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 088 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 088 FL (HMO C-SNP) in 2026, please refer to our full plan details page.
DEVOTED C-SNP PLUS 088 FL (HMO C-SNP) is a HMO C-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 C-SNP PLUS 088 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 088 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 088 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 088 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 088 FL (HMO C-SNP) Medicare plan features an annual prescription drug deductible of $615. Under standard pharmacy and mail-order coverage, you will enjoy no copay for Tier 6 Select Care Drugs. For Tier 1 Preferred Generic drugs, you can expect an $18 copay for a 1-month supply, while Tier 2 Generic drugs carry a $19 copay. For higher-tier medications, standard coverage transitions to coinsurance. You will pay 25% coinsurance for Tier 3 Preferred Brand drugs and Tier 5 Specialty Tier drugs, which are limited to a 1-month supply. Tier 4 Non-Preferred drugs require 31% coinsurance for 1-month, 2-month, and 3-month supplies through standard retail or mail-order channels.
Additional Benefits
The DEVOTED C-SNP PLUS 088 FL (HMO C-SNP) plan offers comprehensive medical coverage featuring no copay for primary care physician visits, home health services, and routine preventive care. For inpatient hospital stays, members pay a flat copay of $2,230 per stay for acute care and $2,080 per stay for psychiatric care with no coinsurance. Specialist visits, diagnostic tests, and outpatient services also feature no copays, although coinsurance applies to most of these services. Supplemental benefits include dental coverage with a $3,500 annual maximum and eyewear coverage up to $300, both of which require no copay or coinsurance. Members can also take advantage of routine hearing exams, prescription hearing aids with no coinsurance, and a $50 quarterly allowance for over-the-counter items. Additionally, skilled nursing facility stays are covered with no copay for the first 20 days before a daily copay begins.
Inpatient Hospital See details
DEVOTED C-SNP PLUS 088 FL (HMO C-SNP) covers inpatient hospital services with no coinsurance, requiring prior authorization and a copay of $2,230 per stay for acute care and $2,080 per stay for psychiatric care. While unlimited additional acute care days are covered, additional psychiatric days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
Outpatient services are covered by DEVOTED C-SNP PLUS 088 FL (HMO C-SNP) with no copays, though coinsurance applies to most services. Patients will pay a 0% to 50% coinsurance for outpatient hospital and ambulatory surgical center services, a 50% coinsurance for observation services, and a 30% coinsurance for outpatient substance abuse and blood services.
Partial Hospitalization See details
DEVOTED C-SNP PLUS 088 FL (HMO C-SNP) covers partial hospitalization services with no copay and a 20% coinsurance. Prior authorization is required for these covered services.
Ambulance and Transportation Services See details
Ambulance services are covered by DEVOTED C-SNP PLUS 088 FL (HMO C-SNP) with prior authorization and no copay, requiring 50% coinsurance for air transport and no coinsurance to 50% coinsurance for ground transport. Transportation services are not covered under this plan.
Emergency Services See details
DEVOTED C-SNP PLUS 088 FL (HMO C-SNP) emergency services are covered with a $115 copay, which is waived if admitted to the hospital within 24 hours, and no coinsurance. Urgently needed services are covered with no copay and 0% to 20% coinsurance (up to $40 per visit), while worldwide emergency, urgent, and transportation services are covered with no copay and no coinsurance up to a $25,000 maximum.
Primary Care See details
DEVOTED C-SNP PLUS 088 FL (HMO C-SNP) covers primary care physician services with no copay and no coinsurance, while chiropractic services are not covered. Specialist visits, therapy, mental health, and psychiatric services are covered with no copay and a 30% coinsurance, which ranges from 0% to 30% for telehealth and other healthcare professionals.
Preventive Services See details
Preventive services are partially covered by DEVOTED C-SNP PLUS 088 FL (HMO C-SNP) with no copay and no coinsurance for covered benefits like annual physical exams, fitness programs, and kidney disease education. However, sub-services such as in-home safety assessments, personal emergency response systems, post-discharge medication reconciliation, readmission prevention, wigs, therapeutic massage, adult day health, home-based palliative care, in-home support, caregiver support, smoking cessation counseling, enhanced disease management, telemonitoring, remote access, and counseling services are not covered.
Hearing Services See details
Hearing services are partially covered by DEVOTED C-SNP PLUS 088 FL (HMO C-SNP), featuring routine hearing exams with no copay and a 50% coinsurance, and unlimited fitting evaluations. Prescription hearing aids are covered with no coinsurance and a copay of $399 to $699 for up to two aids per year, though OTC, inner ear, outer ear, and over the ear hearing aids are not covered.
Vision Services See details
DEVOTED C-SNP PLUS 088 FL (HMO C-SNP) offers partially covered vision services, which includes one routine eye exam per year 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
Dental Services are partially covered by DEVOTED C-SNP PLUS 088 FL (HMO C-SNP), featuring a $3,500 annual maximum benefit with no copay and no coinsurance for preventive and most comprehensive services, while Medicare-covered dental has no copay and a 30% coinsurance. Covered services include cleanings, exams, fillings, and dentures, but implant services, orthodontics, maxillofacial prosthetics, other diagnostic, and other preventive services are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered by DEVOTED C-SNP PLUS 088 FL (HMO C-SNP) with no copay, although prior authorization is required. Associated Part B chemotherapy, radiation, and other drugs have coinsurance ranging from no coinsurance to 20%, while Part B insulin drugs require a $35 copay and up to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered by DEVOTED C-SNP PLUS 088 FL (HMO C-SNP) with no copay and a 20% coinsurance, though prior authorization is required.
Medical Equipment See details
Medical equipment is partially covered by DEVOTED C-SNP PLUS 088 FL (HMO C-SNP) with no copays, requiring a 20% coinsurance for durable medical equipment and diabetic supplies, and no coinsurance to 20% coinsurance for prosthetics and medical supplies. Prior authorization is required for these services, and 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 088 FL (HMO C-SNP) with no copays, though prior authorization is required. Diagnostic procedures have no coinsurance, while therapeutic radiology requires a 20% coinsurance, and lab services, diagnostic radiology, and outpatient X-rays carry a 50% coinsurance.
Home Health Services See details
DEVOTED C-SNP PLUS 088 FL (HMO C-SNP) covers Home Health Services with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
DEVOTED C-SNP PLUS 088 FL (HMO C-SNP) offers cardiac rehabilitation services with no copay, but some services are covered while standard cardiac, intensive cardiac, pulmonary, and SET for PAD services are not covered and require a 30% coinsurance.
Skilled Nursing Facility (SNF) See details
DEVOTED C-SNP PLUS 088 FL (HMO C-SNP) covers Skilled Nursing Facility (SNF) services with no coinsurance, offering no copay for days 1 through 20 and a $218 daily copay for days 21 through 100. Prior authorization is required, no prior 3-day inpatient hospital stay is needed, and additional days beyond the standard 100-day Medicare benefit are not covered.
Other Services See details
DEVOTED C-SNP PLUS 088 FL (HMO C-SNP) provides partially covered other services, which include over-the-counter (OTC) items up to $50 every three months, non-Medicare diabetic shoes, and additional preventive services with no copay and no coinsurance. Acupuncture and meal benefits are not covered under this plan.
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