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DEVOTED CHOICE GIVEBACK 008 FL (PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for DEVOTED CHOICE GIVEBACK 008 FL (PPO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on DEVOTED CHOICE GIVEBACK 008 FL (PPO) in 2026, please refer to our full plan details page.
DEVOTED CHOICE GIVEBACK 008 FL (PPO) is a PPO plan offered by Devoted Health, Inc. available for enrollment in 2025 to people living in Florida. This plan received an overall rating of 4.5 out of 5 stars in 2026.
It's important to know that DEVOTED CHOICE GIVEBACK 008 FL (PPO) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Key Plan Facts
Below are a few key facts and commonly-asked questions about DEVOTED CHOICE GIVEBACK 008 FL (PPO).
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 CHOICE GIVEBACK 008 FL (PPO), 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. Additionally, this plan comes with a Part B Premium reduction of $184.70. You must continue to pay paying your reduced 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 $605.00 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 combined Maximum Out-Of-Pocket cost of $13900.00 (in-network or out-of-network combined). You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $13900.00 for covered services, the plan will pay 100% of covered costs for the rest of the year.
The plan may have separate out-pocket-maximums for in-network and out-of-network services. See our full plan details page for more information.
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 CHOICE GIVEBACK 008 FL (PPO) Medicare plan features an annual prescription drug deductible of $605. Under this plan, you will pay no copay for Tier 1 preferred generic drugs filled through standard pharmacies or standard mail order. For Tier 2 generic prescriptions, standard pharmacy copays range from $3 to $9, while standard mail-order copays range from $3 to $7.50 depending on the supply length. Higher-tier medications require coinsurance rather than flat copays, including a 21% coinsurance for Tier 3 preferred brand drugs. Both Tier 4 non-preferred drugs and Tier 5 specialty drugs incur a 25% coinsurance for standard pharmacy and mail-order options. This structured cost-sharing ensures affordable access to common generics while defining your out-of-pocket costs for brand-name and specialty medications.
Additional Benefits
The DEVOTED CHOICE GIVEBACK 008 FL (PPO) plan offers affordable healthcare coverage with no copay and no coinsurance for primary care physician visits and annual physicals. Specialist visits carry a $45 copay, while inpatient hospital stays require a $475 daily copay for days one through four and no copay for days five through ninety. Emergency services are available with a $115 copay that is waived upon hospital admission, and urgent care visits range from no copay to a $40 copay. Ancillary benefits include dental coverage up to a $1,250 annual maximum with mostly no copay, and vision care offering a $350 annual eyewear allowance. Hearing services feature routine exams for a $45 copay and prescription hearing aid coverage with copays ranging from $599 to $899. Additionally, members receive home health services with no copay and a quarterly $82 allowance for over-the-counter items with no copay or coinsurance.
Inpatient Hospital See details
DEVOTED CHOICE GIVEBACK 008 FL (PPO) covers inpatient hospital services with no coinsurance, requiring a $475 daily copay for days 1 through 4 and no copay for days 5 through 90. This benefit is partially covered, as upgrades, non-Medicare-covered stays, and additional days for psychiatric hospital stays are not covered.
Outpatient Services See details
DEVOTED CHOICE GIVEBACK 008 FL (PPO) outpatient services feature no coinsurance, offering no copays for ambulatory surgical center and blood services. Outpatient hospital services require a copay of $0 to $575 (including a $475 copay per stay for observation services), while outpatient substance abuse sessions carry a $45 copay.
Partial Hospitalization See details
DEVOTED CHOICE GIVEBACK 008 FL (PPO) covers partial hospitalization benefits with a $70.00 copay and no coinsurance, though prior authorization is required.
Ambulance and Transportation Services See details
Ambulance services under DEVOTED CHOICE GIVEBACK 008 FL (PPO) require prior authorization, with ground transport costing between no copay and a $350 copay (no coinsurance), and air transport requiring a 20% coinsurance (no copay). Some transportation services are covered, but trips to plan-approved or any health-related locations are not covered.
Emergency Services See details
DEVOTED CHOICE GIVEBACK 008 FL (PPO) covers emergency services with a $115 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours, and urgently needed services with a copay ranging from no copay to $40 and no coinsurance. Worldwide emergency and urgent services are covered up to a $25,000 maximum plan limit with a $115 copay and no coinsurance, while worldwide emergency transportation requires a $350 copay and 20% coinsurance.
Primary Care See details
DEVOTED CHOICE GIVEBACK 008 FL (PPO) provides primary care physician services with no copay and no coinsurance, and specialist visits for a $45 copay with no coinsurance. Other covered benefits, such as physical therapy, occupational therapy, and mental health services, have copays ranging from $0 to $50 and no coinsurance, while chiropractic and podiatry services are not covered.
Preventive Services See details
Preventive services are partially covered by DEVOTED CHOICE GIVEBACK 008 FL (PPO) with no copay and no coinsurance for covered benefits like annual physicals, kidney disease education, and fitness programs. However, several sub-services are not covered, including in-home safety assessments, personal emergency response systems (PERS), medical nutrition therapy, and therapeutic massage.
Hearing Services See details
DEVOTED CHOICE GIVEBACK 008 FL (PPO) partially covers hearing services with no deductible, offering annual routine exams for a $45 copay and no coinsurance. Up to two prescription hearing aids are covered per year with no coinsurance and a copay between $599 and $899, though OTC hearing aids and inner-ear, outer-ear, or over-the-ear prescription models are not covered.
Vision Services See details
DEVOTED CHOICE GIVEBACK 008 FL (PPO) partially covers vision services with no deductibles, featuring eye exams for a $0 to $45 copay and no coinsurance, though other eye exam services are not covered. Eyewear is covered with no copay or coinsurance up to a $350 annual maximum for contacts, lenses, frames, and upgrades.
Dental Services See details
DEVOTED CHOICE GIVEBACK 008 FL (PPO) partially covers dental services up to a $1,250 annual maximum for both in-network and out-of-network care. Most covered dental services require no copay and no coinsurance to 50% coinsurance, while Medicare-covered dental has a $45 copay and no coinsurance. Maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
DEVOTED CHOICE GIVEBACK 008 FL (PPO) covers Home Infusion bundled Services with no copay, though prior authorization is required. Associated Medicare Part B chemotherapy, radiation, and other drugs require no copay and between no coinsurance and 20% coinsurance, while Part B insulin drugs require a $35 copay and up to 20% coinsurance.
Dialysis Services See details
Dialysis services are covered by DEVOTED CHOICE GIVEBACK 008 FL (PPO) with no copay and a 20% coinsurance. Prior authorization is required for these services.
Medical Equipment See details
DEVOTED CHOICE GIVEBACK 008 FL (PPO) covers durable medical equipment with no copay and 20% coinsurance, and prosthetics and medical supplies with no copay and no coinsurance to 20% coinsurance. Diabetic equipment is partially covered with no copay and no coinsurance to 20% coinsurance for diabetic supplies, while diabetic therapeutic shoes and inserts are not covered.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by DEVOTED CHOICE GIVEBACK 008 FL (PPO) with prior authorization required. Lab services, outpatient X-rays, and diagnostic radiological services have no copay, diagnostic tests and procedures carry a $0 to $95 copay with no coinsurance, and therapeutic radiological services require a 20% coinsurance.
Home Health Services See details
Home Health Services are covered under the DEVOTED CHOICE GIVEBACK 008 FL (PPO) plan with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
DEVOTED CHOICE GIVEBACK 008 FL (PPO) covers some cardiac rehabilitation services with no coinsurance, although prior authorization is required. However, specific services including cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) are not covered, with copays ranging from $20.00 to $30.00.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by DEVOTED CHOICE GIVEBACK 008 FL (PPO) 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, a three-day prior hospital stay is not required for admission, and additional days beyond the Medicare-covered limit are not covered.
Other Services See details
DEVOTED CHOICE GIVEBACK 008 FL (PPO) partially covers other services, offering no copay and no coinsurance for over-the-counter items (up to $82 every three months) and additional preventive services. Acupuncture and meal benefits are not covered under this plan.
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