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We have 2 plans in Greater Tampa Bay.

Devoted Health Prime Greater Tampa Bay (HMO)
Devoted Health Greater Tampa Bay (HMO)

Want help enrolling? Give us a call.

Devoted Health Prime Greater Tampa Bay (HMO)

Full Plan Information (PDF)

Devoted Health Greater Tampa Bay (HMO)

Full Plan Information (PDF)

Monthly Premium

$30.30
If you get Extra Help from Medicare, it may lower your Devoted premium.

$0

Pharmacy (Part D) Deductible

$415
You have to pay this amount out of your own pocket before your plan starts to cover your drugs.

$0

30-Day Supply Retail Pharmacy

If you get Extra Help from Medicare, your costs may be lower.

  • Tier 1: $0 copay*
  • Tier 2: $2 copay*
  • Tier 3: 25% of drug cost*
  • Tier 4: 25% of drug cost*
  • Tier 5: 25% of drug cost*
  • Tier 1: $0 copay*
  • Tier 2: $0 copay*
  • Tier 3: $15 copay*
  • Tier 4: $75 copay*
  • Tier 5: 33% of drug cost*

90-Day Supply Mail-order Pharmacy

If you get Extra Help from Medicare, your costs may be lower.

  • Tier 1: $0 copay*
  • Tier 2: $0 copay*
  • Tier 3: 25% of drug cost*
  • Tier 4: 25% of drug cost*
  • Tier 5 drugs are not available through mail order
  • Tier 1: $0 copay*
  • Tier 2: $0 copay*
  • Tier 3: $37.50 copay*
  • Tier 4: $187.50 copay*
  • Tier 5 drugs are not available through mail order

Annual Out-of-Pocket Maximum

This is the most you'd pay in a year for covered medical services. Once you reach it, your plan pays all the costs.

$3,400 (in network)

$3,400 (in network)

Primary Care Provider (PCP) Visits

$0 copay*

$0 copay*

Specialist Visits

$0 copay*

$20 copay*

Inpatient Hospital Stays

$0 copay*
For surgery and other medical reasons

  • Days 1 to 7: $90 a day copay*
  • Starting on Day 8: $0 copay*

For surgery and other medical reasons

Urgent Care

$0 copay at urgent care centers

$0 copay at urgent care centers

Emergency Room Visit

$90 copay
If you get admitted (checked-in) to the hospital, you won't have to pay this.

$90 copay
If you get admitted (checked-in) to the hospital, you won't have to pay this.

Outpatient Surgery

$0 copay*

  • $50 copay at stand-alone surgery centers*
  • $90 copay at outpatient hospitals*

Labs

$0 copay*

  • $0 copay at a PCP's office, specialist's office, or urgent care center*
  • $40 copay at outpatient hospitals*

X-rays

$0 copay*

  • $0 copay at a PCP's office, specialist's office, or urgent care center*
  • $40 copay at outpatient hospitals*

Diagnostic Tests and Procedures

$0 copay*

  • $0 copay at a PCP's office, specialist's office, or urgent care center*
  • $90 copay at outpatient hospitals*

Dental Services

Yes*
You're covered for things like routine exams, cleanings, fillings, and dentures.

Yes*
You're covered for things like routine exams, cleanings, fillings, and dentures.

Eyewear Benefit

$250 a year*
Toward glasses or contact lenses

$250 a year*
Toward glasses or contact lenses

Hearing Aid Benefit

$750 a year (per ear)*
Toward hearing aids

$750 a year (per ear)*
Toward hearing aids

Over-the-counter Health and Wellness Benefit

$60 a month*
Toward things like pain relievers, vitamins, and first-aid supplies

$50 a month*
Toward things like pain relievers, vitamins, and first-aid supplies

Rides to and from Your Doctor

Yes*

Yes*

Fitness Benefit

Called SilverSneakers, this benefit gives you free access to lots of gyms and fitness centers.

Yes*

Yes*

Acupuncture

Yes*

Yes*

*When you use an in-network provider or pharmacy.


Next Steps

Now that you know what our plans are all about, you can: