Plan year 2027 · Medicare AdvantageCMS files of Sept. 22 and Oct. 1, 2026

Devoted Dual Qmb 052 FL, 2027

H1290Contract052Plan

HMO D-SNP · special needs plan, dual-eligible · 31 counties in Florida

Run by Devoted Health Plan of Florida, Inc. (contract H1290), sold as Devoted Health, owned by Devoted Health, Inc.

Renews, split 9 ways

2026 star rating, contract H1290: 5 of 5

Devoted Dual Qmb 052 FL (H1290-052) costs $0 a month in 2027, the same as in 2026, with an in-network out-of-pocket limit of $9,850 ($9,250 in 2026). In 2026 it was called Devoted Dual Plus 052 FL. Some of its 2026 members move to H1290-080, H1290-081, H1290-082, H1290-083, H1290-096, H1290-098, H1290-100, H1290-101 instead (CMS crosswalk).

What changes from 2026 to 2027?

The changed lines are marked and come first. In-network amounts; members keep paying the Part B premium unless the plan reduces it.
What you pay or get	2026	2027	Change
Plan name	Devoted Dual Plus 052 FL	Devoted Dual Qmb 052 FL	renamed
In-network out-of-pocket limit	$9,250	$9,850	up $600
Drug deductible	$615	$700	up $85
Hospital stay, in network	$2,230 a stay	$2,241 a stay	up $11for a 5-day stay
Skilled nursing facility, in network	$0 a day for days 1–20, then $218 a day for days 21–100	$0 a day for days 1–20, then $221 a day for days 21–100	up $30for a 30-day stay
Ground ambulance, in network	0% of the cost	20% of the cost	changed
Counties served	22	31	up 9
Drug tier 2, generic	25% of the cost	$0	changed
Drug tier 3, preferred brand	25% of the cost	11% of the cost	down 14 points
13 lines do not change
Monthly premium	$0	$0	no change
Part B premium reduction, monthly	none	none	no change
Primary care visit	$0 copay	$0 copay	no change
Specialist visit	20% of the cost	20% of the cost	no change
Emergency room	$115 copay	$115 copay	no change
Medical deductible, in network	none	none	no change
Comprehensive dental, yearly limit	not offered	not offered	no change
Eyewear, yearly limit	$400 a year	$400 a year	no change
Hearing aids, yearly limit for both ears	not offered	not offered	no change
Over-the-counter items, yearly	$200 a year	$200 a year	no change
Drug tier 1, preferred generic	$0	$0	no change
Drug tier 4, non-preferred drug	25% of the cost	25% of the cost	no change
Drug tier 5, specialty tier	25% of the cost	25% of the cost	no change

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS plan benefit package files, 2027 and 2026; CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026). Plan details can change during the year; confirm on Medicare Plan Finder.

What will prescriptions cost?

Your share for a 30-day supply at a retail pharmacy, as filed with CMS; tiers whose share changes are marked
Tier	What the tier holds	2026	2027
Tier 1	Preferred Generic	$0	$0
Tier 2	Generic	25% of the cost	$0
Tier 3	Preferred Brand	25% of the cost	11% of the cost
Tier 4	Non-Preferred Drug	25% of the cost	25% of the cost
Tier 5	Specialty Tier	25% of the cost	25% of the cost

Source: CMS plan benefit package files, 2027 and 2026. Insulin is capped at $35 a month by law. A drug's tier is set by the plan's formulary.

How does it compare with plans sold where it is?

In the counties it serves, 80 dual-eligible special needs plans are sold for 2027, this one included. Against the others, 32 plans have a lower out-of-pocket limit, 47 the same. On the premium, 69 the same, 10 a higher one.

Out-of-pocket limits of the 80 dual-eligible special needs plans

$0 to under $2,0008 plans

$2,000 to under $4,00014 plans

$4,000 to under $6,0009 plans

$6,000 to under $8,0001 plan

$8,000 to $10,000 (this plan)48 plans

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).

Where is it sold, and what does it cost there?

The premium and the out-of-pocket limit are the same in all 31 counties: $0 a month and $9,850.

Florida

Brevard Citrus Clay DeSoto Duval Flagler Glades Hardee Hendry Hernando Hillsborough Indian River Lake Levy Manatee Marion Martin Nassau Okeechobee Orange Osceola Pasco Pinellas Polk Putnam Sarasota Seminole St. Johns St. Lucie Sumter Volusia

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).

Where do its 2026 members go?

The CMS crosswalk moves the members of the 2026 plan into 9 plans for 2027. It names the plans but not which member goes to which; the counties show where each 2027 plan is sold, and the plan's Annual Notice of Change says which one is yours.

2027 plan	Sold in	Members in those counties, Sept. 2026	Premium 2027	Limit 2027
Stays in this plan	22 of its 22 2026 counties, in Florida	8,537	$0	$9,850
Devoted Dual Full 080 FLH1290-080	3 of its 22 2026 counties, in Florida	2,476	$0	$9,850
Devoted Dual Full 081 FLH1290-081	1 of its 22 2026 counties, in Florida	1,534	$0	$9,850
Devoted Dual Full 082 FLH1290-082	4 of its 22 2026 counties, in Florida	1,845	$0	$9,850
Devoted Dual Full 083 FLH1290-083	4 of its 22 2026 counties, in Florida	733	$0	$9,850
Devoted Dual Full 096 FLH1290-096	2 of its 22 2026 counties, in Florida	369	$0	$9,850
Devoted Dual Full 098 FLH1290-098	4 of its 22 2026 counties, in Florida	958	$0	$9,850
Devoted Dual Full 100 FLH1290-100	1 of its 22 2026 counties, in Florida	84	$0	$9,850
Devoted Dual Full 101 FLH1290-101	3 of its 22 2026 counties, in Florida	538	$0	$9,850

Where the plans are sold in the same counties, the member counts overlap, so they add up to more than the plan's members.

Source: CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026); CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11).

Who runs this plan?

Plan ID: H1290-052
Legal name of the contract: Devoted Health Plan of Florida, Inc.
Sold as: Devoted Health
Parent company: Devoted Health, Inc.
Plan type: HMO D-SNP
2026 star rating of the contract: 5 of 5 overall; health plan 5 of 5, drug plan 4 of 5
Members, September 2026: 8,566
Plan website, as filed with CMS: www.Devoted.com

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS 2026 Star Ratings (October 2025); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11). CMS publishes the 2027 Star Ratings in October 2026.

What else should you check?

Other 2027 plans in Polk, FLWhere most of its members live; premiums and limits side by side
Every Devoted Health plan for 2027Its contracts, counties and plans that end
The other 91 plans of contract H1290Same company, same contract
Is your prescription covered?Coverage share and tier for 2,259 drugs

Data, not advice. These are the plan's filed amounts, not a quote for you; confirm on Medicare Plan Finder or call the plan before you enroll.