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

Devoted Dual Qmb 055 FL, 2027

H1290Contract055Plan

HMO D-SNP · special needs plan, dual-eligible · 1 county in Florida

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

Renews, split in two

2026 star rating, contract H1290: 5 of 5

Devoted Dual Qmb 055 FL (H1290-055) costs $0 a month in 2027, down $4.80 from 2026, with an in-network out-of-pocket limit of $9,850 ($9,250 in 2026). In 2026 it was called Devoted Dual Plus 055 FL. Some of its 2026 members move to H1290-079 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 get20262027Change
Plan nameDevoted Dual Plus 055 FLDevoted Dual Qmb 055 FLrenamed
Monthly premium$4.80$0down $4.80
In-network out-of-pocket limit$9,250$9,850up $600
Drug deductible$615$700up $85
Hospital stay, in network$2,230 a stay$1,991 a staydown $239for 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 21–100up $30for a 30-day stay
Ground ambulance, in network0% of the cost20% of the costchanged
Drug tier 1, preferred generic25% of the cost$0changed
Drug tier 2, generic25% of the cost$0changed
Drug tier 3, preferred brand25% of the cost11% of the costdown 14 points
12 lines do not change
Part B premium reduction, monthlynonenoneno change
Primary care visit$0 copay$0 copayno change
Specialist visit20% of the cost20% of the costno change
Emergency room$115 copay$115 copayno change
Medical deductible, in networknonenoneno change
Comprehensive dental, yearly limitnot offerednot offeredno change
Eyewear, yearly limit$400 a year$400 a yearno change
Hearing aids, yearly limit for both earsnot offerednot offeredno change
Over-the-counter items, yearly$200 a year$200 a yearno change
Counties served11no change
Drug tier 4, non-preferred drug25% of the cost25% of the costno change
Drug tier 5, specialty tier25% of the cost25% of the costno 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
TierWhat the tier holds20262027
Tier 1Preferred Generic25% of the cost$0
Tier 2Generic25% of the cost$0
Tier 3Preferred Brand25% of the cost11% of the cost
Tier 4Non-Preferred Drug25% of the cost25% of the cost
Tier 5Specialty Tier25% of the cost25% 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, 31 dual-eligible special needs plans are sold for 2027, this one included. Against the others, 14 plans have a lower out-of-pocket limit, 16 the same. On the premium, 25 the same, 5 a higher one.

Out-of-pocket limits of the 31 dual-eligible special needs plans

$0 to under $2,0003 plans
$2,000 to under $4,0009 plans
$4,000 to under $6,0002 plans
$6,000 to under $8,0000 plans
$8,000 to $10,000 (this plan)17 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 1 county: $0 a month and $9,850.

Florida

Palm Beach

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 2 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 planSold inMembers in those counties, Sept. 2026Premium 2027Limit 2027
Stays in this plan1 of its 1 2026 counties, in Florida828$0$9,850
Devoted Dual Full 079 FLH1290-0791 of its 1 2026 counties, in Florida828$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
H1290-055
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
828
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?

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.