Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP)
Arkansas Medicare-Medicaid Dual Eligible D-SNP Plan (2024 Plan)
Monthly Premium
Additional Coverage
Overall Government Star Rating
4.0Ready to Enroll Online?
Plan Overview
Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP) is a Medicare-Medicaid Dual Eligible Medicare Advantage Plan (D-SNP), which is available in Arkansas and offered by the health insurance company Humana. This plan’s network type is HMO which determines in-network doctors who accept the health plan and whether a referral is needed.
Cost Summary
Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP) has a monthly premium cost of $0 per month, with an annual deductible of $0 and a maximum out of pocket cost sharing of $8,300 In-network. The most common benefit costs which people evaluate when choosing a plan are costs for a primary doctor visit, specialist doctor visit, emergency room visit, and ambulance. These costs are listed in this summary section and a full list of benefit costs for Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP) are defined below.
Additional Benefits and Coverage
Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP) is a Medicare Advantage plan which does include Medicare Part D Prescription Drug coverage. Other common benefits included with Medicare Advantage plans are coverage for dental, vision, and hearing. Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP) includes coverage for hearing, vision, dental.
Medicare Advantage health plans can offer even more additional benefits. Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP) includes coverage for the following additional benefits:
Other benefits
Comparing the Quality Score of Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP) to Other Plans in Arkansas
Each year the federal government evaluates the quality of Medicare Advantage and Part D Prescription Drug plans based on a 5-star scoring system. For 2024, Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP) received an overall government quality rating of 4.0 stars out of 5 stars.
Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP) performed better than Arkansas’s State average overall quality score of 3.8 stars.
The government calculates an “Overall star rating” based on ratings for sub components including “Health plan star rating” and “Drug plan star rating”, which includes further subcomponents of each.
Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP) received 4 stars for its health plan quality score which is better than the Arkansas State average health plan quality score of 3.7 stars.
Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP) received 3.5 stars for its drug plan quality score which is worse than the Arkansas State average drug plan quality score of 3.7 stars.
Plan Benefits and Coverage Details
Medical Benefits
Doctor Services
Out-of-network: No Data
Out-of-network: No Data
Tests, labs, & imaging
Out-of-network: No Data
Out-of-network: No Data
Out-of-network: No Data
Out-of-network: No Data
Hospital Services
Out-of-network: Not Applicable
Out-of-network: No Data
Skilled nursing facility
Out-of-network: Not Applicable
Preventive services
Out-of-network: No Data
Ambulance
Out-of-network: No Data
Therapy services
Out-of-network: No Data
Out-of-network: No Data
Mental health services
Out-of-network: No Data
Out-of-network: No Data
Out-of-network: No Data
Out-of-network: No Data
Opioid treatment services
Other services
Out-of-network: No Data
Out-of-network: No Data
Out-of-network: No Data
Prescription Drug Benefits
Tier drug costs for: Standard retail pharmacy drug cost for 1-month
| Tiers | Initial coverage phase | Gap coverage phase | Catastrophic coverage phase |
|---|---|---|---|
| Preferred Generic |
Brand-name drugs :
|
Brand-name drugs :
| |
| Generic | |||
| Preferred Brand | |||
| Non-Preferred Drug | |||
| Specialty Tier |
Part B Drugs
Out-of-network: No Data
Out-of-network: No Data
Extra Benefits
Hearing
Out-of-network: No Data
Out-of-network: No Data
Out-of-network: No Data
Preventive Dental
Out-of-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Comprehensive dental
Out-of-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Vision
Out-of-network: No Data
Out-of-network: No Data
Out-of-network: No Data
When Can I Sign Up for Medicare?
Enter your birthday month and year to learn when you can sign up for different Medicare plan options.
Speak with a Licensed Insurance Agent
Mon-Fri: 8am - 11pm ET
Sat-Sun: 8am - 11pm ET
- Medicare Advantage Plans
- Medicare Prescription Drug Plans
- Medicare Supplement Insurance Plans
No obligation to enroll. Find your plan online or speak with a licensed insurance agent to get help signing up for the right plan for you! See www.medicare65quote.com for our Third-Party Marketing Organization disclaimer.
Best Arkansas Medicare Advantage Health Insurance Companies for 2024
Health Plan RadarIn this article we rank Arkansas Medicare Advantage plans based on our evaluation of government 5-star quality scores. Each year the government rates the quality of Medicare Advantage health insurance plans with a 5-star quality score. An overall quality score is assigned to each plan which is based on the scores of various quality metrics.
New Arkansas Medicare Advantage Health Insurance Companies for 2024
Health Plan RadarThe Medicare landscape in Arkansas is constantly changing. In this article we show a summary of new and returning health insurance companies offering Medicare Advantage Plans (Part C) and Medicare Prescription Drug Plans (Part D) in Arkansas.