Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP)
Medicare Plan Details (2023 Plan)
Monthly Premium
by Humana
Additional Coverage
Overall Government Star Rating
4.0Ready to Enroll Online?
Plan Type
Medicare Advantage (Part C) with Prescription Drug (Part D)
Medicare Advantage combines Part A and Part B. This plan = Part A + Part B + Part D
Plan 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
Other benefits
Health Plan Star Ratings
(government star ratings are out of 5 stars)
Prescription Drug Plan Star Ratings
(government star ratings are out of 5 stars)
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