Humana Gold Plus H1036-268 (HMO)
Florida Medicare Advantage Plan (2023 Plan)
Overall Government Star Rating4.5
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Humana Gold Plus H1036-268 (HMO) is a Medicare Advantage Plan With Part D Prescription Drug Coverage, which is available in Florida 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.
Humana Gold Plus H1036-268 (HMO) has a monthly premium cost of $0 per month, with an annual deductible of $0 and a maximum out of pocket cost sharing of $4,000 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 H1036-268 (HMO) are defined below.
Additional Benefits and Coverage
Humana Gold Plus H1036-268 (HMO) 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 H1036-268 (HMO) includes coverage for hearing, vision, dental.
Medicare Advantage health plans can offer even more additional benefits. Humana Gold Plus H1036-268 (HMO) includes coverage for the following additional benefits:
Comparing the Quality Score of Humana Gold Plus H1036-268 (HMO) to Other Plans in Florida
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 2023, Humana Gold Plus H1036-268 (HMO) received an overall government quality rating of 4.5 stars out of 5 stars.
Humana Gold Plus H1036-268 (HMO) performed better than Florida’s State average overall quality score of 4.0 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 H1036-268 (HMO) received 4.5 stars for its health plan quality score which is better than the Florida State average health plan quality score of 3.9 stars.
Humana Gold Plus H1036-268 (HMO) received 4 stars for its drug plan quality score which is better than the Florida State average drug plan quality score of 3.7 stars.
Plan Benefits and Coverage Details
Tests, labs, & imaging
$0 per day for days 6 through 90
$0 per day for days 91 and beyond
Skilled nursing facility
$150 per day for days 21 through 100
Mental health services
Opioid treatment services
Prescription Drug Benefits
Tier drug costs for: Standard retail pharmacy drug cost for 1-month
|Tiers||Initial coverage phase||Gap coverage phase1||Catastrophic coverage phase|
|Preferred Generic||$0.00 copay||$0.00 copay|
Brand-name drugs :
|Generic||$0.00 copay||$0.00 copay|
|Preferred Brand||$45.00 copay|
|Non-Preferred Drug||$95.00 copay|
|1 For all other drugs, you pay 25% for generic drugs and 25% for brand-name drugs.|
Part B Drugs
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In this article we rank Florida 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.
The Medicare landscape in Florida 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 Florida.