Humana Gold Plus H1951-050 (HMO)


Medicare Plan Details

2020 Plan
Monthly Premium
(select county for price)

 

by Humana
Additional Coverage

(none)

Overall Government Star Rating
 4.5
out of 5 stars

State: Louisiana

Select your county to view the price for this plan

 


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

 

$0
$0
$0
Coming soon
$6,700 In-network
No
No
No
No

Medical Benefits

Doctor Services

20% per visit
20% per visit

Tests, labs, & imaging

$0 or 20%
$0 or 20%
20%
20%
$90 per visit (always covered)
20% per visit (always covered)

Hospital Services

$600 per day for days 1 through 3
$0 per day for days 4 through 90
$0 per day for days 91 and beyond
20% per visit

Skilled nursing facility

$0 per day for days 1 through 20
$178 per day for days 21 through 100

Preventive services

$0 copay

Ambulance

20%

Therapy services

20%
20%

Mental health services

20%
20%
20%
20%

Opioid treatment services

Covered

Other services

18% per item
20% per item
$0 or 20% per item

Prescription Drug Benefits

Tier drug costs for: Standard retail pharmacy drug cost for 1-month

TiersInitial coverage phaseGap coverage phaseCatastrophic coverage phase
Preferred Generic$10.00 copay


Generic drugs :
25%

Brand-name drugs :
25%


Generic drugs :
$3.60 copay or 5% (whichever costs more)

Brand-name drugs :
$8.95 copay or 5% (whichever costs more)

Generic$20.00 copay
Preferred Brand$47.00 copay
Non-Preferred Drug$100.00 copay
Specialty Tier26%

Part B Drugs

20%
$0 or 20%

Extra Benefits

Hearing

20%
Not covered
Not covered
Not covered
Not covered

Preventive Dental

Not covered
Not covered
Not covered
Not covered

Comprehensive dental

Not covered
Not covered
Not covered
Not covered
Not covered
Not covered
Not covered

Vision

Not covered
Not covered
Not covered
Not covered
Not covered
Not covered

Other benefits

Limited coverage
Not covered
Not covered
Not covered
Limited coverage
Limited coverage
Limited coverage
 4
 4
 4
 5
 4
 4
 4.5
 4
 5
 5
 4

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