Select your County to view details for Humana Gold Plus (HMO) specific to your location


Overview of Humana Gold Plus (HMO) in Pennsylvania

by Humana

Additional Coverage

HearingVisionDental

Overall Government Star Rating

 3.5
out of 5 stars

Variations of Humana Gold Plus (HMO) Within Pennsylvania

Humana Gold Plus (HMO) is available in 42 Pennsylvania Counties. Pricing and benefit details can vary by location. Each variation of Humana Gold Plus (HMO) has a unique Plan ID and benefits which can differ by monthly premium, deductible, out-of-pocket maximum, and other costs such as copays and coinsurance. Each variation of Humana Gold Plus (HMO) in Pennsylvania is listed below:

Monthly Premium
$0 per month
Deductible
$230 In-network
Out-of-Pocket Max
$9,350 In-network

Available in Counties: Berks, Cumberland, Dauphin, Franklin, Fulton, Huntingdon, Lancaster, Lawrence, Lebanon, Mercer, Perry
Monthly Premium
$0 per month
Deductible
$265 In-network
Out-of-Pocket Max
$7,950 In-network

Available in Counties: Allegheny, Beaver, Butler, Clarion, Clearfield, Crawford, Elk, Erie, Fayette, Greene, Jefferson, Lawrence, Mercer, Washington, Westmoreland
Monthly Premium
$0 per month
Deductible
$210 In-network
Out-of-Pocket Max
$8,900 In-network

Available in Counties: Bucks, Chester, Delaware, Montgomery, Philadelphia
Monthly Premium
$0 per month
Deductible
$200 In-network
Out-of-Pocket Max
$9,350 In-network

Available in Counties: Bradford, Carbon, Lackawanna, Lehigh, Luzerne, Lycoming, Monroe, Northampton, Schuylkill, Sullivan, Susquehanna, Tioga, Wyoming

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 2025, Humana Gold Plus (HMO) received an overall government quality rating of 3.5 stars out of 5 stars.

Humana Gold Plus (HMO) performed worse than Pennsylvania’s State average overall quality score of 4.2 stars.

This Plan’s 5-star Gov’t Quality Score
Pennsylvania State Average Score
Overall Government 5 Star Quality Rating
 3.5
 4.2
Summary rating of health plan quality
 3.5
 4.2
Staying healthy: screenings, tests, & vaccines
 3
 3.6
Managing chronic (long term) conditions
 4
 3.6
Member experience with health plan
 4
 4.1
Member complaints & changes in the health plan's performance
 3
 4.3
Health plan customer service
 4
 4.2
Summary rating of drug plan quality
 3.5
 4.1
Drug plan customer service
 4
 3.9
Member complaints & changes in the drug plan's performance
 3
 3.9
Member experience with the drug plan
 4
 4.4
Drug safety & accuracy of drug pricing
 3
 3.6

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 (HMO) received 3.5 stars for its health plan quality score which is worse than the Pennsylvania State average health plan quality score of 4.2 stars.

Humana Gold Plus (HMO) received 3.5 stars for its drug plan quality score which is worse than the Pennsylvania State average drug plan quality score of 4.1 stars.


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