Humana Gold Plus SNP-DE H1036-214 (HMO D-SNP)
Monthly premium
$0.00
CMS Plan Rating
Contract ID
★★★★
★
H1036-214-000
Medical deductible
$0
Rx deductible
$305 (Tiers 3-5)
Medicare Part B Giveback
N/A
Monthly premium
$0.00
Humana Gold Plus SNP-DE H1036-214 (HMO D-SNP)
Contract ID
CMS Plan Rating
H1036-214-000
★★★★
★
Medical deductible
$0
Rx deductible
$305 (Tiers 3-5)
Medicare Part B Giveback
N/A
Medicare Advantage, also known as Medicare Part C, is a health plan option that provides Medicare Part A and Part B coverage. Medicare Advantage plans are offered by private insurance companies that are approved by Medicare. These plans provide benefits similar to Original Medicare Part A and Part B, but often include additional benefits such as dental, hearing and vision.
Medical benefits
In-network
What you pay
Primary doctor
$0 copay
Specialist
$0 copay
Outpatient diagnostic tests/Lab and X-Rays
$0 copay
Urgent care
$0 copay
Maximum Out-of-Pocket (Annually)
$3,400 in-network
Ambulance services
$0 or $100 copay
Emergency room (waived if admitted to hospital within 24 hours)
$0 or $115 copay
Inpatient hospital care
$0 copay per admit
Skilled nursing facility
$0 copay per admit
- Important Notice
For full plan details, see the Evidence of Coverage or Summary of Benefits in the Plan Documents.
Rx benefits
Tier 1 - Preferred generic
$0 copay
Tier 2 - Generic
$0 copay
Tier 3 - Preferred brand
25%
Tier 4 - Non-preferred brand
25%
Tier 5 - Specialty
29%
Additional Benefits
- Vision
- Dental
- Hearing
- SilverSneakers Gym Membership
- Worldwide Emergency Coverage