2025 Medicare Advantage Plans
2025 Medicare Advantage Plans
Plan Type
Company
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CMS Star Ratings:
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Aetna Medicare Select (HMO)
Contract ID:
H1609-018-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $2,900
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
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Aetna Medicare Select (HMO)
Contract ID:
H1609-018-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $2,900
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
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Aetna Medicare Select (HMO)
Contract ID:
H1609-020-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $5 copay
- $0 copay
- $0 copay
- $3,400
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Select (HMO)
Contract ID:
H1609-020-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $5 copay
- $0 copay
- $0 copay
- $3,400
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Select (HMO)
Contract ID:
H1609-021-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $200
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $20 copay
- $0 copay
- $0 copay
- $3,300
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Select (HMO)
Contract ID:
H1609-021-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $200
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $20 copay
- $0 copay
- $0 copay
- $3,300
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Select (HMO)
Contract ID:
H1609-022-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $200
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $20 copay
- $0 copay
- $0 copay
- $2,900
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Select (HMO)
Contract ID:
H1609-022-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $200
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $20 copay
- $0 copay
- $0 copay
- $2,900
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Select (HMO)
Contract ID:
H1609-025-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $200
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $20 copay
- $0 copay
- $0 copay
- $3,400
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Select (HMO)
Contract ID:
H1609-025-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $200
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $20 copay
- $0 copay
- $0 copay
- $3,400
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Select (HMO)
Contract ID:
H1609-027-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $25 copay
- $0 copay
- $0 copay
- $3,300
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Select (HMO)
Contract ID:
H1609-027-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $25 copay
- $0 copay
- $0 copay
- $3,300
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Select (HMO)
Contract ID:
H1609-041-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $200
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $20 copay
- $0 copay
- $0 copay
- $3,900
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Select (HMO)
Contract ID:
H1609-041-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $200
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $20 copay
- $0 copay
- $0 copay
- $3,900
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Select (HMO)
Contract ID:
H1609-059-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $200
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $20 copay
- $0 copay
- $0 copay
- $3,900
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Select (HMO)
Contract ID:
H1609-059-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $200
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $20 copay
- $0 copay
- $0 copay
- $3,900
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Select (HMO)
Contract ID:
H1609-063-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $200
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $15 copay
- $0 copay
- $0 copay
- $3,900
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Select (HMO)
Contract ID:
H1609-063-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $200
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $15 copay
- $0 copay
- $0 copay
- $3,900
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Select (HMO)
Contract ID:
H1609-086-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $200
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $10 copay
- $0 copay
- $0 copay
- $4,150
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Select (HMO)
Contract ID:
H1609-086-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $200
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $10 copay
- $0 copay
- $0 copay
- $4,150
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Select (HMO)
Contract ID:
H1609-087-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $200
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $25 copay
- $0 copay
- $0 copay
- $4,200
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Select (HMO)
Contract ID:
H1609-087-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $200
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $25 copay
- $0 copay
- $0 copay
- $4,200
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Select (HMO)
Contract ID:
H1609-093-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $200
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $20 copay
- $0 copay
- $0 copay
- $2,900
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Select (HMO)
Contract ID:
H1609-093-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $200
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $20 copay
- $0 copay
- $0 copay
- $2,900
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Signature (PPO)
Contract ID:
H5521-033-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $60 copay
- $0 copay
- $0 copay
- $6,750
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Signature (PPO)
Contract ID:
H5521-033-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $60 copay
- $0 copay
- $0 copay
- $6,750
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Signature (PPO)
Contract ID:
H5521-271-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $30 copay
- $0 copay
- $0 copay
- $5,900
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Signature (PPO)
Contract ID:
H5521-271-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $30 copay
- $0 copay
- $0 copay
- $5,900
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Signature (PPO)
Contract ID:
H5521-272-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $75 copay
- $0 copay
- $0 copay
- $5,500
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Signature (PPO)
Contract ID:
H5521-272-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $75 copay
- $0 copay
- $0 copay
- $5,500
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Signature Extra (PPO)
Contract ID:
H5521-305-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $60 copay
- $0 copay
- $0 copay
- $5,900
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Signature Extra (PPO)
Contract ID:
H5521-305-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $60 copay
- $0 copay
- $0 copay
- $5,900
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Eagle Giveback (PPO)
Contract ID:
H5521-306-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- N/A
- $120
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $50 copay
- N/A
- N/A
- $6,750
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Eagle Giveback (PPO)
Contract ID:
H5521-306-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- N/A
- $120
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $50 copay
- N/A
- N/A
- $6,750
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Signature (PPO)
Contract ID:
H5521-433-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $40 copay
- $0 copay
- $0 copay
- $5,900
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Signature (PPO)
Contract ID:
H5521-433-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $40 copay
- $0 copay
- $0 copay
- $5,900
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Signature (PPO)
Contract ID:
H5521-435-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $75 copay
- $0 copay
- $0 copay
- $5,900
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Signature (PPO)
Contract ID:
H5521-435-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $75 copay
- $0 copay
- $0 copay
- $5,900
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Signature (PPO)
Contract ID:
H5521-569-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $60 copay
- $0 copay
- $0 copay
- $6,750
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Signature (PPO)
Contract ID:
H5521-569-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $60 copay
- $0 copay
- $0 copay
- $6,750
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Premier (PPO)
Contract ID:
H5521-586-000
Monthly premium
$53.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $40 copay
- $0 copay
- $0 copay
- $6,750
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Premier (PPO)
Contract ID:
H5521-586-000
Monthly premium
$53.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $40 copay
- $0 copay
- $0 copay
- $6,750
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Premier (PPO)
Contract ID:
H5521-688-000
Monthly premium
$74.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $45 copay
- $0 copay
- $0 copay
- $6,750
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Premier (PPO)
Contract ID:
H5521-688-000
Monthly premium
$74.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $45 copay
- $0 copay
- $0 copay
- $6,750
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Signature (PPO)
Contract ID:
H5521-702-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $60 copay
- $0 copay
- $0 copay
- $6,750
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Signature (PPO)
Contract ID:
H5521-702-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $60 copay
- $0 copay
- $0 copay
- $6,750
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Signature Extra (PPO)
Contract ID:
H5521-704-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $60 copay
- $0 copay
- $0 copay
- $6,750
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Signature Extra (PPO)
Contract ID:
H5521-704-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $60 copay
- $0 copay
- $0 copay
- $6,750
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Signature (PPO)
Contract ID:
H5521-705-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $70 copay
- $0 copay
- $0 copay
- $6,750
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Signature (PPO)
Contract ID:
H5521-705-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $70 copay
- $0 copay
- $0 copay
- $6,750
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Premier (PPO)
Contract ID:
H5521-706-000
Monthly premium
$74.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $50 copay
- $0 copay
- $0 copay
- $6,750
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Premier (PPO)
Contract ID:
H5521-706-000
Monthly premium
$74.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $50 copay
- $0 copay
- $0 copay
- $6,750
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Signature (PPO)
Contract ID:
H5521-710-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $60 copay
- $0 copay
- $0 copay
- $6,750
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Signature (PPO)
Contract ID:
H5521-710-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $60 copay
- $0 copay
- $0 copay
- $6,750
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus H1036-065C (HMO)
Contract ID:
H1036-065C-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $1
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $1,000 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus H1036-065C (HMO)
Contract ID:
H1036-065C-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $1
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $1,000 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Giveback H1036-305 (HMO)
Contract ID:
H1036-305-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $148
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $30 copay
- $0 copay
- $0 copay
- $3,850 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Giveback H1036-305 (HMO)
Contract ID:
H1036-305-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $148
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $30 copay
- $0 copay
- $0 copay
- $3,850 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus - Diabetes and Heart H1036-121 (HMO C-SNP)
Contract ID:
H1036-121-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $166
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $15 copay
- $0 copay
- $0 copay
- $2,450 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus - Diabetes and Heart H1036-121 (HMO C-SNP)
Contract ID:
H1036-121-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $166
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $15 copay
- $0 copay
- $0 copay
- $2,450 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Lung H1036-297 (HMO C-SNP)
Contract ID:
H1036-297-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $166
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $15 copay
- $0 copay
- $0 copay
- $2,450 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Lung H1036-297 (HMO C-SNP)
Contract ID:
H1036-297-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $166
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $15 copay
- $0 copay
- $0 copay
- $2,450 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana USAA Honor Giveback H1036-279 (HMO)
Contract ID:
H1036-279-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- N/A
- $115
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $40 copay
- N/A
- N/A
- $3,400 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana USAA Honor Giveback H1036-279 (HMO)
Contract ID:
H1036-279-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- N/A
- $115
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $40 copay
- N/A
- N/A
- $3,400 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus SNP-DE H1036-304 (HMO D-SNP)
Contract ID:
H1036-304-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0 - $400 (Tiers 3-5)
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $3,400 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus SNP-DE H1036-304 (HMO D-SNP)
Contract ID:
H1036-304-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0 - $400 (Tiers 3-5)
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $3,400 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus SNP-DE A H1036-077A (HMO D-SNP)
Contract ID:
H1036-077A-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0 - $250 (Tiers 3-5)
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $3,400 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus SNP-DE A H1036-077A (HMO D-SNP)
Contract ID:
H1036-077A-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0 - $250 (Tiers 3-5)
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $3,400 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

HumanaChoice Florida SNP-DE H7617-113 (PPO D-SNP)
Contract ID:
H7617-113-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0 - $615 (Tiers 3-5)
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $4,900 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

HumanaChoice Florida SNP-DE H7617-113 (PPO D-SNP)
Contract ID:
H7617-113-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0 - $615 (Tiers 3-5)
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $4,900 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus H1036-054C (HMO)
Contract ID:
H1036-054C-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $2
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $500 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus H1036-054C (HMO)
Contract ID:
H1036-054C-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $2
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $500 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana USAA Honor Giveback H5216-256 (PPO)
Contract ID:
H5216-256-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- N/A
- $140.50
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $40 copay
- N/A
- N/A
- $4,900 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana USAA Honor Giveback H5216-256 (PPO)
Contract ID:
H5216-256-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- N/A
- $140.50
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $40 copay
- N/A
- N/A
- $4,900 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Dual Integrated H1036-339 (HMO D-SNP)
Contract ID:
H1036-339-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,250 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Dual Integrated H1036-339 (HMO D-SNP)
Contract ID:
H1036-339-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,250 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus C H1036-062C (HMO)
Contract ID:
H1036-062C-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $3
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $5 copay
- $0 copay
- $0 copay
- $1,625 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus C H1036-062C (HMO)
Contract ID:
H1036-062C-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $3
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $5 copay
- $0 copay
- $0 copay
- $1,625 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus H1036-044 (HMO)
Contract ID:
H1036-044-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $3
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $10 copay
- $0 copay
- $0 copay
- $2,700 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus H1036-044 (HMO)
Contract ID:
H1036-044-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $3
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $10 copay
- $0 copay
- $0 copay
- $2,700 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Giveback H1036-157 (HMO)
Contract ID:
H1036-157-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $136.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $25 copay
- $0 copay
- $0 copay
- $3,700 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Giveback H1036-157 (HMO)
Contract ID:
H1036-157-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $136.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $25 copay
- $0 copay
- $0 copay
- $3,700 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus - Diabetes and Heart H1036-301 (HMO C-SNP)
Contract ID:
H1036-301-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $111.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $30 copay
- $0 copay
- $0 copay
- $3,300 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus - Diabetes and Heart H1036-301 (HMO C-SNP)
Contract ID:
H1036-301-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $111.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $30 copay
- $0 copay
- $0 copay
- $3,300 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Lung H1036-315 (HMO C-SNP)
Contract ID:
H1036-315-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $116
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $30 copay
- $0 copay
- $0 copay
- $3,300 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Lung H1036-315 (HMO C-SNP)
Contract ID:
H1036-315-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $116
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $30 copay
- $0 copay
- $0 copay
- $3,300 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Value Choice H5216-070 (PPO)
Contract ID:
H5216-070-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $1
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $35 copay
- $0 copay
- $5 copay
- $6,750 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Value Choice H5216-070 (PPO)
Contract ID:
H5216-070-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $1
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $35 copay
- $0 copay
- $5 copay
- $6,750 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana USAA Honor Giveback H1036-290 (HMO)
Contract ID:
H1036-290-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- N/A
- $90
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $25 copay
- N/A
- N/A
- $6,700 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana USAA Honor Giveback H1036-290 (HMO)
Contract ID:
H1036-290-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- N/A
- $90
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $25 copay
- N/A
- N/A
- $6,700 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP)
Contract ID:
H1036-314-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $3,400 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP)
Contract ID:
H1036-314-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $3,400 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus SNP-DE H1036-209 (HMO D-SNP)
Contract ID:
H1036-209-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $225 (Tiers 3-5)
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $3,400 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus SNP-DE H1036-209 (HMO D-SNP)
Contract ID:
H1036-209-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $225 (Tiers 3-5)
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $3,400 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Dual Integrated H1036-340 (HMO D-SNP)
Contract ID:
H1036-340-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,250 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Dual Integrated H1036-340 (HMO D-SNP)
Contract ID:
H1036-340-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,250 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus H1036-074 (HMO)
Contract ID:
H1036-074-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $3
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $20 copay
- $0 copay
- $0 copay
- $3,550 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus H1036-074 (HMO)
Contract ID:
H1036-074-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $3
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $20 copay
- $0 copay
- $0 copay
- $3,550 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus H1036-025 (HMO)
Contract ID:
H1036-025-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $3
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $10 copay
- $0 copay
- $0 copay
- $2,000 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus H1036-025 (HMO)
Contract ID:
H1036-025-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $3
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $10 copay
- $0 copay
- $0 copay
- $2,000 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus H1036-230 (HMO)
Contract ID:
H1036-230-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $3
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $5 copay
- $0 copay
- $5 copay
- $2,400 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus H1036-230 (HMO)
Contract ID:
H1036-230-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $3
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $5 copay
- $0 copay
- $5 copay
- $2,400 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Giveback H1036-265 (HMO)
Contract ID:
H1036-265-001
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $165.50
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $10 copay
- $0 copay
- $0 copay
- $2,400 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Giveback H1036-265 (HMO)
Contract ID:
H1036-265-001
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $165.50
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $10 copay
- $0 copay
- $0 copay
- $2,400 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Giveback H1036-266 (HMO)
Contract ID:
H1036-266-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $131.90
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $30 copay
- $0 copay
- $0 copay
- $3,400 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Giveback H1036-266 (HMO)
Contract ID:
H1036-266-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $131.90
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $30 copay
- $0 copay
- $0 copay
- $3,400 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Giveback H1036-265 (HMO)
Contract ID:
H1036-265-002
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $125.50
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $30 copay
- $0 copay
- $0 copay
- $3,300 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Giveback H1036-265 (HMO)
Contract ID:
H1036-265-002
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $125.50
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $30 copay
- $0 copay
- $0 copay
- $3,300 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus - Diabetes and Heart H1036-299 (HMO C-SNP)
Contract ID:
H1036-299-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $177.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $10 copay
- $0 copay
- $0 copay
- $2,000 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus - Diabetes and Heart H1036-299 (HMO C-SNP)
Contract ID:
H1036-299-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $177.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $10 copay
- $0 copay
- $0 copay
- $2,000 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Lung H1036-312 (HMO C-SNP)
Contract ID:
H1036-312-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $175
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $10 copay
- $0 copay
- $0 copay
- $2,000 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Lung H1036-312 (HMO C-SNP)
Contract ID:
H1036-312-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $175
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $10 copay
- $0 copay
- $0 copay
- $2,000 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus - Diabetes and Heart H1036-338 (HMO C-SNP)
Contract ID:
H1036-338-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $2
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $15 copay
- $0 copay
- $0 copay
- $3,300 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus - Diabetes and Heart H1036-338 (HMO C-SNP)
Contract ID:
H1036-338-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $2
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $15 copay
- $0 copay
- $0 copay
- $3,300 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana USAA Honor Giveback H1036-119 (HMO)
Contract ID:
H1036-119-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- N/A
- $150
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $30 copay
- N/A
- N/A
- $3,900 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana USAA Honor Giveback H1036-119 (HMO)
Contract ID:
H1036-119-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- N/A
- $150
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $30 copay
- N/A
- N/A
- $3,900 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus SNP-DE H1036-102 (HMO D-SNP)
Contract ID:
H1036-102-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $1,500 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus SNP-DE H1036-102 (HMO D-SNP)
Contract ID:
H1036-102-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $1,500 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus H1036-217 (HMO)
Contract ID:
H1036-217-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $3
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $10 copay
- $0 copay
- $0 copay
- $3,800 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus H1036-217 (HMO)
Contract ID:
H1036-217-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $3
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $10 copay
- $0 copay
- $0 copay
- $3,800 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Giveback H1036-278 (HMO)
Contract ID:
H1036-278-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $80.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $35 copay
- $0 copay
- $0 copay
- $4,400 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Giveback H1036-278 (HMO)
Contract ID:
H1036-278-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $80.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $35 copay
- $0 copay
- $0 copay
- $4,400 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus - Diabetes and Heart H1036-311 (HMO C-SNP)
Contract ID:
H1036-311-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $104.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $15 copay
- $0 copay
- $0 copay
- $3,300 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus - Diabetes and Heart H1036-311 (HMO C-SNP)
Contract ID:
H1036-311-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $104.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $15 copay
- $0 copay
- $0 copay
- $3,300 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Lung H1036-310 (HMO C-SNP)
Contract ID:
H1036-310-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $140
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $15 copay
- $0 copay
- $0 copay
- $3,300 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Lung H1036-310 (HMO C-SNP)
Contract ID:
H1036-310-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $140
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $15 copay
- $0 copay
- $0 copay
- $3,300 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus SNP-DE H1036-285 (HMO D-SNP)
Contract ID:
H1036-285-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $530 (Tiers 3-5)
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay*
- $0 copay*
- $3,400 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus SNP-DE H1036-285 (HMO D-SNP)
Contract ID:
H1036-285-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $530 (Tiers 3-5)
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay*
- $0 copay*
- $3,400 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus H1036-068 (HMO)
Contract ID:
H1036-068-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $4
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $10 copay
- $0 copay
- $0 copay
- $3,300 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus H1036-068 (HMO)
Contract ID:
H1036-068-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $4
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $10 copay
- $0 copay
- $0 copay
- $3,300 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Giveback H1036-270 (HMO)
Contract ID:
H1036-270-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $100.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $25 copay
- $0 copay
- $0 copay
- $3,900 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Giveback H1036-270 (HMO)
Contract ID:
H1036-270-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $100.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $25 copay
- $0 copay
- $0 copay
- $3,900 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus - Diabetes and Heart H1036-302 (HMO C-SNP)
Contract ID:
H1036-302-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $109.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $20 copay
- $0 copay
- $0 copay
- $3,300 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus - Diabetes and Heart H1036-302 (HMO C-SNP)
Contract ID:
H1036-302-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $109.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $20 copay
- $0 copay
- $0 copay
- $3,300 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Lung H1036-316 (HMO C-SNP)
Contract ID:
H1036-316-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $109
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $20 copay
- $0 copay
- $0 copay
- $3,300 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Lung H1036-316 (HMO C-SNP)
Contract ID:
H1036-316-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $109
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $20 copay
- $0 copay
- $0 copay
- $3,300 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus SNP-DE H1036-210 (HMO D-SNP)
Contract ID:
H1036-210-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $3,400 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus SNP-DE H1036-210 (HMO D-SNP)
Contract ID:
H1036-210-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $3,400 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus H1036-146 (HMO)
Contract ID:
H1036-146-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $2
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $5 copay
- $0 copay
- $0 copay
- $2,400 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus H1036-146 (HMO)
Contract ID:
H1036-146-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $2
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $5 copay
- $0 copay
- $0 copay
- $2,400 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Community H1036-332 (HMO)
Contract ID:
H1036-332-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $175 (Tiers 3-5)
- $2
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $20 copay
- $0 copay
- $0 copay
- $2,400 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Community H1036-332 (HMO)
Contract ID:
H1036-332-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $175 (Tiers 3-5)
- $2
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $20 copay
- $0 copay
- $0 copay
- $2,400 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Giveback H1036-269 (HMO)
Contract ID:
H1036-269-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $155.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $15 copay
- $0 copay
- $0 copay
- $3,200 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Giveback H1036-269 (HMO)
Contract ID:
H1036-269-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $155.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $15 copay
- $0 copay
- $0 copay
- $3,200 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Lung H1036-313 (HMO C-SNP)
Contract ID:
H1036-313-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $171
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $15 copay
- $0 copay
- $0 copay
- $3,100 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Lung H1036-313 (HMO C-SNP)
Contract ID:
H1036-313-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $171
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $15 copay
- $0 copay
- $0 copay
- $3,100 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus - Diabetes and Heart H1036-300 (HMO C-SNP)
Contract ID:
H1036-300-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $171
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $15 copay
- $0 copay
- $0 copay
- $3,300 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus - Diabetes and Heart H1036-300 (HMO C-SNP)
Contract ID:
H1036-300-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $171
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $15 copay
- $0 copay
- $0 copay
- $3,300 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

HumanaChoice Florida H5216-074 (PPO)
Contract ID:
H5216-074-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $2
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $35 copay
- $0 copay
- $10 copay
- $4,900 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

HumanaChoice Florida H5216-074 (PPO)
Contract ID:
H5216-074-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $2
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $35 copay
- $0 copay
- $10 copay
- $4,900 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus SNP-DE H1036-213 (HMO D-SNP)
Contract ID:
H1036-213-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $320 (Tiers 3-5)
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $3,400 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus SNP-DE H1036-213 (HMO D-SNP)
Contract ID:
H1036-213-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $320 (Tiers 3-5)
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $3,400 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Total Complete H1036-143 (HMO)
Contract ID:
H1036-143-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $1
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $15 copay
- $0 copay
- $5 copay
- $4,300 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Total Complete H1036-143 (HMO)
Contract ID:
H1036-143-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $1
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $15 copay
- $0 copay
- $5 copay
- $4,300 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Essentials Plus Giveback H1036-271 (HMO)
Contract ID:
H1036-271-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $112.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $35 copay
- $0 copay
- $0 copay
- $6,750 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Essentials Plus Giveback H1036-271 (HMO)
Contract ID:
H1036-271-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $112.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $35 copay
- $0 copay
- $0 copay
- $6,750 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Lung H1036-337 (HMO C-SNP)
Contract ID:
H1036-337-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $106.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $20 copay
- $0 copay
- $0 copay
- $3,300 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Lung H1036-337 (HMO C-SNP)
Contract ID:
H1036-337-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $106.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $20 copay
- $0 copay
- $0 copay
- $3,300 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus - Diabetes and Heart H1036-336 (HMO C-SNP)
Contract ID:
H1036-336-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $106.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $20 copay
- $0 copay
- $0 copay
- $3,300 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus - Diabetes and Heart H1036-336 (HMO C-SNP)
Contract ID:
H1036-336-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $106.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $20 copay
- $0 copay
- $0 copay
- $3,300 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus SNP-DE H1036-214 (HMO D-SNP)
Contract ID:
H1036-214-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $305 (Tiers 3-5)
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $3,400 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus SNP-DE H1036-214 (HMO D-SNP)
Contract ID:
H1036-214-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $305 (Tiers 3-5)
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $3,400 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Dual Integrated H1036-341 (HMO D-SNP)
Contract ID:
H1036-341-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,250 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Dual Integrated H1036-341 (HMO D-SNP)
Contract ID:
H1036-341-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,250 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus H1036-229 (HMO)
Contract ID:
H1036-229-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $2
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $35 copay
- $0 copay
- $0 copay
- $3,800 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus H1036-229 (HMO)
Contract ID:
H1036-229-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $2
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $35 copay
- $0 copay
- $0 copay
- $3,800 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Giveback H1036-286 (HMO)
Contract ID:
H1036-286-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $113.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $40 copay
- $0 copay
- $0 copay
- $5,500 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Giveback H1036-286 (HMO)
Contract ID:
H1036-286-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $113.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $40 copay
- $0 copay
- $0 copay
- $5,500 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus - Diabetes and Heart H1036-292 (HMO C-SNP)
Contract ID:
H1036-292-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $119.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $20 copay
- $0 copay
- $5 copay
- $3,350 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus - Diabetes and Heart H1036-292 (HMO C-SNP)
Contract ID:
H1036-292-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $119.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $20 copay
- $0 copay
- $5 copay
- $3,350 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Lung H1036-298 (HMO C-SNP)
Contract ID:
H1036-298-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $119.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $20 copay
- $0 copay
- $5 copay
- $3,350 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Lung H1036-298 (HMO C-SNP)
Contract ID:
H1036-298-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $119.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $20 copay
- $0 copay
- $5 copay
- $3,350 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus SNP-DE H1036-226 (HMO D-SNP)
Contract ID:
H1036-226-000
Monthly premium
$0 - $0.10
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 3-5)
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $6,650 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus SNP-DE H1036-226 (HMO D-SNP)
Contract ID:
H1036-226-000
Monthly premium
$0 - $0.10
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 3-5)
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $6,650 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Assure Primary (HMO D-SNP)
Contract ID:
H3146-023-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $0
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,350
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Assure Primary (HMO D-SNP)
Contract ID:
H3146-023-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $0
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Assure Flex (HMO D-SNP)
Contract ID:
H3146-019-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $0
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,350
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Assure Flex (HMO D-SNP)
Contract ID:
H3146-019-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $0
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Assure (HMO D-SNP)
Contract ID:
H3146-017-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $0
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,350
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Assure (HMO D-SNP)
Contract ID:
H3146-017-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $0
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Primary (HMO)
Contract ID:
H5521-500-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $0
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $50 copay
- $0 copay
- $5 copay
- $6,750
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Primary (HMO)
Contract ID:
H5521-500-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $0
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $50 copay
- $0 copay
- $5 copay
- $6,750
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Dual Choice (PPO D-SNP)
Contract ID:
H5521-539-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0 - $257
- $0
- $0
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,350
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Dual Choice (PPO D-SNP)
Contract ID:
H5521-539-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0 - $257
- $0
- $0
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Assure (HMO D-SNP)
Contract ID:
H3146-016-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $0
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,350
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Assure (HMO D-SNP)
Contract ID:
H3146-016-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $0
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Premier Plus (PPO)
Contract ID:
H5521-319-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $0
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $25 copay
- $0 copay
- $5 copay
- $6,350
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Premier Plus (PPO)
Contract ID:
H5521-319-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $0
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $25 copay
- $0 copay
- $5 copay
- $6,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Premier (PPO)
Contract ID:
H5521-249-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $0
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $30 copay
- $0 copay
- $5 copay
- $6,750
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Premier (PPO)
Contract ID:
H5521-249-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $0
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $30 copay
- $0 copay
- $5 copay
- $6,750
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Premier (PPO)
Contract ID:
H5521-140-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $250 (Tiers 3-5)
- $35
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $30 copay
- $0 copay
- $10 copay
- $6,750
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Premier (PPO)
Contract ID:
H5521-140-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $250 (Tiers 3-5)
- $35
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $30 copay
- $0 copay
- $10 copay
- $6,750
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Premier (PPO)
Contract ID:
H5521-245-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $250 (Tiers 3-5)
- $0
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $35 copay
- $0 copay
- $10 copay
- $6,750
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Premier (PPO)
Contract ID:
H5521-245-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $250 (Tiers 3-5)
- $0
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $35 copay
- $0 copay
- $10 copay
- $6,750
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Prime (HMO-POS)
Contract ID:
H3146-014-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $0
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $12 copay
- $0 copay
- $5 copay
- $4,150
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Prime (HMO-POS)
Contract ID:
H3146-014-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $0
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $12 copay
- $0 copay
- $5 copay
- $4,150
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Value Plus (HMO)
Contract ID:
H3146-011-000
Monthly premium
$23.90
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $250 (Tiers 3-5)
- $0
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $25 copay
- $0 copay
- $10 copay
- $6,750
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Value Plus (HMO)
Contract ID:
H3146-011-000
Monthly premium
$23.90
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $250 (Tiers 3-5)
- $0
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $25 copay
- $0 copay
- $10 copay
- $6,750
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Eagle (PPO)
Contract ID:
H5521-279-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- N/A
- $40
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $35 copay
- N/A
- N/A
- $6,750
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Eagle (PPO)
Contract ID:
H5521-279-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- N/A
- $40
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $35 copay
- N/A
- N/A
- $6,750
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Value Plus (HMO)
Contract ID:
H5521-251-000
Monthly premium
$19.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $250 (Tiers 3-5)
- $0
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $35 copay
- $0 copay
- $10 copay
- $6,750
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Value Plus (HMO)
Contract ID:
H5521-251-000
Monthly premium
$19.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $250 (Tiers 3-5)
- $0
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $35 copay
- $0 copay
- $10 copay
- $6,750
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

HumanaChoice H5525-024 (PPO)
Contract ID:
H5525-024-000
Monthly premium
$30.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $500
- $350 (Tiers 3-5)
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $15 copay
- $50 copay
- $7 copay
- $17 copay
- $9,350
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

HumanaChoice H5525-024 (PPO)
Contract ID:
H5525-024-000
Monthly premium
$30.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $500
- $350 (Tiers 3-5)
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $15 copay
- $50 copay
- $7 copay
- $17 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ

Humana Gold Choice H8145-069 (PFFS)
Contract ID:
H8145-069-000
Monthly premium
$18.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $340 (Tiers 3-5)
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $20 copay
- $7 copay
- $17 copay
- $6,700
CMS Star Ratings:
โ
โ
โ
โ
โ

Humana Gold Choice H8145-069 (PFFS)
Contract ID:
H8145-069-000
Monthly premium
$18.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $340 (Tiers 3-5)
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $20 copay
- $7 copay
- $17 copay
- $6,700
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus H5619-171 (HMO)
Contract ID:
H5619-171-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $400
- $450 (Tiers 3-5)
- $4.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $30 copay
- $0 copay
- $0 copay
- $9,350
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus H5619-171 (HMO)
Contract ID:
H5619-171-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $400
- $450 (Tiers 3-5)
- $4.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $30 copay
- $0 copay
- $0 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Giveback H5619-169 (HMO)
Contract ID:
H5619-169-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $300
- $450 (Tiers 3-5)
- $109.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $45 copay
- $0 copay
- $0 copay
- $9,350
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Giveback H5619-169 (HMO)
Contract ID:
H5619-169-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $300
- $450 (Tiers 3-5)
- $109.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $45 copay
- $0 copay
- $0 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus - Diabetes and Heart H5619-161 (HMO C-SNP)
Contract ID:
H5619-161-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $450 (Tiers 3-5)
- $2.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $40 copay
- $0 copay
- $5 copay
- $9,350
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus - Diabetes and Heart H5619-161 (HMO C-SNP)
Contract ID:
H5619-161-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $450 (Tiers 3-5)
- $2.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $40 copay
- $0 copay
- $5 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus H5619-152 (HMO)
Contract ID:
H5619-152-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $350 (Tiers 3-5)
- $3.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $15 copay
- $0 copay
- $0 copay
- $9,350
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus H5619-152 (HMO)
Contract ID:
H5619-152-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $350 (Tiers 3-5)
- $3.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $15 copay
- $0 copay
- $0 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus H5619-083 (HMO)
Contract ID:
H5619-083-000
Monthly premium
$1.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $350 (Tiers 3-5)
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $5 copay
- $45 copay
- $4 copay
- $12 copay
- $6,700
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus H5619-083 (HMO)
Contract ID:
H5619-083-000
Monthly premium
$1.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $350 (Tiers 3-5)
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $5 copay
- $45 copay
- $4 copay
- $12 copay
- $6,700
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP)
Contract ID:
H5619-082-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,350
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP)
Contract ID:
H5619-082-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

HumanaChoice H5216-142-001 (PPO)
Contract ID:
H5216-142-001
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $275
- $350 (Tiers 3-5)
- $5.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $45 copay
- $4 copay
- $12 copay
- $9,350
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

HumanaChoice H5216-142-001 (PPO)
Contract ID:
H5216-142-001
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $275
- $350 (Tiers 3-5)
- $5.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $45 copay
- $4 copay
- $12 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

HumanaChoice H5216-423 (PPO)
Contract ID:
H5216-423-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $275
- $450 (Tiers 3-5)
- $3.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $40 copay
- $0 copay
- $0 copay
- $9,350
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

HumanaChoice H5216-423 (PPO)
Contract ID:
H5216-423-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $275
- $450 (Tiers 3-5)
- $3.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $40 copay
- $0 copay
- $0 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

HumanaChoice H5216-347 (PPO)
Contract ID:
H5216-347-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $350 (Tiers 3-5)
- $3.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $30 copay
- $0 copay
- $5 copay
- $9,350
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

HumanaChoice H5216-347 (PPO)
Contract ID:
H5216-347-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $350 (Tiers 3-5)
- $3.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $30 copay
- $0 copay
- $5 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

HumanaChoice H5216-346 (PPO)
Contract ID:
H5216-346-000
Monthly premium
$2.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $1,000
- $350 (Tiers 3-5)
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $15 copay
- $50 copay
- $5 copay
- $12 copay
- $9,350
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

HumanaChoice H5216-346 (PPO)
Contract ID:
H5216-346-000
Monthly premium
$2.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $1,000
- $350 (Tiers 3-5)
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $15 copay
- $50 copay
- $5 copay
- $12 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

HumanaChoice Giveback H5216-345 (PPO)
Contract ID:
H5216-345-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $350
- $450 (Tiers 3-5)
- $105.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $45 copay
- $0 copay
- $5 copay
- $9,350
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

HumanaChoice Giveback H5216-345 (PPO)
Contract ID:
H5216-345-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $350
- $450 (Tiers 3-5)
- $105.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $45 copay
- $0 copay
- $5 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana USAA Honor Giveback H5216-286 (PPO)
Contract ID:
H5216-286-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- N/A
- $140.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $20 copay
- $55 copay
- N/A
- N/A
- $9,350
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana USAA Honor Giveback H5216-286 (PPO)
Contract ID:
H5216-286-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- N/A
- $140.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $20 copay
- $55 copay
- N/A
- N/A
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

HumanaChoice H5216-280-002 (PPO)
Contract ID:
H5216-280-002
Monthly premium
$46.60
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $590 (Tiers 3-5)
- $1.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $10 copay
- $0 copay
- $20 copay
- $9,350
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

HumanaChoice H5216-280-002 (PPO)
Contract ID:
H5216-280-002
Monthly premium
$46.60
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $590 (Tiers 3-5)
- $1.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $10 copay
- $0 copay
- $20 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

HumanaChoice SNP-DE H5216-277 (PPO D-SNP)
Contract ID:
H5216-277-000
Monthly premium
$0 or $257
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,350
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

HumanaChoice SNP-DE H5216-277 (PPO D-SNP)
Contract ID:
H5216-277-000
Monthly premium
$0 or $257
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus - Diabetes and Heart H5216-244 (PPO C-SNP)
Contract ID:
H5216-244-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $450 (Tiers 3-5)
- $3.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $45 copay
- $0 copay
- $5 copay
- $9,350
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus - Diabetes and Heart H5216-244 (PPO C-SNP)
Contract ID:
H5216-244-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $450 (Tiers 3-5)
- $3.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $45 copay
- $0 copay
- $5 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana USAA Honor Giveback H5216-217 (PPO)
Contract ID:
H5216-217-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- N/A
- $60.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $10 copay
- $50 copay
- N/A
- N/A
- $6,700
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana USAA Honor Giveback H5216-217 (PPO)
Contract ID:
H5216-217-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- N/A
- $60.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $10 copay
- $50 copay
- N/A
- N/A
- $6,700
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

HumanaChoice H5216-157 (PPO)
Contract ID:
H5216-157-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- N/A
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $5 copay
- $45 copay
- N/A
- N/A
- $9,350
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

HumanaChoice H5216-157 (PPO)
Contract ID:
H5216-157-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- N/A
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $5 copay
- $45 copay
- N/A
- N/A
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

HumanaChoice Giveback H5216-154 (PPO)
Contract ID:
H5216-154-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $350
- $400 (Tiers 3-5)
- $64.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $20 copay
- $55 copay
- $5 copay
- $15 copay
- $9,350
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

HumanaChoice Giveback H5216-154 (PPO)
Contract ID:
H5216-154-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $350
- $400 (Tiers 3-5)
- $64.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $20 copay
- $55 copay
- $5 copay
- $15 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

HumanaChoice H5216-142-002 (PPO)
Contract ID:
H5216-142-002
Monthly premium
$21.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $500
- $350 (Tiers 3-5)
- $3.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $15 copay
- $45 copay
- $4 copay
- $12 copay
- $9,350
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

HumanaChoice H5216-142-002 (PPO)
Contract ID:
H5216-142-002
Monthly premium
$21.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $500
- $350 (Tiers 3-5)
- $3.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $15 copay
- $45 copay
- $4 copay
- $12 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Full Access R0110-020 (Regional PPO)
Contract ID:
R0110-020-000
Monthly premium
$92.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $340 (Tiers 3-5)
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $20 copay
- $50 copay
- $7 copay
- $17 copay
- $9,350
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Full Access R0110-020 (Regional PPO)
Contract ID:
R0110-020-000
Monthly premium
$92.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $340 (Tiers 3-5)
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $20 copay
- $50 copay
- $7 copay
- $17 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

HumanaChoice R0110-019 (Regional PPO)
Contract ID:
R0110-019-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- N/A
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $40 copay
- N/A
- N/A
- $7,550
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

HumanaChoice R0110-019 (Regional PPO)
Contract ID:
R0110-019-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- N/A
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $40 copay
- N/A
- N/A
- $7,550
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Select (HMO)
Contract ID:
H1609-018-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $2,900
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Select (HMO)
Contract ID:
H1609-018-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $2,900
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Select (HMO)
Contract ID:
H1609-020-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $5 copay
- $0 copay
- $0 copay
- $3,400
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Select (HMO)
Contract ID:
H1609-020-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $5 copay
- $0 copay
- $0 copay
- $3,400
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Select (HMO)
Contract ID:
H1609-021-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $200
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $20 copay
- $0 copay
- $0 copay
- $3,300
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Select (HMO)
Contract ID:
H1609-021-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $200
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $20 copay
- $0 copay
- $0 copay
- $3,300
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Select (HMO)
Contract ID:
H1609-022-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $200
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $20 copay
- $0 copay
- $0 copay
- $2,900
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Select (HMO)
Contract ID:
H1609-022-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $200
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $20 copay
- $0 copay
- $0 copay
- $2,900
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Select (HMO)
Contract ID:
H1609-025-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $200
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $20 copay
- $0 copay
- $0 copay
- $3,400
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Select (HMO)
Contract ID:
H1609-025-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $200
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $20 copay
- $0 copay
- $0 copay
- $3,400
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Select (HMO)
Contract ID:
H1609-027-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $25 copay
- $0 copay
- $0 copay
- $3,300
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Select (HMO)
Contract ID:
H1609-027-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $25 copay
- $0 copay
- $0 copay
- $3,300
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Select (HMO)
Contract ID:
H1609-041-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $200
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $20 copay
- $0 copay
- $0 copay
- $3,900
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Select (HMO)
Contract ID:
H1609-041-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $200
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $20 copay
- $0 copay
- $0 copay
- $3,900
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Select (HMO)
Contract ID:
H1609-059-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $200
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $20 copay
- $0 copay
- $0 copay
- $3,900
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Select (HMO)
Contract ID:
H1609-059-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $200
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $20 copay
- $0 copay
- $0 copay
- $3,900
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
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Aetna Medicare Select (HMO)
Contract ID:
H1609-063-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $200
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $15 copay
- $0 copay
- $0 copay
- $3,900
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Select (HMO)
Contract ID:
H1609-063-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $200
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $15 copay
- $0 copay
- $0 copay
- $3,900
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Select (HMO)
Contract ID:
H1609-086-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $200
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $10 copay
- $0 copay
- $0 copay
- $4,150
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Select (HMO)
Contract ID:
H1609-086-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $200
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $10 copay
- $0 copay
- $0 copay
- $4,150
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Select (HMO)
Contract ID:
H1609-087-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $200
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $25 copay
- $0 copay
- $0 copay
- $4,200
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Select (HMO)
Contract ID:
H1609-087-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $200
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $25 copay
- $0 copay
- $0 copay
- $4,200
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Select (HMO)
Contract ID:
H1609-093-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $200
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $20 copay
- $0 copay
- $0 copay
- $2,900
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Select (HMO)
Contract ID:
H1609-093-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $200
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $20 copay
- $0 copay
- $0 copay
- $2,900
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Signature (PPO)
Contract ID:
H5521-033-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $60 copay
- $0 copay
- $0 copay
- $6,750
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Signature (PPO)
Contract ID:
H5521-033-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $60 copay
- $0 copay
- $0 copay
- $6,750
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Signature (PPO)
Contract ID:
H5521-271-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $30 copay
- $0 copay
- $0 copay
- $5,900
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Signature (PPO)
Contract ID:
H5521-271-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $30 copay
- $0 copay
- $0 copay
- $5,900
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Signature (PPO)
Contract ID:
H5521-272-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $75 copay
- $0 copay
- $0 copay
- $5,500
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Signature (PPO)
Contract ID:
H5521-272-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $75 copay
- $0 copay
- $0 copay
- $5,500
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Signature Extra (PPO)
Contract ID:
H5521-305-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $60 copay
- $0 copay
- $0 copay
- $5,900
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Signature Extra (PPO)
Contract ID:
H5521-305-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $60 copay
- $0 copay
- $0 copay
- $5,900
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Eagle Giveback (PPO)
Contract ID:
H5521-306-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- N/A
- $120
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $50 copay
- N/A
- N/A
- $6,750
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Eagle Giveback (PPO)
Contract ID:
H5521-306-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- N/A
- $120
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $50 copay
- N/A
- N/A
- $6,750
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Signature (PPO)
Contract ID:
H5521-433-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $40 copay
- $0 copay
- $0 copay
- $5,900
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Signature (PPO)
Contract ID:
H5521-433-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $40 copay
- $0 copay
- $0 copay
- $5,900
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Signature (PPO)
Contract ID:
H5521-435-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $75 copay
- $0 copay
- $0 copay
- $5,900
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Signature (PPO)
Contract ID:
H5521-435-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $75 copay
- $0 copay
- $0 copay
- $5,900
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Signature (PPO)
Contract ID:
H5521-569-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $60 copay
- $0 copay
- $0 copay
- $6,750
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Signature (PPO)
Contract ID:
H5521-569-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $60 copay
- $0 copay
- $0 copay
- $6,750
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Premier (PPO)
Contract ID:
H5521-586-000
Monthly premium
$53.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $40 copay
- $0 copay
- $0 copay
- $6,750
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Premier (PPO)
Contract ID:
H5521-586-000
Monthly premium
$53.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $40 copay
- $0 copay
- $0 copay
- $6,750
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Premier (PPO)
Contract ID:
H5521-688-000
Monthly premium
$74.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $45 copay
- $0 copay
- $0 copay
- $6,750
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Premier (PPO)
Contract ID:
H5521-688-000
Monthly premium
$74.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $45 copay
- $0 copay
- $0 copay
- $6,750
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Signature (PPO)
Contract ID:
H5521-702-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $60 copay
- $0 copay
- $0 copay
- $6,750
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Signature (PPO)
Contract ID:
H5521-702-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $60 copay
- $0 copay
- $0 copay
- $6,750
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Signature Extra (PPO)
Contract ID:
H5521-704-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $60 copay
- $0 copay
- $0 copay
- $6,750
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Signature Extra (PPO)
Contract ID:
H5521-704-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $60 copay
- $0 copay
- $0 copay
- $6,750
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Signature (PPO)
Contract ID:
H5521-705-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $70 copay
- $0 copay
- $0 copay
- $6,750
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Signature (PPO)
Contract ID:
H5521-705-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $70 copay
- $0 copay
- $0 copay
- $6,750
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Premier (PPO)
Contract ID:
H5521-706-000
Monthly premium
$74.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $50 copay
- $0 copay
- $0 copay
- $6,750
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Premier (PPO)
Contract ID:
H5521-706-000
Monthly premium
$74.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $50 copay
- $0 copay
- $0 copay
- $6,750
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Signature (PPO)
Contract ID:
H5521-710-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $60 copay
- $0 copay
- $0 copay
- $6,750
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
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Aetna Medicare Signature (PPO)
Contract ID:
H5521-710-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $60 copay
- $0 copay
- $0 copay
- $6,750
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus H1036-065C (HMO)
Contract ID:
H1036-065C-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $1
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $1,000 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus H1036-065C (HMO)
Contract ID:
H1036-065C-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $1
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $1,000 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Giveback H1036-305 (HMO)
Contract ID:
H1036-305-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $148
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $30 copay
- $0 copay
- $0 copay
- $3,850 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Giveback H1036-305 (HMO)
Contract ID:
H1036-305-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $148
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $30 copay
- $0 copay
- $0 copay
- $3,850 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus - Diabetes and Heart H1036-121 (HMO C-SNP)
Contract ID:
H1036-121-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $166
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $15 copay
- $0 copay
- $0 copay
- $2,450 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus - Diabetes and Heart H1036-121 (HMO C-SNP)
Contract ID:
H1036-121-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $166
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $15 copay
- $0 copay
- $0 copay
- $2,450 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Lung H1036-297 (HMO C-SNP)
Contract ID:
H1036-297-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $166
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $15 copay
- $0 copay
- $0 copay
- $2,450 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Lung H1036-297 (HMO C-SNP)
Contract ID:
H1036-297-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $166
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $15 copay
- $0 copay
- $0 copay
- $2,450 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana USAA Honor Giveback H1036-279 (HMO)
Contract ID:
H1036-279-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- N/A
- $115
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $40 copay
- N/A
- N/A
- $3,400 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana USAA Honor Giveback H1036-279 (HMO)
Contract ID:
H1036-279-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- N/A
- $115
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $40 copay
- N/A
- N/A
- $3,400 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus SNP-DE H1036-304 (HMO D-SNP)
Contract ID:
H1036-304-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0 - $400 (Tiers 3-5)
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $3,400 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus SNP-DE H1036-304 (HMO D-SNP)
Contract ID:
H1036-304-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0 - $400 (Tiers 3-5)
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $3,400 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus SNP-DE A H1036-077A (HMO D-SNP)
Contract ID:
H1036-077A-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0 - $250 (Tiers 3-5)
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $3,400 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus SNP-DE A H1036-077A (HMO D-SNP)
Contract ID:
H1036-077A-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0 - $250 (Tiers 3-5)
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $3,400 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

HumanaChoice Florida SNP-DE H7617-113 (PPO D-SNP)
Contract ID:
H7617-113-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0 - $615 (Tiers 3-5)
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $4,900 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

HumanaChoice Florida SNP-DE H7617-113 (PPO D-SNP)
Contract ID:
H7617-113-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0 - $615 (Tiers 3-5)
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $4,900 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus H1036-054C (HMO)
Contract ID:
H1036-054C-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $2
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $500 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus H1036-054C (HMO)
Contract ID:
H1036-054C-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $2
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $500 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana USAA Honor Giveback H5216-256 (PPO)
Contract ID:
H5216-256-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- N/A
- $140.50
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $40 copay
- N/A
- N/A
- $4,900 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana USAA Honor Giveback H5216-256 (PPO)
Contract ID:
H5216-256-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- N/A
- $140.50
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $40 copay
- N/A
- N/A
- $4,900 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Dual Integrated H1036-339 (HMO D-SNP)
Contract ID:
H1036-339-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,250 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Dual Integrated H1036-339 (HMO D-SNP)
Contract ID:
H1036-339-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,250 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus C H1036-062C (HMO)
Contract ID:
H1036-062C-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $3
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $5 copay
- $0 copay
- $0 copay
- $1,625 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus C H1036-062C (HMO)
Contract ID:
H1036-062C-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $3
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $5 copay
- $0 copay
- $0 copay
- $1,625 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus H1036-044 (HMO)
Contract ID:
H1036-044-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $3
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $10 copay
- $0 copay
- $0 copay
- $2,700 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus H1036-044 (HMO)
Contract ID:
H1036-044-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $3
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $10 copay
- $0 copay
- $0 copay
- $2,700 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Giveback H1036-157 (HMO)
Contract ID:
H1036-157-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $136.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $25 copay
- $0 copay
- $0 copay
- $3,700 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Giveback H1036-157 (HMO)
Contract ID:
H1036-157-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $136.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $25 copay
- $0 copay
- $0 copay
- $3,700 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus - Diabetes and Heart H1036-301 (HMO C-SNP)
Contract ID:
H1036-301-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $111.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $30 copay
- $0 copay
- $0 copay
- $3,300 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus - Diabetes and Heart H1036-301 (HMO C-SNP)
Contract ID:
H1036-301-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $111.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $30 copay
- $0 copay
- $0 copay
- $3,300 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Lung H1036-315 (HMO C-SNP)
Contract ID:
H1036-315-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $116
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $30 copay
- $0 copay
- $0 copay
- $3,300 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Lung H1036-315 (HMO C-SNP)
Contract ID:
H1036-315-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $116
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $30 copay
- $0 copay
- $0 copay
- $3,300 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Value Choice H5216-070 (PPO)
Contract ID:
H5216-070-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $1
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $35 copay
- $0 copay
- $5 copay
- $6,750 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Value Choice H5216-070 (PPO)
Contract ID:
H5216-070-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $1
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $35 copay
- $0 copay
- $5 copay
- $6,750 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana USAA Honor Giveback H1036-290 (HMO)
Contract ID:
H1036-290-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- N/A
- $90
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $25 copay
- N/A
- N/A
- $6,700 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana USAA Honor Giveback H1036-290 (HMO)
Contract ID:
H1036-290-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- N/A
- $90
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $25 copay
- N/A
- N/A
- $6,700 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP)
Contract ID:
H1036-314-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $3,400 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP)
Contract ID:
H1036-314-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $3,400 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus SNP-DE H1036-209 (HMO D-SNP)
Contract ID:
H1036-209-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $225 (Tiers 3-5)
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $3,400 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus SNP-DE H1036-209 (HMO D-SNP)
Contract ID:
H1036-209-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $225 (Tiers 3-5)
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $3,400 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Dual Integrated H1036-340 (HMO D-SNP)
Contract ID:
H1036-340-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,250 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Dual Integrated H1036-340 (HMO D-SNP)
Contract ID:
H1036-340-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,250 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus H1036-074 (HMO)
Contract ID:
H1036-074-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $3
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $20 copay
- $0 copay
- $0 copay
- $3,550 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus H1036-074 (HMO)
Contract ID:
H1036-074-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $3
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $20 copay
- $0 copay
- $0 copay
- $3,550 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus H1036-025 (HMO)
Contract ID:
H1036-025-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $3
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $10 copay
- $0 copay
- $0 copay
- $2,000 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus H1036-025 (HMO)
Contract ID:
H1036-025-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $3
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $10 copay
- $0 copay
- $0 copay
- $2,000 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus H1036-230 (HMO)
Contract ID:
H1036-230-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $3
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $5 copay
- $0 copay
- $5 copay
- $2,400 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus H1036-230 (HMO)
Contract ID:
H1036-230-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $3
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $5 copay
- $0 copay
- $5 copay
- $2,400 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Giveback H1036-265 (HMO)
Contract ID:
H1036-265-001
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $165.50
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $10 copay
- $0 copay
- $0 copay
- $2,400 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Giveback H1036-265 (HMO)
Contract ID:
H1036-265-001
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $165.50
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $10 copay
- $0 copay
- $0 copay
- $2,400 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Giveback H1036-266 (HMO)
Contract ID:
H1036-266-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $131.90
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $30 copay
- $0 copay
- $0 copay
- $3,400 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Giveback H1036-266 (HMO)
Contract ID:
H1036-266-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $131.90
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $30 copay
- $0 copay
- $0 copay
- $3,400 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Giveback H1036-265 (HMO)
Contract ID:
H1036-265-002
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $125.50
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $30 copay
- $0 copay
- $0 copay
- $3,300 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Giveback H1036-265 (HMO)
Contract ID:
H1036-265-002
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $125.50
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $30 copay
- $0 copay
- $0 copay
- $3,300 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus - Diabetes and Heart H1036-299 (HMO C-SNP)
Contract ID:
H1036-299-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $177.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $10 copay
- $0 copay
- $0 copay
- $2,000 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus - Diabetes and Heart H1036-299 (HMO C-SNP)
Contract ID:
H1036-299-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $177.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $10 copay
- $0 copay
- $0 copay
- $2,000 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Lung H1036-312 (HMO C-SNP)
Contract ID:
H1036-312-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $175
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $10 copay
- $0 copay
- $0 copay
- $2,000 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Lung H1036-312 (HMO C-SNP)
Contract ID:
H1036-312-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $175
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $10 copay
- $0 copay
- $0 copay
- $2,000 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus - Diabetes and Heart H1036-338 (HMO C-SNP)
Contract ID:
H1036-338-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $2
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $15 copay
- $0 copay
- $0 copay
- $3,300 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus - Diabetes and Heart H1036-338 (HMO C-SNP)
Contract ID:
H1036-338-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $2
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $15 copay
- $0 copay
- $0 copay
- $3,300 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana USAA Honor Giveback H1036-119 (HMO)
Contract ID:
H1036-119-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- N/A
- $150
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $30 copay
- N/A
- N/A
- $3,900 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana USAA Honor Giveback H1036-119 (HMO)
Contract ID:
H1036-119-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- N/A
- $150
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $30 copay
- N/A
- N/A
- $3,900 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus SNP-DE H1036-102 (HMO D-SNP)
Contract ID:
H1036-102-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $1,500 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus SNP-DE H1036-102 (HMO D-SNP)
Contract ID:
H1036-102-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $1,500 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus H1036-217 (HMO)
Contract ID:
H1036-217-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $3
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $10 copay
- $0 copay
- $0 copay
- $3,800 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus H1036-217 (HMO)
Contract ID:
H1036-217-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $3
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $10 copay
- $0 copay
- $0 copay
- $3,800 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Giveback H1036-278 (HMO)
Contract ID:
H1036-278-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $80.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $35 copay
- $0 copay
- $0 copay
- $4,400 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Giveback H1036-278 (HMO)
Contract ID:
H1036-278-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $80.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $35 copay
- $0 copay
- $0 copay
- $4,400 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus - Diabetes and Heart H1036-311 (HMO C-SNP)
Contract ID:
H1036-311-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $104.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $15 copay
- $0 copay
- $0 copay
- $3,300 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus - Diabetes and Heart H1036-311 (HMO C-SNP)
Contract ID:
H1036-311-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $104.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $15 copay
- $0 copay
- $0 copay
- $3,300 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Lung H1036-310 (HMO C-SNP)
Contract ID:
H1036-310-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $140
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $15 copay
- $0 copay
- $0 copay
- $3,300 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Lung H1036-310 (HMO C-SNP)
Contract ID:
H1036-310-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $140
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $15 copay
- $0 copay
- $0 copay
- $3,300 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus SNP-DE H1036-285 (HMO D-SNP)
Contract ID:
H1036-285-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $530 (Tiers 3-5)
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay*
- $0 copay*
- $3,400 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus SNP-DE H1036-285 (HMO D-SNP)
Contract ID:
H1036-285-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $530 (Tiers 3-5)
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay*
- $0 copay*
- $3,400 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus H1036-068 (HMO)
Contract ID:
H1036-068-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $4
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $10 copay
- $0 copay
- $0 copay
- $3,300 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus H1036-068 (HMO)
Contract ID:
H1036-068-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $4
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $10 copay
- $0 copay
- $0 copay
- $3,300 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Giveback H1036-270 (HMO)
Contract ID:
H1036-270-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $100.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $25 copay
- $0 copay
- $0 copay
- $3,900 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Giveback H1036-270 (HMO)
Contract ID:
H1036-270-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $100.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $25 copay
- $0 copay
- $0 copay
- $3,900 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus - Diabetes and Heart H1036-302 (HMO C-SNP)
Contract ID:
H1036-302-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $109.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $20 copay
- $0 copay
- $0 copay
- $3,300 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus - Diabetes and Heart H1036-302 (HMO C-SNP)
Contract ID:
H1036-302-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $109.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $20 copay
- $0 copay
- $0 copay
- $3,300 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Lung H1036-316 (HMO C-SNP)
Contract ID:
H1036-316-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $109
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $20 copay
- $0 copay
- $0 copay
- $3,300 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Lung H1036-316 (HMO C-SNP)
Contract ID:
H1036-316-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $109
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $20 copay
- $0 copay
- $0 copay
- $3,300 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus SNP-DE H1036-210 (HMO D-SNP)
Contract ID:
H1036-210-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $3,400 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus SNP-DE H1036-210 (HMO D-SNP)
Contract ID:
H1036-210-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $3,400 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus H1036-146 (HMO)
Contract ID:
H1036-146-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $2
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $5 copay
- $0 copay
- $0 copay
- $2,400 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus H1036-146 (HMO)
Contract ID:
H1036-146-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $2
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $5 copay
- $0 copay
- $0 copay
- $2,400 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Community H1036-332 (HMO)
Contract ID:
H1036-332-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $175 (Tiers 3-5)
- $2
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $20 copay
- $0 copay
- $0 copay
- $2,400 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Community H1036-332 (HMO)
Contract ID:
H1036-332-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $175 (Tiers 3-5)
- $2
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $20 copay
- $0 copay
- $0 copay
- $2,400 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Giveback H1036-269 (HMO)
Contract ID:
H1036-269-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $155.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $15 copay
- $0 copay
- $0 copay
- $3,200 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Giveback H1036-269 (HMO)
Contract ID:
H1036-269-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $155.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $15 copay
- $0 copay
- $0 copay
- $3,200 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Lung H1036-313 (HMO C-SNP)
Contract ID:
H1036-313-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $171
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $15 copay
- $0 copay
- $0 copay
- $3,100 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Lung H1036-313 (HMO C-SNP)
Contract ID:
H1036-313-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $171
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $15 copay
- $0 copay
- $0 copay
- $3,100 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus - Diabetes and Heart H1036-300 (HMO C-SNP)
Contract ID:
H1036-300-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $171
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $15 copay
- $0 copay
- $0 copay
- $3,300 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus - Diabetes and Heart H1036-300 (HMO C-SNP)
Contract ID:
H1036-300-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $171
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $15 copay
- $0 copay
- $0 copay
- $3,300 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

HumanaChoice Florida H5216-074 (PPO)
Contract ID:
H5216-074-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $2
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $35 copay
- $0 copay
- $10 copay
- $4,900 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

HumanaChoice Florida H5216-074 (PPO)
Contract ID:
H5216-074-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $2
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $35 copay
- $0 copay
- $10 copay
- $4,900 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus SNP-DE H1036-213 (HMO D-SNP)
Contract ID:
H1036-213-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $320 (Tiers 3-5)
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $3,400 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus SNP-DE H1036-213 (HMO D-SNP)
Contract ID:
H1036-213-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $320 (Tiers 3-5)
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $3,400 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Total Complete H1036-143 (HMO)
Contract ID:
H1036-143-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $1
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $15 copay
- $0 copay
- $5 copay
- $4,300 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Total Complete H1036-143 (HMO)
Contract ID:
H1036-143-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $1
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $15 copay
- $0 copay
- $5 copay
- $4,300 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Essentials Plus Giveback H1036-271 (HMO)
Contract ID:
H1036-271-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $112.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $35 copay
- $0 copay
- $0 copay
- $6,750 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Essentials Plus Giveback H1036-271 (HMO)
Contract ID:
H1036-271-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $112.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $35 copay
- $0 copay
- $0 copay
- $6,750 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Lung H1036-337 (HMO C-SNP)
Contract ID:
H1036-337-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $106.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $20 copay
- $0 copay
- $0 copay
- $3,300 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Lung H1036-337 (HMO C-SNP)
Contract ID:
H1036-337-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $106.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $20 copay
- $0 copay
- $0 copay
- $3,300 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus - Diabetes and Heart H1036-336 (HMO C-SNP)
Contract ID:
H1036-336-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $106.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $20 copay
- $0 copay
- $0 copay
- $3,300 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus - Diabetes and Heart H1036-336 (HMO C-SNP)
Contract ID:
H1036-336-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $106.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $20 copay
- $0 copay
- $0 copay
- $3,300 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus SNP-DE H1036-214 (HMO D-SNP)
Contract ID:
H1036-214-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $305 (Tiers 3-5)
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $3,400 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus SNP-DE H1036-214 (HMO D-SNP)
Contract ID:
H1036-214-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $305 (Tiers 3-5)
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $3,400 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Dual Integrated H1036-341 (HMO D-SNP)
Contract ID:
H1036-341-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,250 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Dual Integrated H1036-341 (HMO D-SNP)
Contract ID:
H1036-341-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,250 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus H1036-229 (HMO)
Contract ID:
H1036-229-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $2
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $35 copay
- $0 copay
- $0 copay
- $3,800 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus H1036-229 (HMO)
Contract ID:
H1036-229-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $2
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $35 copay
- $0 copay
- $0 copay
- $3,800 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Giveback H1036-286 (HMO)
Contract ID:
H1036-286-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $113.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $40 copay
- $0 copay
- $0 copay
- $5,500 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Giveback H1036-286 (HMO)
Contract ID:
H1036-286-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $113.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $40 copay
- $0 copay
- $0 copay
- $5,500 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus - Diabetes and Heart H1036-292 (HMO C-SNP)
Contract ID:
H1036-292-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $119.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $20 copay
- $0 copay
- $5 copay
- $3,350 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus - Diabetes and Heart H1036-292 (HMO C-SNP)
Contract ID:
H1036-292-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $119.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $20 copay
- $0 copay
- $5 copay
- $3,350 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Lung H1036-298 (HMO C-SNP)
Contract ID:
H1036-298-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $119.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $20 copay
- $0 copay
- $5 copay
- $3,350 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Lung H1036-298 (HMO C-SNP)
Contract ID:
H1036-298-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 4-5)
- $119.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $20 copay
- $0 copay
- $5 copay
- $3,350 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus SNP-DE H1036-226 (HMO D-SNP)
Contract ID:
H1036-226-000
Monthly premium
$0 - $0.10
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 3-5)
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $6,650 in-network
- Dental
- Vision
- Hearing
- SilverSneakers Gym Membership
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus SNP-DE H1036-226 (HMO D-SNP)
Contract ID:
H1036-226-000
Monthly premium
$0 - $0.10
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $615 (Tiers 3-5)
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $6,650 in-network
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Assure Primary (HMO D-SNP)
Contract ID:
H3146-023-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $0
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,350
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Assure Primary (HMO D-SNP)
Contract ID:
H3146-023-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $0
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Assure Flex (HMO D-SNP)
Contract ID:
H3146-019-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $0
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,350
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Assure Flex (HMO D-SNP)
Contract ID:
H3146-019-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $0
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Assure (HMO D-SNP)
Contract ID:
H3146-017-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $0
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,350
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Assure (HMO D-SNP)
Contract ID:
H3146-017-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $0
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Primary (HMO)
Contract ID:
H5521-500-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $0
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $50 copay
- $0 copay
- $5 copay
- $6,750
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Primary (HMO)
Contract ID:
H5521-500-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $0
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $50 copay
- $0 copay
- $5 copay
- $6,750
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Dual Choice (PPO D-SNP)
Contract ID:
H5521-539-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0 - $257
- $0
- $0
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,350
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Dual Choice (PPO D-SNP)
Contract ID:
H5521-539-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0 - $257
- $0
- $0
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Assure (HMO D-SNP)
Contract ID:
H3146-016-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $0
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,350
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Assure (HMO D-SNP)
Contract ID:
H3146-016-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $0
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Premier Plus (PPO)
Contract ID:
H5521-319-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $0
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $25 copay
- $0 copay
- $5 copay
- $6,350
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Premier Plus (PPO)
Contract ID:
H5521-319-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $0
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $25 copay
- $0 copay
- $5 copay
- $6,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Premier (PPO)
Contract ID:
H5521-249-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $0
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $30 copay
- $0 copay
- $5 copay
- $6,750
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Premier (PPO)
Contract ID:
H5521-249-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $0
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $30 copay
- $0 copay
- $5 copay
- $6,750
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Premier (PPO)
Contract ID:
H5521-140-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $250 (Tiers 3-5)
- $35
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $30 copay
- $0 copay
- $10 copay
- $6,750
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Premier (PPO)
Contract ID:
H5521-140-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $250 (Tiers 3-5)
- $35
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $30 copay
- $0 copay
- $10 copay
- $6,750
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Premier (PPO)
Contract ID:
H5521-245-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $250 (Tiers 3-5)
- $0
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $35 copay
- $0 copay
- $10 copay
- $6,750
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Premier (PPO)
Contract ID:
H5521-245-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $250 (Tiers 3-5)
- $0
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $35 copay
- $0 copay
- $10 copay
- $6,750
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Prime (HMO-POS)
Contract ID:
H3146-014-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $0
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $12 copay
- $0 copay
- $5 copay
- $4,150
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Prime (HMO-POS)
Contract ID:
H3146-014-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $0
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $12 copay
- $0 copay
- $5 copay
- $4,150
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Value Plus (HMO)
Contract ID:
H3146-011-000
Monthly premium
$23.90
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $250 (Tiers 3-5)
- $0
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $25 copay
- $0 copay
- $10 copay
- $6,750
CMS Star Ratings:
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Value Plus (HMO)
Contract ID:
H3146-011-000
Monthly premium
$23.90
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $250 (Tiers 3-5)
- $0
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $25 copay
- $0 copay
- $10 copay
- $6,750
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Eagle (PPO)
Contract ID:
H5521-279-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- N/A
- $40
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $35 copay
- N/A
- N/A
- $6,750
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Eagle (PPO)
Contract ID:
H5521-279-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- N/A
- $40
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $35 copay
- N/A
- N/A
- $6,750
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Value Plus (HMO)
Contract ID:
H5521-251-000
Monthly premium
$19.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $250 (Tiers 3-5)
- $0
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $35 copay
- $0 copay
- $10 copay
- $6,750
CMS Star Ratings:
โ
โ
โ
โ
โ
โ
.png?updatedAt=1751315988697)
Aetna Medicare Value Plus (HMO)
Contract ID:
H5521-251-000
Monthly premium
$19.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $250 (Tiers 3-5)
- $0
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $35 copay
- $0 copay
- $10 copay
- $6,750
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

HumanaChoice H5525-024 (PPO)
Contract ID:
H5525-024-000
Monthly premium
$30.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $500
- $350 (Tiers 3-5)
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $15 copay
- $50 copay
- $7 copay
- $17 copay
- $9,350
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

HumanaChoice H5525-024 (PPO)
Contract ID:
H5525-024-000
Monthly premium
$30.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $500
- $350 (Tiers 3-5)
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $15 copay
- $50 copay
- $7 copay
- $17 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ

Humana Gold Choice H8145-069 (PFFS)
Contract ID:
H8145-069-000
Monthly premium
$18.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $340 (Tiers 3-5)
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $20 copay
- $7 copay
- $17 copay
- $6,700
CMS Star Ratings:
โ
โ
โ
โ
โ

Humana Gold Choice H8145-069 (PFFS)
Contract ID:
H8145-069-000
Monthly premium
$18.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $340 (Tiers 3-5)
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $20 copay
- $7 copay
- $17 copay
- $6,700
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus H5619-171 (HMO)
Contract ID:
H5619-171-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $400
- $450 (Tiers 3-5)
- $4.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $30 copay
- $0 copay
- $0 copay
- $9,350
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus H5619-171 (HMO)
Contract ID:
H5619-171-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $400
- $450 (Tiers 3-5)
- $4.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $30 copay
- $0 copay
- $0 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Giveback H5619-169 (HMO)
Contract ID:
H5619-169-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $300
- $450 (Tiers 3-5)
- $109.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $45 copay
- $0 copay
- $0 copay
- $9,350
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus Giveback H5619-169 (HMO)
Contract ID:
H5619-169-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $300
- $450 (Tiers 3-5)
- $109.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $45 copay
- $0 copay
- $0 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus - Diabetes and Heart H5619-161 (HMO C-SNP)
Contract ID:
H5619-161-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $450 (Tiers 3-5)
- $2.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $40 copay
- $0 copay
- $5 copay
- $9,350
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus - Diabetes and Heart H5619-161 (HMO C-SNP)
Contract ID:
H5619-161-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $450 (Tiers 3-5)
- $2.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $40 copay
- $0 copay
- $5 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus H5619-152 (HMO)
Contract ID:
H5619-152-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $350 (Tiers 3-5)
- $3.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $15 copay
- $0 copay
- $0 copay
- $9,350
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus H5619-152 (HMO)
Contract ID:
H5619-152-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $350 (Tiers 3-5)
- $3.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $15 copay
- $0 copay
- $0 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus H5619-083 (HMO)
Contract ID:
H5619-083-000
Monthly premium
$1.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $350 (Tiers 3-5)
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $5 copay
- $45 copay
- $4 copay
- $12 copay
- $6,700
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus H5619-083 (HMO)
Contract ID:
H5619-083-000
Monthly premium
$1.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $350 (Tiers 3-5)
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $5 copay
- $45 copay
- $4 copay
- $12 copay
- $6,700
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP)
Contract ID:
H5619-082-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,350
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP)
Contract ID:
H5619-082-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

HumanaChoice H5216-142-001 (PPO)
Contract ID:
H5216-142-001
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $275
- $350 (Tiers 3-5)
- $5.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $45 copay
- $4 copay
- $12 copay
- $9,350
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

HumanaChoice H5216-142-001 (PPO)
Contract ID:
H5216-142-001
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $275
- $350 (Tiers 3-5)
- $5.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $45 copay
- $4 copay
- $12 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

HumanaChoice H5216-423 (PPO)
Contract ID:
H5216-423-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $275
- $450 (Tiers 3-5)
- $3.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $40 copay
- $0 copay
- $0 copay
- $9,350
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

HumanaChoice H5216-423 (PPO)
Contract ID:
H5216-423-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $275
- $450 (Tiers 3-5)
- $3.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $40 copay
- $0 copay
- $0 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

HumanaChoice H5216-347 (PPO)
Contract ID:
H5216-347-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $350 (Tiers 3-5)
- $3.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $30 copay
- $0 copay
- $5 copay
- $9,350
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

HumanaChoice H5216-347 (PPO)
Contract ID:
H5216-347-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $350 (Tiers 3-5)
- $3.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $30 copay
- $0 copay
- $5 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

HumanaChoice H5216-346 (PPO)
Contract ID:
H5216-346-000
Monthly premium
$2.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $1,000
- $350 (Tiers 3-5)
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $15 copay
- $50 copay
- $5 copay
- $12 copay
- $9,350
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

HumanaChoice H5216-346 (PPO)
Contract ID:
H5216-346-000
Monthly premium
$2.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $1,000
- $350 (Tiers 3-5)
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $15 copay
- $50 copay
- $5 copay
- $12 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

HumanaChoice Giveback H5216-345 (PPO)
Contract ID:
H5216-345-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $350
- $450 (Tiers 3-5)
- $105.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $45 copay
- $0 copay
- $5 copay
- $9,350
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

HumanaChoice Giveback H5216-345 (PPO)
Contract ID:
H5216-345-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $350
- $450 (Tiers 3-5)
- $105.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $45 copay
- $0 copay
- $5 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana USAA Honor Giveback H5216-286 (PPO)
Contract ID:
H5216-286-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- N/A
- $140.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $20 copay
- $55 copay
- N/A
- N/A
- $9,350
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana USAA Honor Giveback H5216-286 (PPO)
Contract ID:
H5216-286-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- N/A
- $140.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $20 copay
- $55 copay
- N/A
- N/A
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

HumanaChoice H5216-280-002 (PPO)
Contract ID:
H5216-280-002
Monthly premium
$46.60
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $590 (Tiers 3-5)
- $1.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $10 copay
- $0 copay
- $20 copay
- $9,350
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

HumanaChoice H5216-280-002 (PPO)
Contract ID:
H5216-280-002
Monthly premium
$46.60
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $590 (Tiers 3-5)
- $1.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $10 copay
- $0 copay
- $20 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

HumanaChoice SNP-DE H5216-277 (PPO D-SNP)
Contract ID:
H5216-277-000
Monthly premium
$0 or $257
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,350
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

HumanaChoice SNP-DE H5216-277 (PPO D-SNP)
Contract ID:
H5216-277-000
Monthly premium
$0 or $257
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus - Diabetes and Heart H5216-244 (PPO C-SNP)
Contract ID:
H5216-244-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $450 (Tiers 3-5)
- $3.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $45 copay
- $0 copay
- $5 copay
- $9,350
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Gold Plus - Diabetes and Heart H5216-244 (PPO C-SNP)
Contract ID:
H5216-244-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $450 (Tiers 3-5)
- $3.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $45 copay
- $0 copay
- $5 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana USAA Honor Giveback H5216-217 (PPO)
Contract ID:
H5216-217-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- N/A
- $60.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $10 copay
- $50 copay
- N/A
- N/A
- $6,700
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana USAA Honor Giveback H5216-217 (PPO)
Contract ID:
H5216-217-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- N/A
- $60.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $10 copay
- $50 copay
- N/A
- N/A
- $6,700
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

HumanaChoice H5216-157 (PPO)
Contract ID:
H5216-157-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- N/A
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $5 copay
- $45 copay
- N/A
- N/A
- $9,350
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

HumanaChoice H5216-157 (PPO)
Contract ID:
H5216-157-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- N/A
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $5 copay
- $45 copay
- N/A
- N/A
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

HumanaChoice Giveback H5216-154 (PPO)
Contract ID:
H5216-154-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $350
- $400 (Tiers 3-5)
- $64.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $20 copay
- $55 copay
- $5 copay
- $15 copay
- $9,350
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

HumanaChoice Giveback H5216-154 (PPO)
Contract ID:
H5216-154-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $350
- $400 (Tiers 3-5)
- $64.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $20 copay
- $55 copay
- $5 copay
- $15 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

HumanaChoice H5216-142-002 (PPO)
Contract ID:
H5216-142-002
Monthly premium
$21.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $500
- $350 (Tiers 3-5)
- $3.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $15 copay
- $45 copay
- $4 copay
- $12 copay
- $9,350
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

HumanaChoice H5216-142-002 (PPO)
Contract ID:
H5216-142-002
Monthly premium
$21.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $500
- $350 (Tiers 3-5)
- $3.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $15 copay
- $45 copay
- $4 copay
- $12 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Full Access R0110-020 (Regional PPO)
Contract ID:
R0110-020-000
Monthly premium
$92.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $340 (Tiers 3-5)
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $20 copay
- $50 copay
- $7 copay
- $17 copay
- $9,350
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

Humana Full Access R0110-020 (Regional PPO)
Contract ID:
R0110-020-000
Monthly premium
$92.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $340 (Tiers 3-5)
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $20 copay
- $50 copay
- $7 copay
- $17 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

HumanaChoice R0110-019 (Regional PPO)
Contract ID:
R0110-019-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- N/A
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $40 copay
- N/A
- N/A
- $7,550
CMS Star Ratings:
โ
โ
โ
โ
โ
โ

HumanaChoice R0110-019 (Regional PPO)
Contract ID:
R0110-019-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- N/A
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $40 copay
- N/A
- N/A
- $7,550
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
ย
ย