Humana Gold Plus - Diabetes and Heart (HMO-POS C-SNP)

Humana Gold Plus - Diabetes and Heart (HMO-POS C-SNP) is a HMO-POS C-SNP plan offered by Humana Inc. available for enrollment in 2025 to people living in Select Counties in Wichita. This plan received an overall rating of 3.5 out of 5 stars in 2026.

It's important to know that Humana Gold Plus - Diabetes and Heart (HMO-POS C-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.

Key Plan Facts

Below are a few key facts and commonly-asked questions about Humana Gold Plus - Diabetes and Heart (HMO-POS C-SNP).

Plan Costs:

The cost of a Medicare Advantage Plan is made up of four main parts.

• First, the monthly premium — the amount you pay every month.
• Second, the deductible — the amount you pay out of pocket for covered services before the plan starts paying.
• Third, the copayments and coinsurance — the amounts you pay out of pocket for covered services, usually after meeting the deductible (if applicable). Copays are fixed dollar amounts; coinsurance is a percentage of the cost.
• Fourth, the Out-of-Pocket Maximum — the maximum amount you could have to pay out of pocket in a year. This may be different for in-network and out-of-network services.

You can see below for the coinsurance and specific copayments for in the Additional Benefits section below, or refer to our Plan Details page for more details.

Common Services:

Drug Coverage

The Humana Gold Plus - Diabetes and Heart (HMO-POS C-SNP) plan features an annual drug deductible of $615. Under this plan, you will pay no copay for Tier 1 preferred generics at standard pharmacies and through preferred mail order, as well as no copay for Tier 6 select care drugs across all standard and mail-order options. Tier 2 generic medications are also highly affordable, starting with a $5 copay for a one-month supply at standard pharmacies and preferred mail-order services. For Tier 3 preferred brand drugs, copays start at $47 for a one-month supply, with savings available on three-month supplies through preferred mail order. Higher-tier medications require coinsurance, with Tier 4 non-preferred drugs carrying a 50% coinsurance and Tier 5 specialty drugs requiring a 25% coinsurance. Choosing the right pharmacy and mail-order options can help you minimize your out-of-pocket prescription costs with this Humana Medicare plan.

Additional Benefits

The Humana Gold Plus - Diabetes and Heart (HMO-POS C-SNP) plan offers comprehensive medical coverage with no copay for primary care visits, home health services, and routine preventive care. For specialist visits, therapy, and outpatient services, members will face copays ranging from $25 to $30, while inpatient hospital stays require a $360 daily copay for the first five days. Emergency care is available with a $150 copay, which is waived upon hospital admission, and diagnostic labs and X-rays are covered with no copay. This plan also includes valuable supplemental benefits, featuring no copay for routine eye exams, routine hearing exams, and eyewear up to a $500 annual limit. Dental services are covered up to a $1,000 annual limit with no copay for most services, though coinsurance ranges up to 40 percent. Additionally, members benefit from no copay on diabetic supplies and over-the-counter items, while durable medical equipment and dialysis services require a 20 percent coinsurance.