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 Kansas. 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) prescription drug plan has an annual drug deductible of $615. Beneficiaries enjoy no copay for Tier 1 (Preferred Generic) and Tier 2 (Generic) medications filled at standard pharmacies or through preferred mail order. Tier 6 (Select Care Drugs) also features no copay across all standard pharmacy and mail order options. For mid-to-high tier medications, including Tier 3 (Preferred Brand), Tier 4 (Non-Preferred Drug), and Tier 5 (Specialty Tier) drugs, members are responsible for a 25% coinsurance. Standard mail order fills for Tier 1 drugs require a $10 copay for a one-month supply, while Tier 2 drugs require a $20 copay for a one-month supply. This plan offers a balanced mix of no-cost generics and percentage-based sharing for brand-name and specialty medications.

Additional Benefits

The Humana Gold Plus - Diabetes and Heart (HMO-POS C-SNP) plan offers comprehensive coverage with predictable cost-sharing, featuring no copays for primary care, specialists, and outpatient services, though a twenty percent coinsurance typically applies. Inpatient acute stays require a copayment of $2,230 with no coinsurance, while emergency room visits carry a $115 copay that is waived if you are admitted. Additionally, members can access twenty-four one-way transportation trips per year with no copay or coinsurance, alongside ground ambulance services for a $335 copay. Preventive care, home health visits, and select dental services up to a $4,000 annual limit are covered with no copays or coinsurance. For other essential needs, the plan features no copays and a twenty percent coinsurance on diagnostic tests, medical equipment, and routine vision or hearing exams. Prescription hearing aids are covered with copayments ranging from $699 to $999, while over-the-counter hearing aids, over-the-counter items, and chronic illness meals require no copay or coinsurance.