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Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan) in 2025, please refer to our full plan details page.
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan) is a Medicare-Medicaid Plan plan offered by Humana Inc. available for enrollment in 2025 to people living in Illinois. The overall rating for this plan is not yet available for 2025.
It's important to know that Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Important:
Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)is a Medicare-Medicaide (MMP) plan. This means you can only enroll in this plan if you meet specific criteria for both medicare and medicaid. See our full plan details page for more information.
Key Plan Facts
Below are a few key facts and commonly-asked questions about Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan).
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.
For Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $0.00. This is the amount you must pay every month.
This plan does not come with a Part B Premium reduction. You must continue to pay your Part B premium.
Deductibles
This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.
This plan has no drug deductible. Your prescription medication coverage will start immediately.
Out-of-Pocket Maximums
We don't have information on the Maximum Out-Of-Pocket cost for this plan. You can call our licensed insurance specialists by clicking "Call to Enroll" below for more information.
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:
Doctor Visits:
Specialist Visits:
Emergency Room:
Urgent Care:
Sign up for Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
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Drug Coverage
The Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan) has a $0 deductible for prescription drugs. If you qualify for the low-income subsidy, also known as "Extra Help", you will pay $0.00 for Part D drugs. During the initial coverage phase, you will pay the costs for drugs in each tier until your total drug costs reach $2000. After your yearly out-of-pocket drug costs reach $2000, you pay nothing for Medicare Part D covered drugs.
Additional Benefits
The Humana Gold Plus Integrated H0336-001 plan offers comprehensive coverage, including inpatient and outpatient services, with no copay for emergency services, ambulance services, and dialysis. The plan also covers primary care, hearing, vision, and dental services, and includes additional benefits like acupuncture, over-the-counter items, and various other services. Some services may require prior authorization or a referral from your doctor.
Inpatient Hospital See details
Inpatient Hospital benefits, including acute and psychiatric, are covered, including additional days and non-Medicare-covered stays. Upgrades for Inpatient Hospital-Acute are not covered.
Outpatient Services See details
Outpatient Services are covered, including all outpatient hospital services, observation services, ambulatory surgical center services, and outpatient blood services. Outpatient Substance Abuse Services are partially covered, excluding individual and group sessions.
Partial Hospitalization See details
Partial Hospitalization is covered by the Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan), but requires prior authorization and a doctor referral.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are partially covered, with no copay or coinsurance for all ambulance services, and transportation services to a plan-approved health-related location are covered with no copay or coinsurance. Ground and air ambulance services, and transportation services to any health-related location, are not covered.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered by the Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan) with no copay and no coinsurance. However, Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation are not covered.
Primary Care See details
The Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan) covers Primary Care Physician Services, Chiropractic Services, Occupational Therapy, Physician Specialist Services, Other Health Care Professional, Psychiatric Services, Physical Therapy and Speech-Language Pathology Services, Additional Telehealth Benefits, and Opioid Treatment Program Services. However, it does not cover Routine Chiropractic Care, Individual and Group Sessions for Mental Health Specialty Services, and Individual and Group Sessions for Psychiatric Services.
Preventive Services See details
Preventive Services are covered by the Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan), but annual physical exams, in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge in-home medication reconciliation, re-admission prevention, wigs for hair loss related to chemotherapy, weight management programs, alternative therapies, therapeutic massage, adult day health services, nutritional/dietary benefits, home-based palliative care, in-home support services, support for caregivers of enrollees, fitness benefits, enhanced disease management, telemonitoring services, home and bathroom safety devices and modifications, and counseling services are not covered. Additional preventive services such as Health Education, Additional Sessions of Smoking and Tobacco Cessation Counseling, Remote Access Technologies (including Web/Phone-based technologies and Nursing Hotline), Glaucoma Screening, Diabetes Self-Management Training, Barium Enemas, Digital Rectal Exams, and EKG following Welcome Visit are covered.
Hearing Services See details
Hearing services include routine hearing exams, fitting/evaluation for hearing aids, and prescription hearing aids (all types). Routine hearing exams and fitting/evaluation for hearing aids are covered as medically necessary, and prescription hearing aids (all types) are covered once every three years. Prescription hearing aids - inner ear, outer ear, and over the ear, as well as OTC hearing aids, are not covered.
Vision Services See details
Vision services include coverage for routine eye exams, with one exam covered every year, and other eye exam services, as medically necessary. This plan also covers contact lenses as medically necessary, and eyeglasses (lenses and frames), with one pair covered every two years. Eyeglass frames and upgrades are not covered.
Dental Services See details
Dental Services are covered, including oral exams, dental x-rays, cleaning, fluoride treatment, and orthodontic services, with no maximum plan benefit coverage. Restorative Services, Adjunctive General Services, Endodontics, Periodontics, Prosthodontics (removable and fixed), Maxillofacial Prosthetics, and Oral and Maxillofacial Surgery are covered, but require prior authorization and a doctor referral. Implant Services and orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered under the Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan), including Medicare Part B Insulin Drugs, while Medicare Part B Chemotherapy/Radiation Drugs are not covered. The plan includes step therapy, stepping from Part B to Part D, and does not have a service-specific maximum out-of-pocket cost.
Dialysis Services See details
Dialysis Services are covered with no copay and no coinsurance.
Medical Equipment See details
Medical Equipment, including Durable Medical Equipment (DME) and Prosthetics/Medical Supplies - Non-Medicare benefit, are covered with no copay and no coinsurance, but Durable Medical Equipment for use outside the home, Diabetic Supplies, and Diabetic Therapeutic Shoes/Inserts are not covered. Diabetic Equipment benefits are covered, but there are limits to the manufacturers.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered with a doctor referral and prior authorization, but Diagnostic Procedures/Tests, Lab Services, Diagnostic Radiological Services, Therapeutic Radiological Services, and Outpatient X-Ray Services are not covered. There is no copay for covered services.
Home Health Services See details
Home Health Services are covered by the Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan) with no copay or coinsurance. Non-Medicare-covered Home Health Services include Personal Care Services, which are not covered, and Additional Hours of Care are also not covered.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered, but the plan does not cover Cardiac Rehabilitation Services, Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, or SET for PAD Services.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered and require prior authorization and a doctor's referral. This plan also covers additional days beyond Medicare-covered SNF stays and non-Medicare-covered SNF stays.
Other Services See details
The Humana Gold Plus Integrated H0336-001 plan covers acupuncture, with a limit of 20 treatments per year, and over-the-counter items with a maximum benefit of $65.00 every three months, including nicotine replacement therapy and naloxone. Other services covered include a meal benefit for chronic illness, Institution for Mental Disease Services, Other 1 (Hospice), Other 2 (Behavioral Health), Other 3 (Telehealth), Other 4 (Emergency Dental), Other 5 (Cell Phone Service), Tobacco Cessation Counseling for Pregnant Women (12 sessions per year), Other 7 (Medication Assisted Treatment (MAT)), Other 8 (Crisis Services), Other 9 (Gender-Affirming Services), and Nursing Home Services. Some services require authorization or a referral.
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1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
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