Humana Gold Plus SNP-DE H1036-077A (HMO D-SNP)

Humana Gold Plus SNP-DE H1036-077A (HMO D-SNP) is a HMO D-SNP plan offered by Humana Inc. available for enrollment in 2025 to people living in Broward, Miami-Dade, and Palm Beach counties. This plan received an overall rating of 4.5 out of 5 stars in 2026.

It's important to know that Humana Gold Plus SNP-DE H1036-077A (HMO D-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 SNP-DE H1036-077A (HMO D-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 SNP-DE H1036-077A (HMO D-SNP) prescription drug plan features an annual drug deductible of $250. For Tier 1 preferred generics and Tier 2 generics, members pay no copay when using standard pharmacies or preferred mail order services for both 1-month and 3-month supplies. Standard mail order delivery for these generic tiers requires a copay, ranging from $10 to $30 for Tier 1 and $20 to $60 for Tier 2 depending on the supply. For higher-tier medications, cost-sharing transitions to coinsurance under this plan. Tier 3 preferred brands and Tier 4 non-preferred drugs require a 25% coinsurance across standard pharmacies, preferred mail order, and standard mail order options. Tier 5 specialty drugs incur a 30% coinsurance for a 1-month supply across all available pharmacy and mail order channels.

Additional Benefits

The Humana Gold Plus SNP-DE H1036-077A (HMO D-SNP) plan offers comprehensive healthcare coverage with no copay and no coinsurance for nearly all primary medical services. Members can access inpatient and outpatient hospital care, primary and specialist doctor visits, emergency services, and preventive care at no cost. Even diagnostic tests, medical equipment, and home health services require no copay or coinsurance, though certain services may require prior authorization or referrals. In addition to standard medical care, this plan provides robust dental, vision, hearing, and transportation benefits with no copays or coinsurance. Dental coverage includes a generous annual limit of $6,000, while vision benefits cover routine exams and up to $400 annually for eyewear. Additionally, members benefit from unlimited plan-approved transportation, no-cost over-the-counter items, and a 20% coinsurance for air ambulance services.