Humana Gold Plus SNP-DE H1036-102 (HMO D-SNP)

Humana Gold Plus SNP-DE H1036-102 (HMO D-SNP) is a HMO D-SNP plan offered by Humana Inc. available for enrollment in 2025 to people living in Greater Tampa Bay. 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 H1036-102 (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 H1036-102 (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 H1036-102 (HMO D-SNP) features a $0 drug deductible, meaning your prescription drug coverage begins immediately. For Tier 1 preferred generic and Tier 2 generic medications, you will pay no copay for a 1-month or 3-month supply when using a standard pharmacy or preferred mail order. If you use standard mail order for these tiers, copays range from $10 to $20 for a 1-month supply and $30 to $60 for a 3-month supply. For higher-tier medications, the plan transitions to coinsurance rather than flat copays. Tier 3 preferred brand and Tier 4 non-preferred drugs require a 25% coinsurance across standard pharmacies, preferred mail order, and standard mail order. Specialty drugs in Tier 5 carry a 33% coinsurance for a 1-month supply under all available fulfillment methods.

Additional Benefits

The Humana Gold Plus SNP-DE H1036-102 (HMO D-SNP) offers comprehensive healthcare coverage with no copays and no coinsurance for almost all core medical services. This includes complete coverage for inpatient and outpatient hospital stays, emergency services, doctor visits, preventive care, and diagnostic testing. Members can also access home health care, medical equipment, and up to 100 days of skilled nursing facility care with no out-of-pocket costs. Additionally, this plan provides valuable supplemental benefits including dental care up to a $4,000 annual limit, a $400 yearly vision allowance, and hearing aid coverage up to $1,000 per ear with no copays. Members also benefit from unlimited transportation to plan-approved locations and over-the-counter items at no cost. While nearly all medical services feature no copayments, a 20% coinsurance and copay apply to air ambulance services.