Get help from a licensed insurance agent 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week.

Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP)

Benefits Summary and Overview

This page is a benefits summary and overview of key plan information for Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP). The information on this page is a summary only.

For a complete listing of all available benefits and cost information on Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP) in 2026, please refer to our full plan details page.

Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP) is a HMO D-SNP plan offered by Humana Inc. available for enrollment in 2025 to people living in Louisiana. This plan received an overall rating of 4 out of 5 stars in 2026.

It's important to know that Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP) 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 SNP-DE H1951-041 (HMO D-SNP)is a Special Needs Type (SNP) plan. This means you can only enroll in this plan if you meet specific criteria. See our full plan details page for more information.

Overview IconKey Plan Facts

Below are a few key facts and commonly-asked questions about Humana Gold Plus SNP-DE H1951-041 (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.

For Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP), the main costs are as follows:

Monthly Premium

The Monthly Premium for this plan is $22.90. 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 a $615.00 drug deductible. You will need to pay this amount towards covered prescriptions before your insurance coverage for prescription medications kicks in.

Out-of-Pocket Maximums

This plan has a Maximum Out-Of-Pocket cost of $9250.00 for out-of-network services. You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $0.00 for in-network covered services, the plan will pay 100% of in-network covered costs for the rest of the year.

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:

Regular visits to your primary care doctor are covered and will have a copay of and coinsurance of 20%.

Specialist Visits:

Visits to specialists are covered and will have a copay of and coinsurance of 20%. Specialist visits may require a referral from your primary care doctor or prior authorization.

Emergency Room:

Trips to the Emergency Room are covered, and will have a copay of and coinsurance of 0% (no coinsurance). Coverage may vary for in-network and out-of-network hospitals.

Urgent Care:

Trips to Urgent Care arecovered and will have a copay of and coinsurance of 20%. Coverage may vary for in-network and out-of-network hospitals.

Sign up for Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP)

Phone Icon

Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week

Drug Coverage IconDrug Coverage

The Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP) Medicare plan features an annual drug deductible of $615. Under this plan, you will pay no copay for Tier 1 (Preferred Generic) and Tier 2 (Generic) drugs when using a standard pharmacy or preferred mail order service for both 1-month and 3-month supplies. If you choose standard mail order, Tier 1 drugs require a $10 to $30 copay, while Tier 2 drugs carry a $20 to $60 copay depending on the supply duration. For higher-tier medications, including Tier 3 (Preferred Brand), Tier 4 (Non-Preferred Drug), and Tier 5 (Specialty Tier), members are responsible for a 25% coinsurance. This 25% coinsurance rate applies across standard pharmacies, preferred mail order, and standard mail order services for these brand-name and specialty prescriptions. Understanding these cost-sharing details helps you accurately estimate your out-of-pocket prescription expenses with this Humana HMO D-SNP plan.

Additional Benefits IconAdditional Benefits

The Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP) plan offers comprehensive coverage with a mix of copays and coinsurance for essential medical services. Inpatient hospital acute stays require an $1,800 copay per admission with no coinsurance, while primary care, specialist visits, and therapy feature no copays and a 20% coinsurance. Outpatient hospital services carry a $550 copay and 20% coinsurance, and emergency room visits require a $115 copay which is waived if you are admitted within 24 hours. For supplemental care, the plan provides no copays and no coinsurance for preventive and comprehensive dental services up to a $2,000 yearly limit, as well as unlimited over-the-counter hearing aids. Vision benefits include a $250 annual allowance for eyewear with no copay, and members can utilize up to 76 free one-way transportation trips per year to plan-approved locations. Additionally, home health services, over-the-counter items, and chronic illness meals are covered with no copays or coinsurance.

Inpatient Hospital See details

Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP) partially covers inpatient hospital services with no coinsurance, though prior authorization is required. Medicare-covered acute stays require an $1,800 copay per admission with unlimited additional days at no copay, while psychiatric stays require a $1,700 copay per admission, excluding upgrades, additional psychiatric days, and non-Medicare-covered stays.

Outpatient Services See details

Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP) covers outpatient hospital services with a $550 copay and 20% coinsurance, and ambulatory surgical center services with a $400 copay and 20% coinsurance. Outpatient substance abuse and blood services are also covered with no copay and 20% coinsurance, though prior authorization is required.

Partial Hospitalization See details

Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP) covers partial hospitalization services with no copay and a 20% coinsurance. Prior authorization is required to receive this covered benefit.

Ambulance and Transportation Services See details

Ambulance and transportation services are covered by Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP), with ground ambulance services requiring a $335 copay (no coinsurance) and air ambulance services requiring a 20% coinsurance (no copay). Transportation services are partially covered, offering up to 76 one-way trips per year to plan-approved locations with no copay and no coinsurance, though transportation to any health-related location is not covered.

Emergency Services See details

Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP) covers emergency services with a $115 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services require a 20% coinsurance (up to a $40 maximum) and no copay, while worldwide emergency, urgent, and transportation services are covered with a $115 copay and no coinsurance.

Primary Care See details

Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP) covers primary care, specialist visits, therapy, and mental health services with no copay and a 20% coinsurance. Chiropractic care is partially covered, offering up to 12 routine visits per year with no copay and 20% coinsurance, while other chiropractic services are not covered.

Preventive Services See details

Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP) preventive services are partially covered with no copay and no coinsurance for annual physical exams, kidney disease education, and select benefits like memory fitness. However, several sub-services are not covered, including health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge medication reconciliation, readmission prevention, weight management, alternative therapies, therapeutic massage, adult day health, nutritional benefits, home-based palliative care, caregiver support, enhanced disease management, telemonitoring, remote access technologies, home safety modifications, and counseling.

Hearing Services See details

Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP) covers hearing services with no deductible, offering unlimited OTC hearing aids and fitting evaluations with no copays and no coinsurance. Routine hearing exams are covered annually with no copay and a 20% coinsurance, while prescription hearing aids are partially covered with no copay and no coinsurance for up to two devices every three years, excluding inner ear, outer ear, and over the ear models.

Vision Services See details

Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP) offers partially covered vision services, including one routine eye exam per year with no copay and 20% coinsurance. Covered eyewear, including one pair of contact lenses or eyeglasses per year, has no copay or coinsurance up to a $250 annual limit, while other eye exam services, individual eyeglass lenses, individual eyeglass frames, and upgrades are not covered.

Dental Services See details

Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP) covers Medicare-covered dental services with no copay and a 20% coinsurance, subject to prior authorization. Other comprehensive and preventive dental services are partially covered with no copay and no coinsurance up to a $2,000 yearly maximum, though fluoride treatments, maxillofacial prosthetics, implant services, and orthodontics are not covered.

Home Infusion bundled Services See details

Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP) covers home infusion bundled services with prior authorization and step therapy requirements. Medicare Part B insulin drugs have a $35 copay and 0% to 20% coinsurance, other Part B drugs have no copay and 0% to 20% coinsurance, and chemotherapy drugs require a copay and 0% to 20% coinsurance.

Dialysis Services See details

Dialysis Services are covered under the Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP) plan with no copay and a 20% coinsurance, although prior authorization is required.

Medical Equipment See details

Medical equipment is covered by Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP) with no copays and a 20% coinsurance for durable medical equipment, prosthetics, medical supplies, and diabetic supplies. Prior authorization is required for these services, and diabetic supplies are limited to specified manufacturers.

Diagnostic and Radiological Services See details

Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP) covers diagnostic and radiological services with a 20% coinsurance and prior authorization required for all services. Under this plan, there is no copay for lab services and diagnostic tests, while outpatient X-rays carry a $50 copay and diagnostic radiological services require a $200 copay.

Home Health Services See details

Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP) covers Home Health Services with no copay and no coinsurance, although prior authorization is required.

Cardiac Rehabilitation Services See details

Cardiac Rehabilitation Services are covered by Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP) with no copay and require prior authorization, though some services are not covered. Specifically, standard cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for peripheral artery disease (PAD) are not covered and require a 20% coinsurance.

Skilled Nursing Facility (SNF) See details

Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP) covers Skilled Nursing Facility (SNF) services with no coinsurance, requiring prior authorization but no prior three-day inpatient hospital stay. There is no copay for days 1 through 20 and a $218 daily copay for days 21 through 100, though additional days beyond the Medicare-covered limit are not covered.

Other Services See details

Other services are partially covered by Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP), including acupuncture with no copay and 20% coinsurance, as well as over-the-counter items and chronic illness meal benefits with no copay and no coinsurance. Prior authorization is required for acupuncture and meal benefits, while other specific services in this category are not covered.

Contact us phone logo

Get Personalized Help from a licensed insurance agent

1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week

Decorative blobs in the footerMedicareAdvantageRX logo*/

SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M

MedicareAdvantageRX.com is owned and operated by Dog Media Solutions LLC.

This is a promotional communication.

Every year, Medicare evaluates plans based on a 5-star rating system.

Part B premium reduction is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be lower. Deductibles, copays and coinsurance may apply.

* Benefit(s) mentioned may be part of a special supplemental program for chronically ill members with one of the following conditions: Diabetes mellitus, Cardiovascular disorders, Chronic and disabling mental health conditions, Chronic lung disorders, Chronic heart failure. This is not a complete list of qualifying conditions. Having a qualifying condition alone does not mean you will receive the benefit(s). Other requirements may apply.

Enrollment in Medicare/Medicare Advantage may be limited to certain times of the year unless you qualify for a Special Enrollment Period

We do not offer every plan available in your area. Currently, we represent 18 organizations, which offer 52,101 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.

We represent Medicare Advantage HMO, PPO and PFFS organizations and stand-alone PDP prescription drug plans that are contracted with Medicare. Enrollment depends on the plan's contract renewal.

Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply.

Please contact Medicare.gov ,1-800-MEDICARE , or your local State Health Insurance Program (SHIP) to get information on all of your options.

Medicare has neither approved nor endorsed any information on this site.

Speak with a licensed insurance agent: 1-877-649-2073 / TTY 711 | 8am - 11pm ET | 7 days a week

© 2023 Dog Media Solutions LLC. All rights reserved