Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Humana Gold Plus SNP-DE H1951-057 (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 H1951-057 (HMO D-SNP) in 2025, please refer to our full plan details page.
Humana Gold Plus SNP-DE H1951-057 (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 2025.
It's important to know that Humana Gold Plus SNP-DE H1951-057 (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 H1951-057 (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.
Below are a few key facts and commonly-asked questions about Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP).
The cost of a Medicare Advantage Plan is made up of four main parts.
For Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $43.70. 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 $590.00 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 $9350.00 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.
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
The Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP) plan has a deductible of $590.00. If you qualify for the low-income subsidy, your monthly premium is $43.70. Once you meet your deductible, 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.
The Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP) plan offers a range of benefits with varying costs. Inpatient hospital stays have copays, while outpatient services involve copays and coinsurance, such as a $550 copay and 20% coinsurance for outpatient hospital services. Emergency, primary care, and preventive services have a mix of copays and coinsurance, with many preventive services offered at no cost. Additional benefits include coverage for hearing and vision services, with no copays for routine hearing exams, eye exams, and eyewear. Dental services are also covered, with no copays for many services, and other dental services up to a $3,000 annual maximum. The plan also includes coverage for home infusion services, medical equipment, and other services such as acupuncture and over-the-counter items.
Inpatient Hospital benefits, including Inpatient Hospital-Acute and Inpatient Hospital Psychiatric, are covered with prior authorization. For Inpatient Hospital-Acute, there is a copay of $2185 per stay, and for Inpatient Hospital Psychiatric, there is a copay of $2036 per stay. Additional Days for Inpatient Hospital-Acute are covered with no copay, while Non-Medicare-covered Stay for Inpatient Hospital-Acute, Upgrades for Inpatient Hospital-Acute, and Additional Days and Non-Medicare-covered Stay for Inpatient Hospital Psychiatric are not covered.
Outpatient Services include coverage for Outpatient Hospital Services with a $550 copay and 20% coinsurance, Observation Services with 20% coinsurance, Ambulatory Surgical Center (ASC) Services with a $400 copay and a minimum of 20% coinsurance, Outpatient Substance Abuse Services with a minimum of 20% coinsurance for both individual and group sessions, and Outpatient Blood Services with no copay.
Partial Hospitalization is covered, but requires prior authorization. You will pay 20% coinsurance for this benefit.
Ambulance and Transportation Services are covered, including ground and air ambulance, and transportation services to a health-related location. Ground ambulance services have a $315 copay, while air ambulance services have a 20% coinsurance; transportation services to a health-related location have no copay. Transportation services to any health-related location are not covered.
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered. Emergency Services have a $110 copay, Urgently Needed Services have 20% coinsurance, and Worldwide Emergency Services have a $110 copay for Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation.
Under the Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP) plan, primary care physician services, chiropractic services, occupational therapy services, physician specialist services, mental health specialty services, podiatry services, other health care professional services, psychiatric services, physical therapy, speech-language pathology services, additional telehealth benefits, and opioid treatment program services are covered. Chiropractic services have a 20% coinsurance and routine chiropractic care has no copay for 12 visits per year, while all other services have a 20% coinsurance.
Preventive services are covered, including an annual physical exam with no copay. Additional preventive services, Kidney Disease Education Services, Glaucoma Screening, Diabetes Self-Management Training, Barium Enemas, Digital Rectal Exams, EKG following Welcome Visit, and Wigs for Hair Loss Related to Chemotherapy are covered with no copay, while Health Education, In-Home Safety Assessment, Personal Emergency Response System (PERS), Medical Nutrition Therapy (MNT), Post discharge In-Home Medication Reconciliation, Re-admission Prevention, Weight Management Programs, Alternative Therapies, Therapeutic Massage, Adult Day Health Services, Nutritional/Dietary Benefit, Home-Based Palliative Care, Support for Caregivers of Enrollees, Enhanced Disease Management, Telemonitoring Services, Remote Access Technologies, Counseling Services, and Home and Bathroom Safety Devices and Modifications are not covered.
The Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP) plan covers hearing exams with a coinsurance of at most 20% for routine hearing exams, and no copay for routine hearing exams. The plan also covers fitting/evaluation for hearing aids with no copay, and prescription hearing aids (all types) with no copay, but prescription hearing aids for the inner ear, outer ear, and over the ear are not covered.
The Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP) plan covers vision services, including eye exams with no copay and 20% coinsurance, and eyewear with no copay, and a combined maximum of $400 per year. Contact lenses and eyeglasses (lenses and frames) are covered, but eyeglass lenses, eyeglass frames, and upgrades are not covered.
Dental services include coverage for Medicare Dental Services with 20% coinsurance, and other dental services up to a $3,000 annual maximum. Oral exams, dental x-rays, other diagnostic dental services, prophylaxis (cleaning), other preventive dental services, restorative services, adjunctive general services, endodontics, periodontics, prosthodontics (removable and fixed), and oral and maxillofacial surgery are covered with no copay, while fluoride treatment, maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services, including Medicare Part B Insulin Drugs, Medicare Part B Chemotherapy/Radiation Drugs, and Other Medicare Part B Drugs, are covered. For Medicare Part B Insulin Drugs, there is a $35 copay, and coinsurance ranges from 0% to 20%. The coinsurance for Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs ranges from 0% to 20%.
Dialysis Services are covered under the Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP) plan, but require prior authorization. You will pay 20% coinsurance for these services.
Medical Equipment, including Durable Medical Equipment (DME), Prosthetics/Medical Supplies, and Diabetic Equipment, is covered by this plan. DME and Diabetic Supplies have a 20% coinsurance, while the plan has a 20% coinsurance for Prosthetic Devices and Medical Supplies, and no copay for Diabetic Supplies and Diabetic Therapeutic Shoes/Inserts.
Diagnostic and Radiological Services are covered, including Diagnostic Procedures/Tests, Lab Services, Diagnostic Radiological Services, Therapeutic Radiological Services, and Outpatient X-Ray Services. Diagnostic Procedures/Tests have no copay, with a coinsurance of at most 20%, while Lab Services have no copay and a coinsurance of at most 20%. Diagnostic Radiological Services have a copay of at most $720 and a coinsurance of at most 20%, and Outpatient X-Ray Services have a $50 copay and a coinsurance of at most 20%.
Home Health Services are covered by the Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP) plan with no copay and no coinsurance. However, Additional Hours of Care and Personal Care Services are not covered.
Cardiac Rehabilitation Services are not covered by the Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP) plan. Services including Medicare-covered Intensive Cardiac Rehabilitation Services, Medicare-covered Pulmonary Rehabilitation Services, Medicare-covered Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD) Services, and Additional Cardiac Rehabilitation Services are not covered.
Skilled Nursing Facility (SNF) services are covered by the Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP) plan with prior authorization required. For days 1-20, there is no copay, and for days 21-100, the copay is $214.
The Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP) plan covers acupuncture with a 20% coinsurance and a limit of 20 treatments per year, and also covers over-the-counter (OTC) items with a maximum benefit of $2700 per year. The plan also offers a meal benefit with no copay, and covers meals for chronic illness. However, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) services, Private Duty Nursing Services, Case Management (Long Term Care), Institution for Mental Disease Services for Individuals 65 or Older, Services in an Intermediate Care Facility for Individuals with Intellectual Disabilities, Case Management, Tobacco Cessation Counseling for Pregnant Women, Freestanding Birth Center Services, Respiratory Care Services, Family Planning Services, Nursing Home Services, Home and Community Based Services, Personal Care Services, and Self-Directed Personal Assistance Services are not covered.
SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
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