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Humana Gold Plus SNP-DE H1951-057 (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 H1951-057 (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 2026, 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 2026.
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.
Key Plan Facts
Below are a few key facts and commonly-asked questions about Humana Gold Plus SNP-DE H1951-057 (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 H1951-057 (HMO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $12.90. 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:
Specialist Visits:
Emergency Room:
Urgent Care:
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Drug Coverage
The Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP) prescription drug plan features an annual drug deductible of $615. For Tier 1 preferred generic and Tier 2 generic medications, there is no copay for one-month and three-month supplies filled at standard pharmacies or through preferred mail order. If you choose to use standard mail order, Tier 1 drugs carry a $10 to $30 copay, while Tier 2 drugs require a $20 to $60 copay. For Tier 3 preferred brand drugs, Tier 4 non-preferred drugs, and Tier 5 specialty drugs, you will pay a 25% coinsurance. This 25% coinsurance rate applies to standard pharmacies, preferred mail order, and standard mail order options alike. Understanding these copayment and coinsurance structures can help you estimate your annual out-of-pocket healthcare costs with this Humana Medicare plan.
Additional Benefits
The Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP) plan offers comprehensive medical coverage with no copays for primary care, specialist visits, home health care, and preventive services, though a twenty percent coinsurance typically applies. For inpatient hospital stays, members are responsible for a two thousand two hundred thirty dollar copay per acute admission, while emergency room visits require a one hundred fifteen dollar copay. Additionally, the plan covers ground ambulance services with a three hundred thirty-five dollar copay and provides up to seventy-six free one-way trips to plan-approved locations. Beneficiaries also enjoy valuable supplemental benefits, including dental services with no copay up to a three thousand dollar annual limit and eyewear coverage with no copay up to four hundred dollars yearly. Hearing aids, routine hearing exams, over-the-counter items, and chronic illness meal benefits are also covered with no copays. For other essential needs like durable medical equipment, dialysis, and diagnostic services, members generally pay a twenty percent coinsurance with no copay.
Inpatient Hospital See details
Inpatient hospital services are partially covered by Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP), requiring a $2,230 copay per admission and no coinsurance for acute stays, and a $2,080 copay per admission and no coinsurance for psychiatric stays. Prior authorization is required, and certain sub-services such as upgrades, additional psychiatric days, and non-Medicare-covered stays are not covered.
Outpatient Services See details
Humana Gold Plus SNP-DE H1951-057 (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 covered with no copay and 20% coinsurance, while observation services require a copay and 20% coinsurance, with prior authorization required for these outpatient benefits.
Partial Hospitalization See details
Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP) covers partial hospitalization benefits with no copay and a 20% coinsurance. Prior authorization is required for these services.
Ambulance and Transportation Services See details
Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP) covers ground ambulance services with a $335 copay and no coinsurance, and air ambulance services with a 20% coinsurance and no copay. Transportation benefits are partially covered, offering up to 76 one-way trips per year to plan-approved locations with no copay and no coinsurance, though trips to other health-related locations are not covered.
Emergency Services See details
Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP) covers emergency services with a $115 copay—waived if admitted to the hospital within 24 hours—and no coinsurance. Urgently needed services are covered with a 20% coinsurance (up to $40) and no copay, while worldwide emergency, urgent, and transportation services are available with a $115 copay and no coinsurance.
Primary Care See details
Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP) covers primary care, specialist, therapy, and telehealth services with no copay and a 20% coinsurance. Chiropractic services are partially covered, providing up to 12 routine visits per year with no copay and a 20% coinsurance, while other chiropractic services are not covered.
Preventive Services See details
Preventive services are partially covered by Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP) with no copay and no coinsurance for covered options like annual exams, diabetes training, and in-home support. However, several services are not covered, including health education, safety assessments, PERS, medical nutrition therapy, medication reconciliation, readmission prevention, weight management, alternative therapies, therapeutic massage, adult day health, nutritional benefits, palliative care, caregiver support, disease management, telemonitoring, remote technologies, home modifications, and counseling.
Hearing Services See details
Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP) covers hearing services, including OTC hearing aids and fitting evaluations with no copays or coinsurance. Routine hearing exams are covered annually with a 20% coinsurance and no copay, while prescription hearing aids are partially covered with no copay or coinsurance for up to two devices every three years, excluding inner ear, outer ear, and over the ear types.
Vision Services See details
Vision services are partially covered by Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP), featuring routine eye exams with no copay and 20% coinsurance, while other eye exams are not covered. Eyewear is also partially covered with no copay, no coinsurance, and a $400 annual limit for one pair of eyeglasses or contact lenses, though separate eyeglass lenses, eyeglass frames, and upgrades are not covered.
Dental Services See details
Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP) features partially covered dental services with no copay and a 20% coinsurance for Medicare-covered dental, alongside other covered services with no copay and no coinsurance up to a $3,000 annual limit. Specific services such as fluoride treatments, maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP) covers Home Infusion bundled Services, which require prior authorization and step therapy. Covered Medicare Part B insulin drugs carry a $35 copay and range from no coinsurance to 20% coinsurance, while chemotherapy and other Part B drugs require no copay and range from no coinsurance to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered under the Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP) plan with no copay and a 20% coinsurance, and prior authorization is required.
Medical Equipment See details
Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP) medical equipment benefits cover durable medical equipment, prosthetic devices, medical supplies, and diabetic supplies with a 20% coinsurance and no copay. Diabetic therapeutic shoes and inserts are also covered with no copay, and prior authorization is required for most equipment and supplies.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered under Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP) with a 20% coinsurance and require prior authorization. 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
Home Health Services are covered under the Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP) plan with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP) offers Cardiac Rehabilitation Services with no copay, though only some services are covered in practice. Specific services, including cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) for symptomatic peripheral artery disease, are not covered and require a 20% coinsurance.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) care is covered by Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP) with no coinsurance, offering no copay for days 1 through 20 and a $218 daily copay for days 21 through 100. Prior authorization is required for these services, though a prior three-day inpatient hospital stay is not.
Other Services See details
Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP) partially covers other services, offering acupuncture with no copay and 20% coinsurance for up to 20 treatments per year, as well as over-the-counter items and chronic illness meal benefits with no copay and no coinsurance. Highly integrated dual-eligible SNP services and other miscellaneous services are not covered.
Get Personalized Help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
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