Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Humana Gold Plus SNP-DE H1951-061 (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 H1951-061 (HMO D-SNP) in 2026, please refer to our full plan details page.
Humana Gold Plus SNP-DE H1951-061 (HMO D-SNP) is a HMO D-SNP plan offered by Humana Inc. available for enrollment in 2026 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 H1951-061 (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 H1951-061 (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 H1951-061 (HMO D-SNP).
The cost of a Medicare Advantage Plan is made up of four main parts.
For Humana Gold Plus SNP-DE H1951-061 (HMO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $16.10. 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.
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 H1951-061 (HMO D-SNP) prescription drug plan features an annual drug deductible of $615. For Tier 1 preferred generic and Tier 2 generic drugs, members pay no copay for 1-month or 3-month supplies filled at standard pharmacies or through preferred mail order. Standard mail order deliveries for these generic tiers incur copays ranging from $10 to $60 depending on the drug tier and supply length. For Tier 3 preferred brand, Tier 4 non-preferred, and Tier 5 specialty drugs, you will pay a 25% coinsurance for your prescriptions. This 25% coinsurance applies to standard pharmacies, preferred mail order, and standard mail order for 1-month and 3-month supplies, except for Tier 5 specialty drugs which are limited to 1-month supplies. Knowing these drug deductible, copay, and coinsurance rates helps you accurately plan your healthcare costs.
The Humana Gold Plus SNP-DE H1951-061 (HMO D-SNP) plan provides comprehensive healthcare coverage, featuring routine preventive care and home health services with no copay and no coinsurance. For inpatient hospital stays, members pay a flat copay of $2,100 for acute care or $1,900 for psychiatric care with no coinsurance, while outpatient services generally carry a $550 copay and 20% coinsurance. Primary care, specialist visits, and outpatient diagnostic tests are available with no copay and 20% coinsurance. This plan also includes valuable supplemental benefits, such as up to $3,000 in covered dental services and up to $400 in annual eyewear with no copay and no coinsurance. Routine hearing exams and vision tests are available with no copay and 20% coinsurance, and eligible members can receive up to two prescription hearing aids every three years with no copay and no coinsurance. Additionally, the plan covers up to 76 one-way transportation trips per year to plan-approved locations with no copay and no coinsurance.
Humana Gold Plus SNP-DE H1951-061 (HMO D-SNP) covers inpatient hospital services with no coinsurance, requiring a $2,100 copay per stay for acute care and a $1,900 copay per stay for psychiatric care. This benefit is partially covered as upgrades and non-Medicare-covered stays are not covered, and prior authorization is required.
Humana Gold Plus SNP-DE H1951-061 (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, with prior authorization required for most services.
Humana Gold Plus SNP-DE H1951-061 (HMO D-SNP) covers partial hospitalization services with no copay and a 20% coinsurance. Prior authorization is required for this benefit.
Ambulance and transportation services are covered by Humana Gold Plus SNP-DE H1951-061 (HMO D-SNP), with ground ambulance services requiring a $335 copay and air ambulance services requiring a 20% coinsurance. Transportation services are partially covered with no copay and no coinsurance for up to 76 one-way trips per year to plan-approved locations, while transportation to any health-related location is not covered.
Humana Gold Plus SNP-DE H1951-061 (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 $40 per visit) and no copay, while worldwide emergency, urgent, and transportation services are covered with a $115 copay and no coinsurance.
Humana Gold Plus SNP-DE H1951-061 (HMO D-SNP) covers primary care, specialist, therapy, and mental health services with no copay and 20% coinsurance, though prior authorization is required for most services. Chiropractic benefits are partially covered, providing up to 12 routine visits per year with no copay and 20% coinsurance, while other chiropractic services are not covered.
Humana Gold Plus SNP-DE H1951-061 (HMO D-SNP) covers preventive services, including annual physical exams, kidney disease education, and diabetes training, with no copay and no coinsurance. Additional preventive benefits are partially covered, offering wigs, in-home support, smoking cessation, and memory fitness with no copay and no coinsurance, while services like health education and personal emergency response systems are not covered.
Hearing services are covered by Humana Gold Plus SNP-DE H1951-061 (HMO D-SNP), featuring one routine hearing exam per year with a 20% coinsurance and no copay, and unlimited fitting evaluations with no copay and no coinsurance. Prescription hearing aids are partially covered with no copay and no coinsurance for up to two aids every three years, though inner ear, outer ear, and over the ear types are not covered. OTC hearing aids are also covered with no copay and no coinsurance.
Humana Gold Plus SNP-DE H1951-061 (HMO D-SNP) partially covers vision services, offering routine eye exams with no copay and 20% coinsurance, and eyewear with no copay and no coinsurance up to a $400 annual limit. Other eye exam services, eyeglass lenses, eyeglass frames, and upgrades are not covered.
Humana Gold Plus SNP-DE H1951-061 (HMO D-SNP) partially covers dental services, offering Medicare-covered dental care with no copay and a 20% coinsurance, and other dental services up to a $3,000 annual limit with no copay and no coinsurance. Fluoride treatment, maxillofacial prosthetics, implant services, and orthodontics are not covered under this plan.
Humana Gold Plus SNP-DE H1951-061 (HMO D-SNP) covers home infusion bundled services, requiring prior authorization and step therapy. Covered Part B insulin drugs require a $35 copay and 0% to 20% coinsurance, while other Part B drugs have no copay and 0% to 20% coinsurance, and chemotherapy drugs carry a copayment and 0% to 20% coinsurance.
Humana Gold Plus SNP-DE H1951-061 (HMO D-SNP) covers dialysis services with no copay and a 20% coinsurance. Prior authorization is required for these covered services.
Medical equipment benefits under the Humana Gold Plus SNP-DE H1951-061 (HMO D-SNP) plan, including durable medical equipment, prosthetics, and diabetic supplies, are covered with a 20% coinsurance and no copay. Prior authorization is required for these items, and diabetic supplies are limited to specified manufacturers.
Humana Gold Plus SNP-DE H1951-061 (HMO D-SNP) covers diagnostic and radiological services with prior authorization. Diagnostic tests, procedures, and lab services have no copay and 20% coinsurance, while outpatient X-rays require a $50 copay and 20% coinsurance, and diagnostic radiological services require a $200 copay and 20% coinsurance.
Humana Gold Plus SNP-DE H1951-061 (HMO D-SNP) covers Home Health Services with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services are covered by the Humana Gold Plus SNP-DE H1951-061 (HMO D-SNP) with no copay, but some services are covered while standard cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered and require a 20% coinsurance. Prior authorization is required for these services.
Humana Gold Plus SNP-DE H1951-061 (HMO D-SNP) covers Skilled Nursing Facility (SNF) services with no coinsurance, offering no copay for days 1 through 20 and a $218 copay per day for days 21 through 100. Prior authorization is required, a prior three-day inpatient hospital stay is not required, and additional days beyond the Medicare-covered limit are not covered.
Humana Gold Plus SNP-DE H1951-061 (HMO D-SNP) partially covers other services, offering acupuncture with no copay and 20% coinsurance, alongside over-the-counter items and chronic illness meal benefits with no copay and no coinsurance. Certain sub-services, including highly integrated services for dual eligibles and other miscellaneous benefits, are not covered.
SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
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* 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.
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