Humana Gold Plus Giveback H4141-022 (HMO)

Humana Gold Plus Giveback H4141-022 (HMO) is a HMO plan offered by Humana Employers Health Plan of Georgia, Inc. available for the 2026 plan year to people living in Select counties in Georgia. This plan received an overall rating of 3.5 out of 5 stars in 2026.

It's important to know that Humana Gold Plus Giveback H4141-022 (HMO) 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 Giveback H4141-022 (HMO).

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 Giveback H4141-022 (HMO) prescription drug plan features an annual drug deductible of $450. For Tier 1 (Preferred Generic) and Tier 2 (Generic) drugs, there is no copay for a 1-month or 3-month supply at standard pharmacies and through preferred mail order. Standard mail-order deliveries for these generic tiers require a copay ranging from $10 to $20 for a 1-month supply. Tier 3 (Preferred Brand) medications cost a $47 copay for a 1-month supply, with a reduced 3-month copay of $131 when filled through preferred mail order. More expensive medications require coinsurance instead of copays, with Tier 4 (Non-Preferred) drugs requiring 43% coinsurance and Tier 5 (Specialty) drugs requiring 27% coinsurance. This Medicare Advantage plan provides cost-effective options for generic prescriptions while utilizing coinsurance for higher-tier medications.

Additional Benefits

The Humana Gold Plus Giveback H4141-022 (HMO) offers comprehensive medical coverage with clear, predictable cost-sharing. Members enjoy no copay for primary care visits, preventive screenings, and home health services, while specialist visits require a $40 copay. Inpatient hospital stays have a $375 daily copay for the first seven days and no copay thereafter, while outpatient hospital services feature no coinsurance and a copay ranging from $0 to $450. This plan also includes key supplemental benefits, such as routine dental and vision exams with no copay, plus a $150 annual allowance for contacts or eyeglasses. Diagnostic lab work and X-rays are covered with no copay, while durable medical equipment and diabetic supplies carry a 10% to 20% coinsurance with no copay. Emergency services are available for a $115 copay, which is waived if you are admitted to the hospital within 24 hours.

Plan Providers

Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, Health Care Service Corporation, HealthSpring^SM, HealthSun, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.