Humana Gold Plus Giveback H5619-146 (HMO)

Humana Gold Plus Giveback H5619-146 (HMO) is a HMO plan offered by Humana Inc. available for enrollment in 2025 to people living in Los Angeles and Orange Counties. This plan received an overall rating of 3 out of 5 stars in 2026.

It's important to know that Humana Gold Plus Giveback H5619-146 (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 H5619-146 (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 H5619-146 (HMO) plan features an enhanced alternative drug benefit with a $0 prescription drug deductible. During the initial coverage phase, there is no copay for Tier 1 preferred generic drugs filled at standard pharmacies or through preferred mail order. For other medication tiers, Tier 2 standard generic drugs require a $30 copay at standard pharmacies, while Tier 3 preferred brand and Tier 4 non-preferred drugs require 35% and 33% coinsurance respectively. After your yearly out-of-pocket drug costs reach $2,100, you enter the catastrophic coverage phase and will pay nothing for Medicare Part D covered drugs. Additionally, beneficiaries who qualify for the low-income subsidy will see their Part D premium reduced to $0. This plan provides structured, predictable costs to help you manage your healthcare expenses effectively.

Additional Benefits

The Humana Gold Plus Giveback H5619-146 (HMO) plan offers affordable coverage for core medical needs, featuring no copay and no coinsurance for primary care visits, physical therapy, and home health services. For hospital stays, members pay a $175 daily copay for the first five days of acute inpatient care and no copay thereafter, while emergency room visits carry a $150 copay that is waived upon admission. Specialist visits and diagnostic tests are also accessible with low copays and no coinsurance, though ambulance transport and medical equipment require coinsurance. This plan also includes valuable supplemental benefits to support your overall well-being, including dental, vision, and hearing coverage. Preventive dental care, routine vision exams, and annual hearing exams are available with no copay, and the plan provides a $1,750 annual limit for dental services alongside a $200 annual eyewear allowance. While the plan covers acupuncture and skilled nursing care, it does not cover routine podiatry, chiropractic care, cardiac rehabilitation, or over-the-counter items.