Humana Gold Plus Giveback H5619-150 (HMO)

Humana Gold Plus Giveback H5619-150 (HMO) is a HMO plan offered by Humana Inc. available for enrollment in 2025 to people living in Central/Southern California Area. This plan received an overall rating of 3 out of 5 stars in 2026.

It's important to know that Humana Gold Plus Giveback H5619-150 (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 H5619-150 (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 H5619-150 (HMO) Medicare plan offers an enhanced alternative drug benefit with no prescription drug deductible. During the initial coverage phase, which lasts until total drug costs reach $2,100, you will pay no copay for Tier 1 preferred generic drugs at standard pharmacies or through preferred mail. For other tiers, costs include a $30 copay for Tier 2 standard generics, 35% coinsurance for Tier 3 preferred brands, and 33% coinsurance for Tier 4 non-preferred drugs. Once your yearly out-of-pocket drug costs reach $2,100, you enter the catastrophic coverage phase and pay nothing for Medicare Part D covered drugs. Additionally, individuals who qualify for the low-income subsidy, or Extra Help, can reduce their Part D premium cost to $0. It is highly recommended to check the plan's formulary to see how your specific prescription drugs are covered across these tiers.

Additional Benefits

The Humana Gold Plus Giveback H5619-150 (HMO) plan offers affordable coverage for core medical needs, featuring no copay for primary care visits and a $15 to $30 copay for specialists. Inpatient hospital stays require a $250 daily copay for the first five days and no copay for days six through 90, while emergency care carries a $130 copay. Outpatient services generally feature no coinsurance, with no copay for ambulatory surgical centers and copays ranging from no copay to $250 for outpatient hospital services. For supplemental care, this plan provides dental benefits up to a $2,000 annual limit and vision coverage up to $150 annually, both offering routine exams with no copay. Hearing services feature no copay for routine exams and a $499 to $799 copay for prescription hearing aids, while durable medical equipment requires a 15% coinsurance. Note that some services are not covered, including fitness benefits, routine chiropractic care, cardiac rehabilitation, and transportation.