Humana Gold Plus SNP-DE H5619-179 (HMO-POS D-SNP)

Humana Gold Plus SNP-DE H5619-179 (HMO-POS D-SNP) is a HMO-POS D-SNP plan offered by Humana Inc. available for enrollment in 2026 to people living in West Virginia. This plan received an overall rating of 3 out of 5 stars in 2026.

It's important to know that Humana Gold Plus SNP-DE H5619-179 (HMO-POS D-SNP) 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 SNP-DE H5619-179 (HMO-POS 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.

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 SNP-DE H5619-179 (HMO-POS D-SNP) prescription drug plan features an annual drug deductible of $615. Beneficiaries enjoy no copay for Tier 1 preferred generic and Tier 2 generic medications when using standard pharmacies or preferred mail order for both 1-month and 3-month supplies. However, standard mail order fills for these generic tiers require copays ranging from $10 to $20 for a 1-month supply and $30 to $60 for a 3-month supply. Higher-tier prescription drugs under this plan transition to a percentage-based cost-sharing model. Tier 3 preferred brands, Tier 4 non-preferred drugs, and Tier 5 specialty drugs all carry a 25% coinsurance across standard pharmacies, preferred mail order, and standard mail order options. This 25% coinsurance applies to both 1-month and 3-month supplies, with the exception of Tier 5 specialty drugs which are limited to a 1-month supply.

Additional Benefits

The Humana Gold Plus SNP-DE H5619-179 (HMO-POS D-SNP) offers comprehensive medical coverage, featuring preventive care, home health services, and select transportation with no copay and no coinsurance. For inpatient hospital stays, members pay a flat copayment per stay with no coinsurance, while outpatient services, primary care, and specialist visits generally require a 20% coinsurance and no copay. Emergency care is available with a $115 copay, which is waived upon hospital admission, and emergency ambulance services carry a $335 copay. This plan also includes essential everyday benefits, offering dental services up to a $1,000 annual limit and eyewear up to a $150 annual limit with no copay or coinsurance. Routine hearing exams, diagnostic tests, and medical equipment are covered with a 20% coinsurance and no copay, while over-the-counter items and chronic illness meals are fully covered. Skilled nursing facility care is also available with no copay for the first 20 days, followed by a daily copay for days 21 through 100.