Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP)

Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP) is a HMO D-SNP plan offered by Humana WI Health Organization Insurance Corp available for the 2026 plan year to people living in Select counties in Ohio. This plan received an overall rating of 3.5 out of 5 stars in 2026.

It's important to know that Humana Gold Plus SNP-DE H6622-015 (HMO 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 H6622-015 (HMO 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 H6622-015 (HMO D-SNP) prescription drug plan features an annual drug deductible of $615. Beneficiaries pay no copay for Tier 1 (Preferred Generic) and Tier 2 (Generic) medications when using a standard pharmacy or preferred mail order for both 1-month and 3-month supplies. Standard mail order fills for these generic tiers require a copay, starting at $10 for Tier 1 and $20 for Tier 2 for a 1-month supply. For Tier 3 (Preferred Brand), Tier 4 (Non-Preferred Drug), and Tier 5 (Specialty Tier) medications, the plan requires a 25% coinsurance across standard pharmacies, preferred mail order, and standard mail order options. This 25% coinsurance applies to 1-month and 3-month supplies for Tiers 3 and 4, and to 1-month supplies for Tier 5 specialty drugs. This plan provides an affordable way to manage generic prescription costs while offering predictable coinsurance for brand-name and specialty medications.

Additional Benefits

The Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP) offers comprehensive medical coverage with no copay for primary care, specialists, and outpatient services, though a 20% coinsurance applies to these visits. For inpatient hospital stays, members pay no coinsurance but are responsible for a copay of $2,230 per acute care stay or $2,080 per psychiatric stay. Emergency room visits carry a $115 copay, which is waived upon admission, while routine preventive services and home health care are fully covered with no copay and no coinsurance. Supplemental benefits include dental coverage up to $4,000 annually and vision coverage for eyewear up to $1,400, both with no copays. Routine hearing exams and durable medical equipment are covered with no copay and a 20% coinsurance, and the plan provides up to 60 one-way transportation trips per year with no copay or coinsurance. Additionally, skilled nursing facility stays require no copay for the first 20 days, followed by a $218 daily copay for days 21 through 100.

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.