Humana Gold Plus H6622-025 (HMO-POS)

Humana Gold Plus H6622-025 (HMO-POS) is a HMO-POS plan offered by Humana Inc. available for enrollment in 2025 to people living in Western North Carolina Area. This plan received an overall rating of 3.5 out of 5 stars in 2026.

It's important to know that Humana Gold Plus H6622-025 (HMO-POS) 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 H6622-025 (HMO-POS).

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 H6622-025 (HMO-POS) Medicare plan features an annual drug deductible of $350. Under this plan, Tier 1 preferred generic drugs have no copay for 1-month and 3-month supplies at standard pharmacies and through preferred mail order. Tier 2 generic drugs cost as little as a $5 copay for a 1-month supply, with no copay required for a 3-month supply filled via preferred mail order. Tier 3 preferred brand drugs require a $47 copay for a 1-month supply, though you can save on a 3-month supply using preferred mail order for a $131 copay. For higher-tier medications, Tier 4 non-preferred drugs require a 48% coinsurance, and Tier 5 specialty drugs require a 29% coinsurance. Utilizing preferred mail-order pharmacies is often the most cost-effective way to manage your prescription drug costs with this plan.

Additional Benefits

The Humana Gold Plus H6622-025 (HMO-POS) plan offers comprehensive medical coverage with no copays or coinsurance for primary care visits, preventive services, and home health care. For inpatient hospital stays, members pay a $375 copay for the first several days and no copay for additional days, while specialist visits require a $35 copay. Outpatient services, emergency care, and urgent care are also covered with fixed copays and no coinsurance, ensuring predictable out-of-pocket costs. The plan also features strong supplemental benefits, including routine dental, vision, and hearing exams with no copays, alongside coverage for eyewear and hearing aids. While diagnostic services and labs require no copay, specialized services like dialysis, durable medical equipment, and certain Part B drugs involve a 10% to 20% coinsurance. Additionally, members can access covered over-the-counter items and meals with no copay and no coinsurance, though some services require prior authorization.