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Humana Gold Plus H6622-060 (HMO-POS)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Humana Gold Plus H6622-060 (HMO-POS). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Humana Gold Plus H6622-060 (HMO-POS) in 2026, please refer to our full plan details page.
Humana Gold Plus H6622-060 (HMO-POS) is a HMO-POS plan offered by Humana Inc. available for enrollment in 2025 to people living in Triangle Perimeter. This plan received an overall rating of 3.5 out of 5 stars in 2026.
It's important to know that Humana Gold Plus H6622-060 (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 H6622-060 (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.
For Humana Gold Plus H6622-060 (HMO-POS), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $0.00. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $1.00. You must continue to pay paying your reduced Part B Premium.
Deductibles
This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.
This plan has a $350.00 drug deductible. You will need to pay this amount towards covered prescriptions before your insurance coverage for prescription medications kicks in.
Out-of-Pocket Maximums
This plan has a Maximum Out-Of-Pocket cost of $9250.00 for out-of-network services. You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $0.00 for in-network covered services, the plan will pay 100% of in-network covered costs for the rest of the year.
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:
Doctor Visits:
Specialist Visits:
Emergency Room:
Urgent Care:
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Drug Coverage
The Humana Gold Plus H6622-060 (HMO-POS) Medicare plan features an annual drug deductible of $350. Tier 1 preferred generic drugs have no copay for a 1-month or 3-month supply at standard pharmacies or through preferred mail order. Tier 2 generic drugs carry a low $5 copay for a 1-month supply at standard pharmacies, and there is no copay for a 3-month supply filled via preferred mail order. For Tier 3 preferred brand drugs, you will pay a $47 copay for a 1-month supply, or a reduced $131 copay for a 3-month supply using preferred mail order. Tier 4 non-preferred drugs require a 48% coinsurance, while Tier 5 specialty drugs carry a 29% coinsurance. These clear pricing tiers make it easy to estimate your out-of-pocket prescription costs with this Humana plan.
Additional Benefits
The Humana Gold Plus H6622-060 (HMO-POS) plan offers robust healthcare coverage designed to keep your out-of-pocket costs predictable and manageable. Beneficiaries enjoy no copay and no coinsurance for primary care visits, routine preventive services, and home health care, while specialist visits require a $35 copay. For hospital stays, there is no coinsurance, and inpatient care features a $375 daily copay for the first seven days, followed by no copay for unlimited additional days. This plan also includes valuable dental, vision, and hearing benefits to help you save on routine care. You will pay no copay and no coinsurance for routine vision exams, annual eyewear up to a $400 limit, and covered dental services up to a $1,250 annual maximum. Additionally, routine hearing exams have no copay, and prescription hearing aids are covered with no coinsurance and copays ranging from $0 to $599.
Inpatient Hospital See details
Humana Gold Plus H6622-060 (HMO-POS) covers inpatient acute hospital stays with no coinsurance and a $375 daily copay for days 1 through 7, followed by no copay for unlimited additional days. Inpatient psychiatric care is also covered with no coinsurance and a $375 daily copay for days 1 through 5, with no copay for days 6 through 90, though upgrades, additional psychiatric days, and non-Medicare-covered stays are not covered.
Outpatient Services See details
Humana Gold Plus H6622-060 (HMO-POS) covers outpatient services with no coinsurance, though prior authorization is required. Outpatient hospital services have a $0 to $450 copay, observation services require a $375 copay per stay, and substance abuse sessions have a $35 copay, while ambulatory surgical center and blood services are covered with no copay.
Partial Hospitalization See details
Humana Gold Plus H6622-060 (HMO-POS) covers partial hospitalization services with a $35.00 copay and no coinsurance, though prior authorization is required.
Ambulance and Transportation Services See details
Humana Gold Plus H6622-060 (HMO-POS) covers Medicare-approved ground and air ambulance services with a $335 copay per trip and no coinsurance, requiring prior authorization. Additional transportation services to health-related locations are not covered under this plan.
Emergency Services See details
Emergency services are covered by Humana Gold Plus H6622-060 (HMO-POS) with a $115 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services have a $40 copay and no coinsurance, while worldwide emergency, urgent, and transportation services are covered with a $115 copay and no coinsurance.
Primary Care See details
Humana Gold Plus H6622-060 (HMO-POS) provides primary care physician services with no copay and no coinsurance, while specialist, mental health, and psychiatric visits require a $35 copay and no coinsurance. Physical and occupational therapies carry a $25 copay with no coinsurance, telehealth services range from a $0 to $40 copay with no coinsurance, and chiropractic and podiatry services are not covered.
Preventive Services See details
Humana Gold Plus H6622-060 (HMO-POS) covers preventive services, including annual physical exams, kidney disease education, and select screenings, with no copay and no coinsurance. Additional preventive services are partially covered; the plan includes a memory fitness benefit with no copay, but does not cover services like health education, weight management, or nutritional counseling.
Hearing Services See details
Humana Gold Plus H6622-060 (HMO-POS) partially covers hearing services, offering Medicare-covered exams for a $35 copay and no coinsurance, while routine annual exams and fitting evaluations have no copay and no coinsurance. Prescription hearing aids are covered with no coinsurance and copays ranging from $0 to $599 (limited to 2 every three years), but OTC hearing aids as well as inner ear, outer ear, and over the ear prescription models are not covered.
Vision Services See details
Vision services are partially covered by Humana Gold Plus H6622-060 (HMO-POS) with no deductible, no coinsurance, and no copay for covered routine eye exams (one per year) and eyewear (one pair of eyeglasses or contact lenses per year) up to a $400 annual limit. Prior authorization is required for these benefits, and other eye exam services, separate eyeglass lenses, separate eyeglass frames, and upgrades are not covered.
Dental Services See details
Humana Gold Plus H6622-060 (HMO-POS) partially covers dental services, offering Medicare-covered dental care for a $35 copay and no coinsurance, plus other covered dental services with no copay and no coinsurance up to a $1,250 annual maximum. Fluoride treatment, maxillofacial prosthetics, implant services, and orthodontics are not covered under this plan.
Home Infusion bundled Services See details
Humana Gold Plus H6622-060 (HMO-POS) covers Home Infusion bundled Services with no copay, though prior authorization is required. Associated Medicare Part B drugs, including chemotherapy, radiation, and other Part B drugs, carry no coinsurance to 20% coinsurance, while covered insulin has a $35 copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered by Humana Gold Plus H6622-060 (HMO-POS) with no copay and a 20% coinsurance. Prior authorization is required to receive these services.
Medical Equipment See details
Humana Gold Plus H6622-060 (HMO-POS) covers medical equipment, featuring a 20% coinsurance and no copay for durable medical equipment, prosthetics, and medical supplies. Covered diabetic supplies require a 10% to 20% coinsurance and no copay, while diabetic therapeutic shoes or inserts have a $10 copay.
Diagnostic and Radiological Services See details
Humana Gold Plus H6622-060 (HMO-POS) covers diagnostic and radiological services with no copay for lab services and outpatient X-rays, and no coinsurance with a $0 to $120 copay for diagnostic procedures. Diagnostic radiological services also feature no copay, while therapeutic radiological services require a $35 copay and 20% coinsurance.
Home Health Services See details
Home Health Services are covered by Humana Gold Plus H6622-060 (HMO-POS) with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are partially covered by the Humana Gold Plus H6622-060 (HMO-POS) plan with no coinsurance, though prior authorization is required. However, standard cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) rehabilitation services are not covered.
Skilled Nursing Facility (SNF) See details
Humana Gold Plus H6622-060 (HMO-POS) covers Skilled Nursing Facility (SNF) care with no coinsurance, featuring no copay for days 1 through 20 and a $218 daily copay for days 21 through 100. Prior authorization is required, but a prior three-day inpatient hospital stay is not, and additional days beyond the standard 100-day limit are not covered.
Other Services See details
Humana Gold Plus H6622-060 (HMO-POS) partially covers other services, offering acupuncture with a $35.00 copay, no coinsurance, and a limit of 20 treatments per year with prior authorization. Supplemental benefits such as over-the-counter (OTC) items and meal benefits are not covered under this plan.
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