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Humana Gold Plus SNP-DE H6622-079 (HMO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Humana Gold Plus SNP-DE H6622-079 (HMO D-SNP). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Humana Gold Plus SNP-DE H6622-079 (HMO D-SNP) in 2026, please refer to our full plan details page.
Humana Gold Plus SNP-DE H6622-079 (HMO D-SNP) is a HMO D-SNP plan offered by Humana Inc. available for enrollment in 2025 to people living in Select Counties in Nevada. 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 H6622-079 (HMO D-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Important:
Humana Gold Plus SNP-DE H6622-079 (HMO D-SNP)is a Special Needs Type (SNP) plan. This means you can only enroll in this plan if you meet specific criteria. See our full plan details page for more information.
Key Plan Facts
Below are a few key facts and commonly-asked questions about Humana Gold Plus SNP-DE H6622-079 (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.
For Humana Gold Plus SNP-DE H6622-079 (HMO D-SNP), 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.
This plan does not come with a Part B Premium reduction. You must continue to pay your 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 $385.00 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 SNP-DE H6622-079 (HMO D-SNP) prescription drug plan features an annual drug deductible of $385. For Tier 1 preferred generics and Tier 2 generic drugs, members pay no copay for a 1-month or 3-month supply at standard pharmacies and through preferred mail order. If you choose standard mail order for these generic tiers, copays range from $10 to $20 for a 1-month supply. For higher-tier medications, prescription costs transition to a coinsurance structure. Tier 3 preferred brands and Tier 4 non-preferred drugs both require a 25% coinsurance across standard pharmacies, preferred mail order, and standard mail order options. Tier 5 specialty drugs carry a 28% coinsurance for a 1-month supply across all available fulfillment channels.
Additional Benefits
The Humana Gold Plus SNP-DE H6622-079 (HMO D-SNP) offers comprehensive medical coverage, typically featuring no copay and a 20% coinsurance for primary care visits, outpatient services, and durable medical equipment. Inpatient hospital stays require no coinsurance but carry fixed copays of $1,800 for acute care and $1,650 for psychiatric care per stay. Emergency room visits have a $115 copay, which is waived if you are admitted, while home health services and routine preventive care are covered with no copay and no coinsurance. Supplemental benefits include dental coverage up to a $2,500 annual limit and eyewear with a $350 annual allowance, both offered with no copay and no coinsurance. Members also receive up to 60 one-way transportation trips to approved locations and OTC hearing aids with no copay and no coinsurance. Additionally, skilled nursing facility stays feature no copay for the first 20 days, and chronic illness meals are provided at no cost.
Inpatient Hospital See details
Inpatient hospital services are covered by Humana Gold Plus SNP-DE H6622-079 (HMO D-SNP) with no coinsurance, featuring an acute care copay of $1,800 per stay and a psychiatric care copay of $1,650 per stay. This benefit is partially covered, as upgrades, additional psychiatric days, and non-Medicare-covered stays are not covered.
Outpatient Services See details
Humana Gold Plus SNP-DE H6622-079 (HMO D-SNP) covers outpatient services, including outpatient hospital, observation, ambulatory surgical center, substance abuse, and blood services, with no copay and a 20% coinsurance. Most of these covered services require prior authorization and a referral, and there is no deductible for outpatient blood services with the first three pints waived.
Partial Hospitalization See details
Humana Gold Plus SNP-DE H6622-079 (HMO D-SNP) covers partial hospitalization with no copay and a 20% coinsurance. Prior authorization is required for this benefit.
Ambulance and Transportation Services See details
Humana Gold Plus SNP-DE H6622-079 (HMO D-SNP) covers ground and air ambulance services with a 20% coinsurance and no copay, requiring prior authorization. Transportation services are partially covered, offering up to 60 one-way trips per year to plan-approved locations with no copay and no coinsurance, while rides to any health-related location are not covered.
Emergency Services See details
Humana Gold Plus SNP-DE H6622-079 (HMO D-SNP) covers emergency services with a $115 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services require a 20% coinsurance (up to $40 per visit) with no copay, while worldwide emergency, urgent, and transportation services are covered with a $115 copay and no coinsurance.
Primary Care See details
Humana Gold Plus SNP-DE H6622-079 (HMO D-SNP) covers primary care, specialist, therapy, and telehealth services with no copay and 20% coinsurance. Routine podiatry is also covered for up to 12 visits per year with no copay and 20% coinsurance, though routine and other chiropractic services are not covered.
Preventive Services See details
Preventive services are covered under the Humana Gold Plus SNP-DE H6622-079 (HMO D-SNP) with no copay and no coinsurance for annual physical exams, kidney disease education, and cardiovascular screenings. While additional benefits like fitness programs, remote access technologies, and in-home support are covered at no cost, this benefit is only partially covered as services such as health education, weight management, and personal emergency response systems are not covered.
Hearing Services See details
Humana Gold Plus SNP-DE H6622-079 (HMO D-SNP) covers hearing services with no deductible, offering fitting evaluations and OTC hearing aids with no copay and no coinsurance. Routine hearing exams have no copay and a 20% coinsurance, while prescription hearing aids are partially covered with no copay and no coinsurance, excluding inner ear, outer ear, and over the ear hearing aids.
Vision Services See details
Humana Gold Plus SNP-DE H6622-079 (HMO D-SNP) provides partially covered vision services, including one routine eye exam per year with no copay and 20% coinsurance, though other eye exams are not covered. Eyewear is also partially covered with no copay, no coinsurance, and a $350 annual limit for contact lenses or eyeglasses (lenses and frames), while separate lenses, frames, and upgrades are excluded.
Dental Services See details
Dental services are partially covered by Humana Gold Plus SNP-DE H6622-079 (HMO D-SNP), offering Medicare-covered dental services with no copay and a 20% coinsurance, and other covered dental services with no copay and no coinsurance up to a $2,500 annual maximum. Fluoride treatment, maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered under the Humana Gold Plus SNP-DE H6622-079 (HMO D-SNP) plan, requiring prior authorization and step therapy. Covered insulin has a $35 copay and no coinsurance to 20% coinsurance, while other Medicare Part B drugs have no copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
Humana Gold Plus SNP-DE H6622-079 (HMO D-SNP) covers dialysis services with no copay and a 20% coinsurance. Prior authorization and a referral are required to access this benefit.
Medical Equipment See details
Medical equipment is covered by Humana Gold Plus SNP-DE H6622-079 (HMO D-SNP) with no copay and a 20% coinsurance for durable medical equipment, prosthetics, medical supplies, and diabetic supplies. Prior authorization is required for these benefits, and diabetic supplies are limited to specified manufacturers.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by Humana Gold Plus SNP-DE H6622-079 (HMO D-SNP), requiring prior authorization and referrals. Members pay a 20% coinsurance for all services, with no copay for lab services, diagnostic tests, and X-rays, a $200 copay for diagnostic radiological services, and an applicable copay for therapeutic radiological services.
Home Health Services See details
Home health services are covered by Humana Gold Plus SNP-DE H6622-079 (HMO D-SNP) with no copay and no coinsurance, although a referral and prior authorization are required.
Cardiac Rehabilitation Services See details
Humana Gold Plus SNP-DE H6622-079 (HMO D-SNP) covers cardiac rehabilitation services with no copay, though sub-services including cardiac, intensive cardiac, pulmonary, and supervised exercise therapy for peripheral artery disease are not covered and carry a 20% coinsurance. Prior authorization and referrals are required for these services.
Skilled Nursing Facility (SNF) See details
Humana Gold Plus SNP-DE H6622-079 (HMO D-SNP) covers Skilled Nursing Facility (SNF) services with no coinsurance, though prior authorization and referrals are required. There is no copay for days 1 through 20, followed by a $218 daily copay for days 21 through 100, with no coverage provided for additional days beyond the Medicare-covered limit.
Other Services See details
Humana Gold Plus SNP-DE H6622-079 (HMO D-SNP) covers acupuncture with no copay and 20% coinsurance for up to 20 treatments per year, alongside over-the-counter items and chronic illness meal benefits with no copay and no coinsurance. Prior authorization is required for acupuncture and meals, while highly integrated services and other miscellaneous services are not covered.
Get Personalized Help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
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