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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 2025, 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 2025.
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 $520.00 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 $9350.00 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) plan has a $520 deductible for prescription drugs. After the deductible, you will pay a copay or coinsurance depending on the drug tier and pharmacy used. For example, in the initial coverage phase, you may pay a $0 copay for preferred generic drugs at a standard pharmacy, or 25% coinsurance for preferred brand drugs. Once your total drug costs reach $2000, you enter the catastrophic coverage phase, where you pay nothing for covered drugs.
Additional Benefits
The Humana Gold Plus SNP-DE H6622-079 (HMO D-SNP) plan offers a range of benefits with varying cost-sharing. Inpatient hospital stays have copays, while outpatient services, primary care, and other services like ambulance, emergency, and vision services often have coinsurance. Many preventive services, hearing exams, and dental services are covered with no copay. This plan also includes coverage for hearing aids, eyewear, and other services like home health, skilled nursing, and medical equipment. Additionally, you get benefits like transportation, OTC items, and meal benefits with no copay.
Inpatient Hospital See details
Inpatient Hospital services are covered, including Inpatient Hospital-Acute and Inpatient Hospital Psychiatric services, but Non-Medicare-covered Stay for Inpatient Hospital-Acute, Upgrades for Inpatient Hospital-Acute, Additional Days for Inpatient Hospital Psychiatric, and Non-Medicare-covered Stay for Inpatient Hospital Psychiatric are not covered. You will have a copay of $1850.00 for a Medicare-covered stay for Inpatient Hospital-Acute services and a copay of $1700.00 for a Medicare-covered stay for Inpatient Hospital Psychiatric services. Additional Days for Inpatient Hospital-Acute are covered with no copay.
Outpatient Services See details
Outpatient services are covered, including outpatient hospital services, observation services, ambulatory surgical center services, outpatient substance abuse services, and outpatient blood services. Outpatient hospital and observation services have a 20% coinsurance. Ambulatory Surgical Center (ASC) Services and Outpatient Substance Abuse Services have a coinsurance of 20%. Outpatient blood services have no copay.
Partial Hospitalization See details
Partial hospitalization benefits are covered under the Humana Gold Plus SNP-DE H6622-079 (HMO D-SNP) plan. You will pay 20% coinsurance for this benefit.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered, including ground and air ambulance services with a 20% coinsurance, and transportation services to plan-approved health-related locations, with no copay and up to 60 one-way trips per year. Transportation services to any health-related location is not covered.
Emergency Services See details
Emergency Services are covered under this plan. Emergency Services have a copay of $110, while Urgently Needed Services have a 20% coinsurance. Worldwide Emergency Services, including Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation, all have a copay of $110.
Primary Care See details
The Humana Gold Plus SNP-DE H6622-079 (HMO D-SNP) plan covers primary care services, including primary care physician services, chiropractic services, occupational therapy services, physician specialist services, mental health specialty services, podiatry services, other health care professional services, psychiatric services, physical therapy, speech-language pathology services, additional telehealth benefits, and opioid treatment program services. Most services have a 20% coinsurance, with podiatry services having a 20% coinsurance and no copay, and additional telehealth benefits with a 20% coinsurance and no copay. Routine chiropractic care is not covered.
Preventive Services See details
The Humana Gold Plus SNP-DE H6622-079 (HMO D-SNP) plan covers preventive services, including an annual physical exam with no copay, and additional preventive services requiring prior authorization. This plan also covers kidney disease education services, glaucoma screening, diabetes self-management training, barium enemas, digital rectal exams, and EKG following a Welcome Visit, all with no copay. Some services are not covered, including health education, in-home safety assessment, personal emergency response system, medical nutrition therapy, and several other services.
Hearing Services See details
Hearing Services includes coverage for hearing exams and prescription hearing aids; routine hearing exams have no copay and up to 20% coinsurance, while fitting/evaluation for hearing aids has no copay and no coinsurance. Prescription hearing aids (all types) have no copay, but inner ear, outer ear, and over the ear hearing aids are not covered, and OTC hearing aids are not covered.
Vision Services See details
Vision services include eye exams with a 20% coinsurance and no copay, and eyewear with no copay. Eyeglass lenses, eyeglass frames, and upgrades are not covered, but there is a combined maximum plan benefit of $300 for eyewear.
Dental Services See details
The Humana Gold Plus SNP-DE H6622-079 (HMO D-SNP) plan covers Medicare Dental Services with 20% coinsurance after prior authorization and a doctor referral. Other Dental Services include oral exams, dental x-rays, other diagnostic dental services, prophylaxis, and other preventive dental services with no copay, and each service has a limit on the number of visits per year.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered, with prior authorization required. Medicare Part B Insulin Drugs have a $35 copay and coinsurance between 0% and 20%. Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs have coinsurance between 0% and 20%.
Dialysis Services See details
Dialysis Services are covered under the Humana Gold Plus SNP-DE H6622-079 (HMO D-SNP) plan, but require prior authorization and a doctor referral. You will pay 20% coinsurance for these services.
Medical Equipment See details
Medical Equipment coverage includes Durable Medical Equipment (DME), Prosthetics/Medical Supplies, and Diabetic Equipment. DME has a 20% coinsurance and no copay, while Durable Medical Equipment for use outside the home is not covered. Prosthetic Devices and Medical Supplies have a 20% coinsurance and no copay. Diabetic Supplies have a 20% coinsurance and no copay, and Diabetic Therapeutic Shoes/Inserts have no copay.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered, including diagnostic procedures/tests, lab services, and radiological services. Diagnostic procedures/tests and lab services have a coinsurance of at most 20%, while lab services have no copay. Diagnostic radiological services have a coinsurance of at most 20% and a copay of at most $300, while therapeutic radiological services and outpatient X-ray services have a coinsurance of at most 20%.
Home Health Services See details
Home health services are covered by the Humana Gold Plus SNP-DE H6622-079 (HMO D-SNP) plan with no copay and no coinsurance. Additional hours of care and personal care services are not covered.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered, but the plan does not cover any of the sub-services, including Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, and SET for PAD Services. A doctor referral and prior authorization are required for these services.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered with prior authorization and a doctor referral. For days 1-20, there is no copay, and for days 21-100, the copay is $214. Additional days beyond Medicare-covered for SNF and Non-Medicare-covered stays for SNF are not covered.
Other Services See details
The Humana Gold Plus SNP-DE H6622-079 (HMO D-SNP) plan covers acupuncture with a 20% coinsurance after prior authorization and up to 20 treatments per year. The plan also covers Over-the-Counter (OTC) items with a maximum benefit of $1680.00 per year, including nicotine replacement therapy and naloxone. Meal benefits are covered with no copay, and prior authorization is required. Other services like Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services, Private Duty Nursing Services, and other services are not covered.
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