Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP)

Humana Gold Plus SNP-DE H6622-087 (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 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 H6622-087 (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 H6622-087 (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 H6622-087 (HMO D-SNP) plan has an annual prescription drug deductible of $615. Members enjoy no copay for Tier 1 (Preferred Generic) and Tier 2 (Generic) drugs when using standard pharmacies or preferred mail order for both 1-month and 3-month supplies. If you choose standard mail order, Tier 1 drugs carry a $10 copay for 1-month and a $30 copay for 3-month supplies, while Tier 2 drugs cost a $20 copay for 1-month and a $60 copay for 3-month supplies. For Tier 3 (Preferred Brand) and Tier 4 (Non-Preferred Drug) prescriptions, you will pay a 25% coinsurance for 1-month and 3-month supplies at standard pharmacies as well as through preferred and standard mail order. Tier 5 (Specialty Tier) medications also require a 25% coinsurance for a 1-month supply across all available pharmacy and mail order channels. This straightforward cost-sharing structure makes it simple to project your healthcare expenses with this Humana Medicare Advantage plan.

Additional Benefits

The Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP) offers comprehensive medical coverage, featuring no copay and a 20% coinsurance for primary care, specialist visits, outpatient hospital services, and diagnostic tests. Emergency services require a $115 copay, which is waived if you are admitted, while inpatient hospital stays require a copay of $2,230 for acute care and $2,080 for psychiatric care with no coinsurance. Skilled nursing facility stays feature no copay for the first 20 days, followed by a $218 daily copay for days 21 through 100. Supplemental benefits include preventive and comprehensive dental care with no copay and no coinsurance up to a $1,500 annual limit, alongside vision and routine hearing exams covered with no copay and a 20% coinsurance. This plan also provides no copay and no coinsurance for home health services, over-the-counter items, chronic illness meals, and up to 24 one-way transportation trips per year to approved locations. Prescription hearing aids are also covered with no copay or coinsurance for up to two devices every three years.