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Humana Gold Plus SNP-DE H6622-101 (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 H6622-101 (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 H6622-101 (HMO D-SNP) in 2026, please refer to our full plan details page.
Humana Gold Plus SNP-DE H6622-101 (HMO D-SNP) is a HMO D-SNP plan offered by Humana Inc. available for enrollment in 2026 to people living in Las Vegas. 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 H6622-101 (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 H6622-101 (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 H6622-101 (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 H6622-101 (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 $265.00 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:
Sign up for Humana Gold Plus SNP-DE H6622-101 (HMO D-SNP)
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Drug Coverage
The Humana Gold Plus SNP-DE H6622-101 (HMO D-SNP) plan features an annual drug deductible of $265. Under this plan, you will pay no copay for Tier 1 preferred generic and Tier 2 generic drugs when filled at a standard pharmacy or through preferred mail order. However, if you choose standard mail order for these tiers, you will face copays ranging from $10 to $20 for a one-month supply. For Tier 3 preferred brand and Tier 4 non-preferred drugs, the plan requires a 25% coinsurance across standard pharmacies, preferred mail order, and standard mail order. Specialty medications in Tier 5 carry a 30% coinsurance for a one-month supply. These cost-sharing details help you estimate your out-of-pocket prescription costs when choosing this Humana Medicare plan.
Additional Benefits
The Humana Gold Plus SNP-DE H6622-101 (HMO D-SNP) plan offers comprehensive healthcare coverage, featuring inpatient hospital stays with an $1,800 copay per stay and outpatient services with no copay and a 20% coinsurance. Doctor visits, specialist consultations, and mental health services require no copay and a 20% coinsurance, while emergency care has a $115 copay that is waived upon hospital admission. Preventive care, home health services, and up to 60 one-way trips per year to plan-approved locations are covered with no copay and no coinsurance. For extra peace of mind, the plan provides robust dental, vision, and hearing benefits with no deductibles. You will pay no copay or coinsurance for preventive and comprehensive dental care up to a $3,000 annual limit, eyewear up to $300 yearly, and unlimited over-the-counter hearing aids. Additionally, over-the-counter items and meal benefits are available with no copay and no coinsurance to support your overall wellness.
Inpatient Hospital See details
Humana Gold Plus SNP-DE H6622-101 (HMO D-SNP) covers inpatient acute and psychiatric hospital stays with a $1,800 copay per stay and no coinsurance, with both services requiring prior authorization and referrals. Unlimited additional days for acute stays are covered with no copay, while upgrades, psychiatric additional days, and non-Medicare-covered stays are not covered.
Outpatient Services See details
Humana Gold Plus SNP-DE H6622-101 (HMO D-SNP) covers outpatient services with no copay, though a 20% coinsurance applies to outpatient hospital, ambulatory surgical center, outpatient substance abuse, and outpatient blood services. Prior authorization and referrals are required for most of these services, and the deductible is waived for the first three pints of blood.
Partial Hospitalization See details
Humana Gold Plus SNP-DE H6622-101 (HMO D-SNP) covers partial hospitalization with no copay and a 20% coinsurance. Prior authorization is required for these services.
Ambulance and Transportation Services See details
Humana Gold Plus SNP-DE H6622-101 (HMO D-SNP) covers ground ambulance services with a $335 copay and coinsurance, and air ambulance services with a 20% coinsurance and a copay, with prior authorization required. Transportation services are partially covered with no copay and no coinsurance for up to 60 one-way trips per year to plan-approved locations, though transportation to any health-related location is not covered.
Emergency Services See details
Humana Gold Plus SNP-DE H6622-101 (HMO D-SNP) covers emergency services with a $115 copay and no coinsurance, with the copay waived if you are admitted to the hospital within 24 hours. Urgently needed services require a 20% coinsurance (up to $40) and 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 H6622-101 (HMO D-SNP) covers primary care, specialist, telehealth, therapy, and mental health services with no copay and a 20% coinsurance. Routine podiatry is covered for up to 12 visits per year with a 20% coinsurance and no copay, while chiropractic services are not covered.
Preventive Services See details
Preventive services are partially covered by Humana Gold Plus SNP-DE H6622-101 (HMO D-SNP), featuring an annual physical exam, kidney disease education, and select screenings with no copay and no coinsurance. While fitness benefits and in-home support are also covered with no copay and no coinsurance, other additional services such as health education, weight management, and nutritional benefits are not covered.
Hearing Services See details
Hearing services are covered by Humana Gold Plus SNP-DE H6622-101 (HMO D-SNP) with no deductible, featuring routine hearing exams with a 20% coinsurance and no copay, and unlimited OTC hearing aids with no copay and no coinsurance. Prescription hearing aids are partially covered with no copay and no coinsurance for up to two aids every three years, but inner ear, outer ear, and over the ear prescription hearing aids are not covered.
Vision Services See details
Humana Gold Plus SNP-DE H6622-101 (HMO D-SNP) provides partially covered vision services with no deductible, featuring no copay and 20% coinsurance for routine eye exams, and no copay or coinsurance for eyewear up to a $300 annual limit. While one annual routine exam and one pair of contacts or complete eyeglasses are covered, other eye exams, standalone eyeglass lenses, standalone frames, and upgrades are not covered.
Dental Services See details
Dental services are partially covered by Humana Gold Plus SNP-DE H6622-101 (HMO D-SNP), offering Medicare-covered dental care with no copay and a 20% coinsurance, and other covered preventive and comprehensive services with no copay or coinsurance up to a $3,000 annual limit. Fluoride treatments, maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
Humana Gold Plus SNP-DE H6622-101 (HMO D-SNP) covers Home Infusion bundled Services, which require prior authorization and step therapy. Medicare Part B insulin has a $35 copay and 0% to 20% coinsurance, other Part B drugs carry no copay and 0% to 20% coinsurance, and chemotherapy drugs require a copay and 0% to 20% coinsurance.
Dialysis Services See details
Humana Gold Plus SNP-DE H6622-101 (HMO D-SNP) covers Dialysis Services with no copay and a 20% coinsurance. Prior authorization and a referral are required to receive these covered services.
Medical Equipment See details
Humana Gold Plus SNP-DE H6622-101 (HMO D-SNP) covers durable medical equipment, prosthetics, medical supplies, and diabetic services with no copay and a 20% coinsurance. Prior authorization is required for these benefits, and diabetic supplies are limited to specified manufacturers.
Diagnostic and Radiological Services See details
Humana Gold Plus SNP-DE H6622-101 (HMO D-SNP) covers diagnostic and radiological services with a 20% coinsurance, requiring prior authorization and referrals for all services. Diagnostic procedures, lab services, and outpatient X-rays have no copay, whereas diagnostic radiological services require a $200 copay and therapeutic radiological services also require a copay.
Home Health Services See details
Humana Gold Plus SNP-DE H6622-101 (HMO D-SNP) covers Home Health Services with no copay and no coinsurance. Prior authorization and a referral are required to receive these covered services.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered under the Humana Gold Plus SNP-DE H6622-101 (HMO D-SNP) plan with no copay, though in practice only some services are covered. Standard cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) for peripheral artery disease (PAD) rehabilitation services are not covered and require a 20% coinsurance.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) care is covered by Humana Gold Plus SNP-DE H6622-101 (HMO D-SNP) with no coinsurance, featuring no copay for days 1 through 20 and a $218 daily copay for days 21 through 100. Prior authorization and a referral are required for these services, and additional days beyond the standard 100-day benefit period are not covered.
Other Services See details
Other services are partially covered by Humana Gold Plus SNP-DE H6622-101 (HMO D-SNP), featuring acupuncture with no copay and 20% coinsurance for up to 20 treatments yearly, alongside meal benefits and over-the-counter items with no copay and no coinsurance. Prior authorization is required for acupuncture and meals, and other supplemental services in this category 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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