Humana
Plan ID: H4623-2-0
2024 Humana Community (HMO-POS) H4623 — 002— 0 is a Medicare Advantage plan with drug coverage. It has received a 4-out-of-5 star rating from CMS for 2024.
Learn more about Humana Community (HMO-POS) H4623 - 002 - 0, including the health and drug services it covers, by reading our easy-to-use guide. Or contact a licensed insurance agent for help now.
4 / 5 stars for 2024
$0.00 /mo
Monthly premium
$0
Health deductible
$0
Drug deductible
$2900.00
Out-of-pocket maximum
Enroll online
Call to enroll
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Get personalized help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week!
2024 Humana Community (HMO-POS) H4623 — 002— 0 is a Local HMO offered in Select Counties in Southwest Missouri by Humana. It has a monthly premium of $0.00.
Standard Part B Premium
$174.70
Part B premium reduction
- $0
Monthly Plan Premium
$0.00
Total Premium:
$174.70
Note:
The standard Part B premium for 2024 is $174.70. Your Part B premium may differ based on factors including late enrollment, income, and disability status. Higher-income beneficiaries may pay an income-related monthly adjustment amount (IRMAA). The Part B premium is required to be paid by everyone enrolled in Medicare Part B.
Special needs plan type
No
Out-of-pocket maximum
$2900.00
Plan Organization:
Humana
Plan Type:
Local HMO
Location:
Select Counties in Southwest Missouri
Drugs Covered:
Yes
Drug Formulary:
Pharmacies:
Doctor Choice:
Plan Doctors Only (some exceptions)
Doctors Link:
The amount you must pay each year before your plan starts to pay for covered services or drugs.
Health deductible
$0
Drug deductible
$0
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
Humana Community (HMO-POS) provides the following cost-sharing on drugs. Please check the plan’s formulary for specific drugs covered.
Drug Benefit Type
Enhanced
Prescription drug deductible
$0
Increased initial coverage limit
No
Additional gap coverage
Yes
This plan's premium may be reduced for you if you qualify for the low-income subsidy (also known as LIS or "Extra help"). The following is what you'll pay for with LIS.
Part D | LIS 25% | LIS 50% | LIS 75% | LIS Full |
---|---|---|---|---|
$0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
After you pay your $0.00 drug deductible, you will pay the following costs for drugs in each tier until your total drug costs (including what this plan has paid and what you have paid) reach $4,660.00. Once you reach that amount, you will enter the next coverage phase.
Tier | Preferred Pharmacy | Standard Pharmacy | Preferred Mail | Standard Mail |
---|---|---|---|---|
1. Preferred Generic | - | $0.00 copay | $0.00 copay | $10.00 copay |
2. Standard Generic | - | $0.00 copay | $0.00 copay | $20.00 copay |
3. Preferred Brand | - | $47.00 copay | $47.00 copay | $47.00 copay |
4. Non-Preferred Drug | - | $99.00 copay | $99.00 copay | $100.00 copay |
5. Specialty Tier | - | 33% | 33% | 33% |
After your total drug costs (including what this plan has paid and what you have paid) reach $4,660.00, you will pay no more than the amounts below for any drug tier until you reach $7,400.00.
Tier | Preffered Pharmacy | Standard Pharmacy | Preffered Mail | Standard Mail |
---|---|---|---|---|
Preferred Generic | - | $0.00 copay | $0.00 copay | $10.00 copay |
Generic | - | $0.00 copay | $0.00 copay | $20.00 copay |
After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and through mail order) reach $7,400.00, you will pay no more than the greater of the two amounts listed below for generic and brand-name drugs.
Generic Drugs
$4.15 copay or 5% (whichever costs more)
Brand-name
$10.35 copay or 5% (whichever costs more)
Humana Community (HMO-POS) also provides the following benefits.
Note:
Limits, Authorizations, and Referrals may apply for the benefits below. Contact the plan for details.
Humana Community (HMO-POS) does not provide this type of benefit.
Humana Community (HMO-POS) does not provide this type of benefit.
Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross Blue Shield, Anthem Blue Cross, Aspire Health Plan, Capital Blue Cross, Cigna Healthcare, Dean Health Plan, Devoted Health, Florida Blue Medicare, GlobalHealth, Health Care Service Corporation, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Premera Blue Cross, Medica Central Health Plan, SCAN Health Plan, Baylor Scott & White Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.
SMID: MULTIPLAN_HCIHNMEDADVRX24_M
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Every year, Medicare evaluates plans based on a 5-star rating system.
Part B premium reduction is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be lower. Deductibles, copays and coinsurance may apply.
Enrollment in Medicare/Medicare Advantage may be limited to certain times of the year unless you qualify for a Special Enrollment Period
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