In-Network Cost
Humana Gold Plus H2486-003 (HMO)
HMO/HMOPOS
Humana
Monthly Premium
$0.00
Part C
$0.00
Part D
$0.00
Out-of-Pocket Max
$5,000.00
/yr
Key Benefits at a Glance
Dental Up to
$1000
/yr
Vision
$395
eyewear allowance
Hearing
$999
/yr hearing aids
OTC
/quarter credit
Transport
rides/year
Fitness
SilverSneakers
Meals After Hosp
{meal benefit}
Overall Rating
Part C Rating
Part D Rating
Where Is This Plan Available?
Available in
11
counties:
Also available in these cities:
Plan Benefits —
Copays & Cost Sharing
Benefit
Primary Care Visit
$0 copay
Specialist Visit
$20 copay
Emergency Room
$115 copay
Urgent Care
$50 copay
Hospital Inpatient (day 1-5)
Mental Health Outpatient
Telehealth
$0 copay
Preventive Visit
$0 copay
Drug Formulary Tiers
Tier
Drug Type
30-Day Retail
90-Day Mail
1
Generic drugs
$10
$60
2
Preferred brand
$47
$141
3
Standard brand
$0
$30
4
Non-preferred
50%
50%
5
Specialty drugs
30%
Compare This Plan Side by Side
See all Carrier PlansMedicare Questions About
Medicare Advantage HMO-POS
Plans
Does Medicare Advantage require prior authorization, and for what services?
Which Utah Medicare Advantage plans have the fewest prior authorization headaches?
Which Medicare Advantage plans include Intermountain doctors?
If a plan says Intermountain is in-network, does that mean all Intermountain providers are covered?
Do all Intermountain clinics take the same Medicare Advantage plans?
Do I need a new Medicare Advantage plan if I move to Utah?
Understanding
Medicare Advantage HMO-POS
An HMO-POS (Point of Service) plan works like a standard HMO but gives you the option to see out-of-network providers at a higher cost. You still have a primary care doctor and typically need referrals. The point-of-service option adds a safety valve for situations where you want to see a specialist outside the network.
HMO vs PPO — Which Is Right for You?
Not sure if this plan is right for you?
Peter Abilla is a licensed Utah Medicare agent. He can walk you through this plan's costs, coverage, and whether your doctors are in-network.