Humana Gold Plus: Medicare Advantage Local HMO Plan for Pinellas, FL Beneficiaries
|Gap Coverage:||No Gap Coverage|
|Residents of:||FL Residents|
|Plan Type:||Local HMO|
Plan Summary & Benefits
Humana Gold Plus (H1036-052), Pinellas County, FL, Health Maintenance Organization Coverage Information (2013 Medicare Advantage Plan)
Humana Gold Plus is a Medicare Advantage Health Maintenance Organization (HMO) healthcare plan for seniors and other Medicare recipients residing in Pinellas County, FL. It includes all the benefits of Original Medicare and may include prescription drug coverage and other extras. The primary benefit of an HMO is that the out-of-pocket costs are lower and more predictable than with other types of plans.
Please note: You must use plan providers. You will be responsible for the costs of out of network care. Referrals may be required for all but primary care physician visits.
The health care benefit information provided here is an overview only and not a comprehensive description of available benefits. Additional information about the plan benefits is available from your agent.
The monthly premium for this healthcare plan is $0.00 plus your monthly Medicare Part B premium. Most Medicare Beneficiaries pay the standard monthly Part B premium in addition to their MA or MAPD plan premium. However, some beneficiaries are required to pay slightly higher Part B and Part D premiums because of their income (over $85,000 per year for singles or $170,000 for married couples), or due to late enrollment penalties.
Summary of Benefits
NOTE: As of this publication date the Summary of Benefits information for this 2013 plan was not available from CMS. Please ask your agent for the Summary of Benefits documentation.
Part D Plan Information
The Part D deductible for this plan is $0.00. That means you have first dollar coverage.
Maximum Out of Pocket (MOOP) Benefit
In 2010 the Patient Protection and Affordable Care Act (health reform) placed a mandatory maximum limit of $6,700 on all out of pocket medical costs for Medicare Advantage plans, which is referred to as the Maximum Out of Pocket or MOOP. The MOOP does not include prescription drugs and monthly premiums. The Mandatory MOOP is $6,700 but the Affordable Care Act allows for a “Voluntary MOOP” of up to $3,400. This plan's MOOP is $3,400
About The Insurer Humana Medical Plan, Inc.
Humana Inc., headquartered in Louisville, Kentucky, is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for existing and emerging adjacencies in health care that can further enhance wellness opportunities for the millions of people across the nation with whom the company has relationships.
The summary (overall) rating for this Humana Medical Plan, Inc. plan is 3.0 out of 5 based on reviews from 20154 user ratings from the previous year. For more information about the review process, visit http://cms.gov.