4

4 out of 5 stars* for plan year 2024

Plan ID: H0028-011

What You Need to Know:

  • Humana Gold Plus H0028-011 (HMO) is a Medicare Advantage Health Maintenance Organization Local HMO plan.
  • It must provide all of the same hospital and medical benefits as Medicare Part A and Part B, however, costs may be different.
  • It has additional benefits not included in Medicare Part A and Part B, including prescription drug coverage.
  • The plan's monthly premium is $0, which does not include your monthly Medicare Part B premium.
  • The annual deductible for this health plan is $150 (Tier 1, 2 and 3 excluded from the Deductible.).
  • The plan includes an out-of-pocket maximum of $3,850 per year (in-network).
  • Humana Gold Plus H0028-011 (HMO) includes a Part D prescription drug plan for prescription medication coverage. The annual deductible is $150 (Tier 1, 2 and 3 excluded from the Deductible.).
  • This plan's Part D Initial Coverage Limit is $0.

* Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system.

$0

Monthly Premium

Medicare Plan Features
Monthly Premium: $0
Part C Premium: $0
Monthly Premium: Part C Premium: Part D Drug Premium: Part D Supplemental Premium: Total Part D Premium: Drug Deductible: Tiers with No Deductible:
$0 $0 $0 $0 $0 $150.0 1.0
Gap Coverage: No
Benchmark: not below the regional benchmark
Type of Medicare Health: Enhanced Alternative
Health Plan Type: Local HMO
Similar Plan: H0028-013
Special Needs Type: NULL
Chronic Condition: NULL
Additional Gap Coverage: No additional gap coverage, only the Donut Hole Discount
Maximum Out-of-Pocket Limit for Parts A & B (Moop): $3,850
Annual Deductible: $150 (Tier 1, 2 and 3 excluded from the Deductible.)
Annual Initial Coverage Limit ICL: $4,130
Number of Members enrolled in this plan in Minnehaha, South Dakota: Plans Summary Star Rating: Customer Service Rating: Drug Cost Rating:
604 members 4 out of 5 Stars. 4 out of 5 Stars. 4 out of 5 Stars.
Plan Offers Mail Order: Yes
Plan Health Benefits
Total # of Formulary Drugs: 3,457 drugs
Number of Members Enrolled in this Plan in Minnehaha, South Dakota: 1,392 members
Number of Drugs Per Tier: NULL
Preferred Pharmacy Cost Sharing During Initial Coverage Phase: NULL
Special Needs Plan SNP Eligibility Requirement: NULL
Monthly Premium Split as Follows:
Part C Premium Part D Base Premium Part D Supplemental Premium Total Premium
$0.00 $0.00 $0.00 $0.00
Monthly Premium with Extra Help Low Income Subsidy:
LIS100 Subsidy Total Monthly Premium with LIS Parts CD LIS25 Subsidy Monthly PartD Premium with LIS LIS25 Subsidy Total Monthly Premium with LIS Parts CD LIS50 Monthly PartD Premium with LIS LIS50 Subsidy Total Monthly Premium with LIS Parts CD LIS75 Monthly PartD Premium with LIS LIS75 Subsidy Total Monthly Premium with LIS Parts CD
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Formulary Drug Details:
Tier 1 # of Drugs per Tier Tier 1 Preferred Pharmacy Cost Sharing (initial coverage phase) Tier 2 # of Drugs per Tier Tier 2 Preferred Pharmacy Cost Sharing (initial coverage phase) Tier 3 # of Drugs per Tier Tier 3 Preferred Pharmacy Cost Sharing (initial coverage phase) Tier 4 # of Drugs per Tier Tier 4 Preferred Pharmacy Cost Sharing (initial coverage phase) Tier 5 # of Drugs per Tier Tier 6 Preferred Pharmacy Cost Sharing (initial coverage phase)
306 $4.00 599 $16.00 783 $47.00 1085 $100.00 684 30%

Other Medicare Advantage Plans in Minnehaha, South Dakota

Plan Name Type Premium MOOP Rx Deduct. Rating
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4
Aetna Medicare Prime (PPO) (2023)Local PPO$5,400$0
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HealthPartners Sanford Basic (Cost) (2023)Cost *$-$-
Insufficient data to rate this plan.
HealthPartners Sanford Vital (Cost) (2023)Cost *$3,400$-
Insufficient data to rate this plan.
Aetna Medicare Elite (PPO) (2023)Local PPO$4,900$0
4
Medica Prime Solution Core (Cost) (2023)Cost *$4,000$-
5
HealthPartners Sanford Active (Cost) (2023)Cost *$3,000$-
Insufficient data to rate this plan.
Lasso Healthcare Growth (MSA) (2023)MSA *$-$-
4
HealthPartners Sanford Ultimate (Cost) (2023)Cost *$3,000$-
Insufficient data to rate this plan.
Humana Honor (PPO) (2023)Local PPO *$6,700$-
4
HumanaChoice H5216-088 (PPO) (2023)Local PPO$6,700$350
4
Lasso Healthcare Growth Plus (MSA) (2023)MSA *$-$-
4
HumanaChoice H5216-092 (PPO) (2023)Local PPO$6,700$350
4
Medica Prime Solution Premier (Cost) (2023)Cost *$3,000$-
5
HumanaChoice H5216-103 (PPO) (2023)Local PPO$3,500$250
4
Medica Prime Solution Thrift (Cost) (2023)Cost *$6,700$-
5
UnitedHealthcare Medicare Advantage Assure (PPO) (2023)Local PPO$7,550$445
5
Humana Value Plus H5216-171 (PPO) (2023)Local PPO$6,700$305
4
AARP Medicare Advantage Choice (PPO) (2023)Local PPO$3,900$0
5
Medica Prime Solution Standard (Cost) (2023)Cost *$4,500$-
5
AARP Medicare Advantage Patriot (PPO) (2023)Local PPO *$6,700$-
5
Medicare Advantage Plans by Humana
Humana Honor (PPO) (2023)Local PPO *$6,700$-
4
HumanaChoice H5216-088 (PPO) (2023)Local PPO$6,700$350
4
HumanaChoice H5216-092 (PPO) (2023)Local PPO$6,700$350
4
HumanaChoice H5216-103 (PPO) (2023)Local PPO$3,500$250
4
Humana Value Plus H5216-171 (PPO) (2023)Local PPO$6,700$305
4

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