Humana Gold Plus H1036-141 Pasco County, FL Medicare Advantage Plan
Health Plan Summary
Humana Gold Plus H1036-141 (H1036-141), Health Maintenance Organization Advantage Plan, Pasco County, FL by Humana Medical Plan, Inc.
Humana Gold Plus H1036-141 is a Health Maintenance Organization (HMO) health insurance plan for seniors and other people with Medicare living in Pasco County, Florida. It includes all of 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. The monthly premium is $0.00.
Please note: You must use plan providers to avoid incurring additional costs. You will be responsible for the costs of out of network care. Referrals may be required for all but primary care physician visits.
Maximum Out-of-Pocket (MOOP) Expense
All Medicare Advantage plans have a maximum out-of-pocket (MOOP) limit of $6,700. This is mandated by law. However, plans like Humana Gold Plus H1036-141 are allowed to offer a voluntary MOOP as low as $3,400.The Humana Gold Plus H1036-141 Medicare Advantage plan MOOP is $6,700. This figure does not include your monthly premium or the cost of your prescriptions (Part D Coverage).
What this means is that as soon as your copayments and coinsurance for doctor visits and hospital care reaches $6,700, you will no longer pay copayment or coinsurance for the remainder of the year. This is your guarantee that a critical illness or serious accident will protect you from financial liability. It's just as important as the premiums and the co-payments.When comparing Medicare Advantage plans with traditional Medicare, don't forget that you pay about twenty percent of all covered expenses, but there's no limit. That means you have a lot of risk unless you purchase a Medicare supplement policy to cover the gap.
CMS 5-Star Rating
The Centers for Medicare and Medicaid Services (CMS) rates the relative quality of all private health insurance offered through the Medicare Advantage program. The ratings are designed to assist people considering enrolling. CMS rates plans on a one to five-star scale, with five stars representing the best quality.
The Humana Gold Plus H1036-141 Medicare Advantage plan has received a Above Average (as of 15 October, 2013).out of 5 star average rating. Overall, CMS considers this plan to be
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Humana Gold Plus H1036-141 Availability
Humana Gold Plus H1036-141 is available in New Port Richey, Port Richey, Spring Hill, Zephyrhills, Dade City, Trilby, Land O Lakes, San Antonio, Wesley Chapel, Hudson, Aripeka, Crystal Springs, Lacoochee, Holiday, Elfers, Saint Leo, and all other locations in Pasco County.
This page was last updated on: 10/19/2014