Humana Gold Plus H5619-001 (H5619-001), 2016 Health Maintenance Organization Medicare Advantage Plan, Sagadahoc County, ME by Humana.
Humana Gold Plus H5619-001 is a Health Maintenance Organization (HMO) health insurance plan for seniors and other people with Medicare living in Sagadahoc County, Maine. 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
By law, private Medicare health insurance has an annual maximum out-of-pocket (MOOP) limit that helps protect you from financial disaster. The MOOP limit in 2019 is $6,700, but plans are allowed to have a MOOP as low as $3,400.
The most you will pay out-of-pocket, if you enroll in the Humana Gold Plus H5619-001 Medicare Advantage plan, is $6,700. This figure does not include your monthly premiums or your Medicare Part D coverage for prescriptions. This is what you pay out-of-pocket on co-payments and co-insurance.Be sure to compare the co-payments and co-insurance with traditional Medicare, but be aware that there are no out-of-pocket limits with Medicare Parts A and B. With Original Medicare you must buy supplemental insurance to cover the gaps or pay out-of-pocket.
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 H5619-001 Medicare Advantage plan has received a Above Average (as of 15 October, 2015).out of 5 star average rating. Overall, CMS considers this plan to be
Compare Medicare Advantage Plans
Compare Humana Gold Plus H5619-001 with these top rated Medicare Advantage Plans available in Sagadahoc County:
- AARP MedicareComplete Choice Plan 1
- AARP MedicareComplete Choice Plan 2
- Aetna Medicare Value Plan
- Martin's Point Generations Advantage Value
- Martin's Point Generations Advantage Prime
Humana Gold Plus H5619-001 Availability
Humana Gold Plus H5619-001 is available in Woolwich, Georgetown, Bowdoin, Topsham, Bowdoinham, Sebasco Estates, Richmond, Phippsburg, Bath, and all other locations in Sagadahoc County.
For more information, see Medicare Advantage Plans in Sagadahoc County, ME.