Humana Gold Plus H5619-086 (H5619-086), 2016 Health Maintenance Organization Medicare Advantage Plan, Spartanburg County, SC by Humana.
Humana Gold Plus H5619-086 is a Health Maintenance Organization (HMO) health insurance plan for seniors and other people with Medicare living in Spartanburg County, South Carolina. 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
The new healthcare law allows for a maximum limit of $6,700 on your out of pocket medical costs for 2019 Medicare Advantage plans. This amount is commonly called the plan MOOP (Maximum Out of Pocket). A plan's MOOP does not include your prescriptions or the monthly premiums you pay for your health plan.
Although the mandatory MOOP limit is $6,700, the Affordable Care Act law allows for a “Voluntary MOOP” that can be as low as $3,400. The MOOP on this plan is $5,900. You need to take this figure into as much consideration as the premiums and the co-payments.
If you are comparing this Medicare Advantage plan with your Original Medicare benefits, take into consideration that the government does not have out-of-pocket limits on Medicare Parts A and B. With traditional Medicare the only way to protect yourself is to purchase a Medigap insurance policy to supplement your coverage.
CMS 5-Star Rating
To help shoppers compare private health insurance options, Medicare rates the quality of all Medicare Advantage plans. The Centers for Medicare and Medicare Services rates each plan using a one to five-star scale, with one star representing the lowest quality and five stars the highest.
The Humana Gold Plus H5619-086 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 H5619-086 with these top rated Medicare Advantage Plans available in Spartanburg County:
- HumanaChoice H5216-076
- Aetna Medicare Premier Plan
- Care Improvement Plus Medicare Advantage
- Humana Gold Choice H8145-069
- AARP MedicareComplete
Humana Gold Plus H5619-086 Availability
Humana Gold Plus H5619-086 is available in Roebuck, Boiling Springs, Fairforest, White Stone, Lyman, Mayo, Gramling, Inman, Cross Anchor, Converse, Pacolet, Chesnee, Pacolet Mills, Woodruff, Enoree, Moore, Fingerville, Arcadia, Spartanburg, Landrum, Campobello, UNA, Drayton, Startex, Wellford, Cowpens, Pauline, Reidville, Clifton, Duncan, Glendale, and all other locations in Spartanburg County.
For more information, see Medicare Advantage Plans in Spartanburg County, SC.