|Part D Benefit:||No|
|Rx Gap Coverage:|
Humana Gold Choice H8145-126 is a Private Fee-for-Service (PFFS) Medicare Advantage plan, by Humana, available in Taylor County, Texas. With a PFFS plan you use the doctors of your choice if they accept the Terms and Conditions of Payment established by Humana. Many PFFS plans combine Original Medicare benefits, prescription drug coverage (Part D) and other extras. If that's what you're looking for, be sure to read through the Summary of Benefits document provided by Humana.
Humana Gold Choice H8145-126 is a Private Fee-for-Service plan, but it's not the same as a Medicare Supplement. With this plan your doctor or hospital can continue to treat you if it agrees to accept the terms and conditions of payment. For the same reason, they can choose not to treat you if it's not an emergency.
The monthly premium for this plan in Taylor County, TX is $50.00. This amount is paid directly to Humana.
This plan has a monthly premium, but it isn't the full cost. The plan's premium is in addition to your Medicare Part B premium. If your income is over $85,000 ($170,000 for married couples), or you have a penalty due to late enrollment, you'll pay the standard Part B premium.
What you pay in premiums is independent of the health care services you use. You also have copayments and/or coinsurances (cost sharing) that you pay out of pocket when you use health care services or fill prescriptions.
Maximum Out-of-Pocket Limit
2018 Medicare Advantage plans have an annual maximum out-of-pocket (MOOP) limit that protects you from financial disaster. The MOOP limit is $6,700, but plans can go as low as $3,400.
The most you will pay out-of-pocket if you enroll in this plan is N/A. This amount does not include your monthly premium or the copayments. This is only the amount that you pay out of pocket.
Don't forget to look at the co-payments and co-insurance with Original Medicare (no out-of-pocket limits). If you stay on Original Medicare you'll need a Medicare Supplement to pay the gaps or pay it yourself.
Coverage, Copayments & Coinsurance
The Humana Gold Choice H8145-126 plan offers the same basic benefits as Original Medicare. The big difference is copayments and coinsurances. Below you will find (where available) what you will pay for common health care services.
Most plans have copayments when you see your primary care doctor or a specialist. Here's how this plan works:
|Primary Care Doctor:||$10 co-payment|
|Physician Specialist:||$45 co-payment|
|Occupational Therapist:||$25 co-payment|
|Physical Therapist:||$40 co-payment|
|Speech Terapist:||$40 co-payment|
If you are admitted to a hospital or clinic for treatment and stay overnight, you are an inpatient. Most plans have tiered costs for inpatient treatment. Here's how this plan covers you:
- Day 1 to 5: $360
- Day 6 to 90: $0
The following preventative healthcare services are covered at no cost:
- Abdominal aortic aneurysm screening
- Alcohol misuse counseling
- Bone mass measurement
- Breast cancer screening (mammogram)
- Cardiovascular disease (behavioral therapy)
- Cardiovascular screenings
- Cervical and vaginal cancer screening
- Colorectal cancer screenings
- Depression screening
- Diabetes screenings
- HIV screening
- Medical nutrition therapy services
- Obesity screening and counseling
- Prostate cancer screenings (PSA)
- Sexually transmitted infections screening and counseling
- Tobacco use cessation counseling
- Vaccines including Flu shots Hepatitis B shots Pneumococcal shots
- Welcome to Medicare preventive visit
- Yearly Wellness visit
Prescription Drug Coverage
This plan does not include Medicare Part D prescription drug coverage. If you enroll in this plan you will need to choose a stand-alone Part D plan. The following stand-alone plans are available in Texas:
Medicare Plan Rating
Medicare gave the Humana Gold Choice H8145-126 plan an average rating of -1.0 out of 5 stars. This rating is , by Medicare's definition.
Medicare rates the quality of all Medicare Advantage plans. Ratings help shopper considering enrollment. Five stars represents the best quality. Plans rated less than 2.5 stars cannot be sold.
Compare Humana Gold Choice H8145-126 with these top rated plans available in Taylor County:
- HumanaChoice H5216-128
- Humana Gold Choice H8145-084
- HumanaChoice R4182-001
- HumanaChoice R4182-003
- HumanaChoice R4182-004
Humana Gold Choice H8145-126 Availability
Humana Gold Choice H8145-126 is available in Abilene, Buffalo Gap, Tuscola, Tye, Trent, Merkel, Dyess AFB, Lawn, Ovalo, and all other areas of Taylor County.
This page was last updated on 10/14/2017.
Plan data on Medicare-Plans.net comes from CMS.gov and is subject to change. The Centers for Medicare and Medicaid Services has neither reviewed nor endorsed the information on this site.
This page is a brief summary, not a complete description. Limitations, co-payments, and restrictions may apply. For more information contact the plan directly.
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