4

4 out of 5 stars* for plan year 2024

Plan ID: H8145-121

What You Need to Know:

  • Humana Gold Choice H8145-121 (PFFS) is a Medicare Advantage Health Maintenance Organization PFFS * 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 $52, which does not include your monthly Medicare Part B premium.
  • The annual deductible for this health plan is no drug coverage.
  • The plan includes an out-of-pocket maximum of $- per year (in-network).
  • Humana Gold Choice H8145-121 (PFFS) includes a Part D prescription drug plan for prescription medication coverage. The annual deductible is no drug coverage.
  • This plan's Part D Initial Coverage Limit is .

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

$52

Monthly Premium

Medicare Plan Features
Monthly Premium: $52.00
Part C Premium: NULL
Monthly Premium: Part C Premium: Part D Drug Premium: Part D Supplemental Premium: Total Part D Premium: Drug Deductible: Tiers with No Deductible:
$52.00 NULL NULL NULL NULL NULL NULL
Gap Coverage: NULL
Benchmark: NULL
Type of Medicare Health: NULL
Health Plan Type: PFFS *
Similar Plan: H8145-122
Special Needs Type: NULL
Chronic Condition: NULL
Additional Gap Coverage: NULL
Maximum Out-of-Pocket Limit for Parts A & B (Moop): $-
Annual Deductible: no drug coverage
Annual Initial Coverage Limit ICL: NULL
Number of Members enrolled in this plan in Arenac, Michigan: Plans Summary Star Rating: Customer Service Rating: Drug Cost Rating:
less than 10 members 3.5 out of 5 Stars. 4 out of 5 Stars. 4 out of 5 Stars.
Plan Offers Mail Order: NULL
Plan Health Benefits
Total # of Formulary Drugs: NULL
Number of Members Enrolled in this Plan in Arenac, Michigan: NULL
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
NULL NULL NULL NULL
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
NULL NULL NULL NULL NULL NULL NULL
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)
NULL NULL NULL NULL NULL NULL NULL NULL NULL NULL

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5
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BCN Advantage HMO-POS Elements (HMO-POS) (2023)Local HMO *$4,500$-
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HumanaChoice H8087-001 (PPO) (2023)Local PPO$5,900$75
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BCN Advantage HMO-POS Prestige (HMO-POS) (2023)Local HMO$3,400$0
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PriorityMedicare Select (PPO) (2023)Local PPO$3,500$0
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PriorityMedicare Ideal (PPO) (2023)Local PPO$5,800$125
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HAP Senior Plus Medical Only (HMO) (2023)Local HMO *$4,000$-
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HAP Senior Plus Option 1 (HMO-POS) (2023)Local HMO$4,200$0
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PriorityMedicare Edge (PPO) (2023)Local PPO$5,300$0
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HAP Senior Plus Option 2 (HMO-POS) (2023)Local HMO$4,000$0
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PriorityMedicare Vital (PPO) (2023)Local PPO$6,000$350
5
PriorityMedicare Merit (PPO) (2023)Local PPO$4,100$0
5
Medicare Plus Blue PPO Vitality (PPO) (2023)Local PPO$5,000$100
5
Humana Gold Choice H8145-006 (PFFS) (2023)PFFS$-$445
4
Medicare Plus Blue PPO Assure (PPO) (2023)Local PPO$3,425$0
5
PriorityMedicare Value (HMO-POS) (2023)Local HMO$4,900$75
3
HumanaChoice R3887-001 (Regional PPO) (2023)Regional PPO *$5,500$-
5
Medicare Plus Blue PPO Signature (PPO) (2023)Local PPO$4,700$0
5
PriorityMedicare Key (HMO-POS) (2023)Local HMO$5,500$100
3
HAP Senior Plus Option 4 (PPO) (2023)Local PPO$4,000$0
4
HAP Senior Plus Option 3 (PPO) (2023)Local PPO$4,500$0
4
Medicare Plus Blue PPO Essential (PPO) (2023)Local PPO$6,000$100
5
HumanaChoice R3887-002 (Regional PPO) (2023)Regional PPO$5,300$380
5
HAP Senior Plus Option 1 (PPO) (2023)Local PPO$6,000$0
4
Humana Value Plus H8087-002 (PPO) (2023)Local PPO$7,550$260
5
HAP Senior Plus Option 2 (PPO) (2023)Local PPO$5,000$0
4
BCN Advantage Prime Value (HMO-POS) (2023)Local HMO$4,500$50
5
HAP Senior Plus (HMO) (2023)Local HMO$5,000$0
4
PriorityMedicare (HMO-POS) (2023)Local HMO$4,500$0
3
Medicare Advantage Plans by Humana
Humana Honor (PPO) (2023)Local PPO *$5,500$-
4
HumanaChoice H8087-001 (PPO) (2023)Local PPO$5,900$75
5
Humana Gold Choice H8145-006 (PFFS) (2023)PFFS$-$445
4
HumanaChoice R3887-001 (Regional PPO) (2023)Regional PPO *$5,500$-
5
HumanaChoice R3887-002 (Regional PPO) (2023)Regional PPO$5,300$380
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5

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