Your Humana Gold Plus plan for 2026
Customer Service: 800-457-4708
Mail-Order Drugs w/ CenterWell: 855-310-5799
Provider Search:
humana.com/medicare/find-a-doctor
Access your OTC benefits:
2025
2026
Gold Plus
H6622-001
Gold Plus
H6622-001
Part B Giveback
$3
$0
Premium
$0
$0
Primary Doctor
$0
$0
Specialist
$40
$35
Physical Therapy
$40
$25
Urgent Care
$65
$65
Hospital
$275 days 1-6
$275 days 1-6
Maximum Out Of Pocket
$4,150
$4,200
Outpatient Surgery
$300/ $250 ASC
$300/ $200 ASC
Ambulance
$315 (20% AIR)
$335 (20% AIR)
Emergency
$140
$150
Lab Services
$0 – $40
$0 – $40
X-Rays
$150
$150
Complex Diagnostic
$350
$335
DME
20%
20%
Chemo/Part B
20%
20%
Part D (Tiers 1-4)
$0 / $5 / $47 / 50%
$0 / $5 / $47 / 50%
90 Day Mail Order
$0 / $0 / $131 / 50%
$0 / $0 / $131 / 50%
Part D Deductible
$250
(Applies to Tiers 3,4,5)
$615
(Applies to Tier 4 and Tier 5 )
Hearing Aid
$699- $999 Copay Per Ear
$699- $999 Copay Per Ear
OTC
$100 / Quarter (rollover)
$125 / Quarter (rollover)
Gym Membership
Silversneakers
Silversneakers
Dental
$2,500 (no coverage out of network)
$2,500 (no coverage out of network)
Dental Network
Humana Medicare Dental Network / No out of network coverage
Humana Medicare Dental Network / No out of network coverage
Vision
$300
$300
Your Humana Gold Plus plan for 2026
2025
2026
Gold Plus
Gold Plus
H6622-001
H6622-001
Part B Giveback
$3
$0
Premium
$0
$0
Primary Doctor
$0
$0
Specialist
$35
$35
Physical Therapy
$40
$35
Urgent Care
$65
$65
Hospital
$275
days 1-6
$275
days 1-6
MOOP Cap
$4,150
$4,200
Outpatient Surg
$300/ $250 ASC
$300/ $200 ASC
Ambulance
$315 (20% AIR)
$335 (20% AIR)
Emergency
$140
$150
Lab Services
$0-$40
$0-$40
X-Rays
$150
$150
Complex Diag
$350
$335
DME
20%
20%
Chemo/Part B
20%
20%
Part D (Tiers 1-4)
$0 / $5 / $47 / 50%
$0 / $5 / $47 / 50%
90 Day- Mailorder
$0 / $0 / $131 / 50%
$0 / $0 / $131 / 50%
Part D Ded
$250
$615
Hearing Aid
(Applies to Tiers 3,4,5)
$699- $999 Copay Per Ear
(Applies to Tier 4 and Tier 5 )
$699- $999 Copay Per Ear
OTC
$100 / Quarter (rollover)
$125 / Quarter (rollover)
Gym Membership
SilverSneakers
One Pass
Dental
$2,500 (no coverage out of network)
$2,500 (no coverage out of network)
Dental Rider
N/A
N/A
Dental Network
Humana Medicare Dental Network / No out of network coverage
Humana Medicare Dental Network / No out of network coverage
Vision
$300
$300
Customer Service: 800-457-4708
Mailorder Drugs w/ CenterWell: 855-310-5799
Provider Search:
humana.com/medicare/find-a-doctor
Access your OTC benefits:
