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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:

humana.com/pharmacy/over-the-counter-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:

humana.com/pharmacy/over-the-counter-otc-benefits

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