Humana Gold Plus H6622-032 (HMO)

Medicare Advantage Plan for Oklahoma

select spinner
PARTCRX

Plan Summary

Insurance TypeMedicare Advantage Plan (Part C w/ RX)
Insurance ProviderHumana
Plan IDH6622-32-0
CMS Rating1
Plan TypeHMO
Annual Deductible$0.00

What To Know About This Plan

  • This plan has health and drug coverage

Why We Like This Plan

  • has both Health and Drug Coverage
  • has no additional premium costs outside of your Medicare Part B premium

Plan Details

Costs and Other Important Information

Plan Year:
2018
Optional Supplemental Benefits
Yes
Maximum out-of-pocket enrollee responsibility (does not include prescription drugs)
$5,400 In-network
Other health plan deductibles?
No
Health Plan Deductible
$0
Monthly Drug Plan Premium
$0.00
Monthly Health Plan Premium
$0.00

Benefits

Service
Cost
Inpatient hospital coverage
$295 for days 1 through 5
$0 for days 6 through 90
$0 for days 91 and beyond
Outpatient hospital coverage
$295 per visit
Doctor visits
Primary:
$0 copay
Specialist:
$40 per visit
Preventive care
$0 copay
Emergency care/Urgent care
Emergency:
$80 per visit (always covered)
Urgent care:
$0-40 per visit (always covered)
Diagnostic procedures/lab services/imaging
Diagnostic tests and procedures:
$0-80 or 20%
Lab services:
$0-40
Diagnostic radiology services (e.g., MRI):
$40-295
Outpatient x-rays:
$0-90
Mental health services
$230 for days 1 through 7
$0 for days 8 through 90
Outpatient group therapy visit with a psychiatrist:
$40
Outpatient individual therapy visit with a psychiatrist:
$40
Outpatient group therapy visit:
$40
Outpatient individual therapy visit:
$40
Skilled Nursing Facility
$0 for days 1 through 20
$167.50 for days 21 through 100
Rehabilitation services
Occupational therapy visit:
$25-35
Physical therapy and speech and language therapy visit:
$25-35
Ambulance
$265 or 20%
Transportation
Not covered
Foot care (podiatry services)
Foot exams and treatment:
$40
Routine foot care:
Not covered
Medical equipment/supplies
Durable medical equipment (e.g., wheelchairs, oxygen):
20% per item
Prosthetics (e.g., braces, artificial limbs):
20% per item
Diabetes supplies:
$0 or 10-20% per item
Wellness programs (e.g., fitness, nursing hotline)
Covered
Medicare Part B drugs
Chemotherapy:
20%
Other Part B drugs:
20%

Coverage Area for Humana Gold Plus H6622-032 (HMO)

StateOklahoma
CountyCleveland

Cost Sharing Information

All cost-sharing assumes in-network healthcare providers.

Prescription Drug Copay/Coninsurance Details - Initial Coverage Limit

30 Day SupplyPreferred Retail PharmaciesNon-Preferred Retail PharmaciesMail-Order Pharmacies
Tier 1: Preferred Generic$6 copay$10 copay$6 copay
Tier 2: Non-Preferred Generic$11 copay$20 copay$11 copay
Tier 3: Preferred Brand Name$47 copay$47 copay$47 copay
Tier 4: Non-Preferred Brand Name$99 copay$100 copay$99 copay
Tier 5: Specialty Tier33% coinsurance33% coinsurance33% coinsurance
90 Day SupplyPreferred Retail PharmaciesNon-Preferred Retail PharmaciesMail-Order Pharmacies
Tier 1: Preferred Generic$18 copay$30 copay$0 copay
Tier 2: Non-Preferred Generic$33 copay$60 copay$0 copay
Tier 3: Preferred Brand Name$141 copay$141 copay$131 copay
Tier 4: Non-Preferred Brand Name$297 copay$300 copay$287 copay
Tier 5: Specialty Tier

CMS Ratings

Staying healthy - screenings, tests and vaccines

Breast cancer screening
Colorectal cancer screening
Annual flu vaccine
Improving or maintaining physical health
Improving or maintaining mental health
Monitoring physical ability
Adult BMI assessment

Managing Chronic Conditions

Special needs plan care management
Care for older adults – medication review
Care for older adults – functional status assessment
Care for older adults – Pain screening
Osteoporosis management in women who had a fracture
Diabetes care – eye exam
Diabetes care – kidney disease monitoring
Diabetes care – blood sugar controlled
Controlling blood pressure
Rheumatoid arthritis management
Reducing the risk of falling
Plan all-cause readmissions

Member Experience with Health Plan

Getting needed care
Getting appointments and care quickly
Customer service
Overall rating of health care quality
Overall rating of plan
Care Coordination

Member Complaints, and Changes in Health Plan's Performance

Complaints about the health plan
Members choosing to leave the health plan
Beneficiary access and performance problems
Health plan quality improvement

Health Plan Customer Service

Plan makes timely decision about appeals
Reviewing appeals decisions
Call center – foreign language interpreter and TTY/TDD availability - Medical

Drug Plan Customer Service

Call center – foreign language interpreter and TTY/TDD availability - Drugs
Appeals auto-forward
Appeals upheld

Member Complaints, and Changes in Drug Plan's Performance

Complaints about the drug plan
Members choosing to leave the drug plan
Beneficiary access and performance problems
Drug plan quality improvement

Member Experience with Drug Plan

Rating of drug plan
Getting needed prescription drugs

Drug Pricing and Patient Safety

MPF Price Accuracy
High risk medication
Part D medication adherence for diabetes
Part D medication adherence for hypertension
Part D medication adherence for cholesterol
Medication Therapy Management program completion rate

Physician Finder

Physicians that accept Humana Gold Plus H6622-032 (HMO) for Oklahoma

/
MCCREIGHT, DAWNA
1227 N SANTA FE AVE
MOORE, OK 73160
MANEVITZ, REBECCA
700 S TELEPHONE RD
MOORE, OK 73160
NYDICK, CYNTHIA
520 S TELEPHONE RD
MOORE, OK 73160
FAUBION, SHELLY
303 SE 4TH ST
MOORE, OK 73160
FANNING, KYLE
2900 S TELEPHONE RD
MOORE, OK 73160
SEITSINGER, DAVID
320 N SERVICE RD
MOORE, OK 73160
CLAVER, HAROLD
101 WESLEY CIR
MOORE, OK 73160
BEAN, GORDON
3001 S TELEPHONE RD
MOORE, OK 73160
HSIEH, MISTY
1060 SW 4TH ST
MOORE, OK 73160
MORRIS, SCOTT
3001 S TELEPHONE RD
MOORE, OK 73160
RAJU, SENTHIL
700 S TELEPHONE RD
MOORE, OK 73160
BECERRA, ISRAEL
2900 S TELEPHONE RD STE 250
MOORE, OK 73160
BRADFORD, ALVIN
2900 S TELEPHONE RD STE 250
MOORE, OK 73160
PADGHAM, MICHAEL
700 S TELEPHONE ROAD
MOORE, OK 73160
TREACY, BRYAN
1035 SW 19TH ST
MOORE, OK 73160
HARVEY, BEN
2909 S TELEPHONE RD
MOORE, OK 73160
BOWLWARE, KEN
7100 S I 35 SERVICE RD
OKLAHOMA CITY, OK 73149
WINSLOW, CLINTON
4300 S SHIELDS BLVD
OKLAHOMA CITY, OK 73129
NICKELS, TERRY
2803 SE 44TH ST
OKLAHOMA CITY, OK 73129
COHEN, DONALD
8125 S WALKER
OKLAHOMA CITY, OK 73139
RAMIREZ, STEVE
1025 STRAKA TER
OKLAHOMA CITY, OK 73139
GLINSKI, EDWARD
6922 S WESTERN AVE
OKLAHOMA CITY, OK 73139
Details
DAWNA MCCREIGHT, D.O.
Phone Number
(405) 799-4436
Office Locations
1227 N SANTA FE AVE
MOORE, OK 73160
1227 N SANTA FE AVE MOORE OK, 73160

Similar Plans

PremiumPlan NameCMS Rating
from $16
SilverScript Choice (PDP)
Details
from $0
Advantra Freedom (PPO)
Details
from $0
Senior Health Plan Silver Plus (HMO)
Details
from $0
Advantage Choice Plus (HMO)
Details
from $0
AARP MedicareComplete SecureHorizons Plan 2 (HMO)
Details

Related Articles

Related Searches

HealthPocket is a free information source designed to help consumers find medical coverage. Whether you are looking for Medicare, Medicaid or an individual health insurance plan, we will help you find the right healthcare option and save on your out of pocket healthcare costs. We receive our data from government, non-profit and private sources, and you should confirm key provisions of your coverage with your selected health plan. If you select a plan presented on our site, you will be directed (via a click or a call) to one of our partners who can help you with your application. Our website is not a health insurance agency and not affiliated with and does not represent or endorse any health plan.

{}