2021 Humana Gold Choice H8145-021 (PFFS) H8145-021-000 in KY from Humana | HealthPocket

Humana Gold Choice H8145-021 (PFFS)

$8/mo

Benefits & Coverage

Insurance TypeMedicare Advantage Plan (Part C w/ RX)
Insurance ProviderHumana
Plan IDH8145-021-000
Plan Year2021
CMS Rating
Plan TypePFFS
Annual Deductible$360.00
Out-of-Pocket Maximum0

What To Know About This Plan
  • This plan has health and drug coverage

Why We Like This Plan
  • has both Health and Drug Coverage

Costs and Other Important Information

Plan Year2021
Prescription Drugs Covered?Yes
Health Plan Deductible$360
Monthly Drug Plan Premium$8
Monthly Health Plan Premium$0

All cost-sharing assumes in-network healthcare providers.
Prescription Drug Copay/Coninsurance Details - Initial Coverage Limit


30 Day SupplyPreferred Retail Pharmacies Drug CostStandard Retail Pharmacies Drug CostPreferred Mail-Order Drug CostStandard Mail-Order Drug Cost
Tier 1: Preferred Generic$7 copay$10 copay$7 copay$10 copay
Tier 2: Generic$17 copay$20 copay$17 copay$20 copay
Tier 3: Preferred Brand$47 copay$47 copay$47 copay$47 copay
Tier 4: Non-Preferred Drug$100 copay$100 copay$100 copay$100 copay
Tier 5: Specialty Tier26% coinsurance26% coinsurance26% coinsurance26% coinsurance

90 Day SupplyPreferred Retail Pharmacies Drug CostStandard Retail Pharmacies Drug CostPreferred Mail-Order Drug CostStandard Mail-Order Drug Cost
Tier 1: Preferred Generic$21 copay$30 copay$0 copay$30 copay
Tier 2: Generic$51 copay$60 copay$0 copay$60 copay
Tier 3: Preferred Brand$141 copay$141 copay$131 copay$141 copay
Tier 4: Non-Preferred Drug$300 copay$300 copay$290 copay$300 copay
Tier 5: Specialty Tier

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 managementNot Rated
Care for older adults – medication reviewNot Rated
Care for older adults – functional status assessmentNot Rated
Care for older adults – Pain assessmentNot Rated
Osteoporosis management in women who had a fracture
Diabetes care – eye exam
Diabetes care – kidney disease monitoring
Diabetes care – blood sugar controlled
Rheumatoid arthritis management
Reducing the risk of falling
Improving bladder control
Medication reconciliation post-discharge
Statin Therapy for Patients with Cardiovascular Disease

Member Experience with Health Plan

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

Member Complaints, and Changes in Health Plan's Performance

Complaints about the health plan
Members choosing to leave the health plan
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 availability
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
Drug plan quality improvement

Member Experience with Drug Plan

Rating of drug plan
Getting needed prescription drugsNot Rated

Drug Pricing and Patient Safety

MPF Price Accuracy
Medication adherence for diabetes medications
Medication adherence for hypertension - RAS antagonists
Medication adherence for cholesterol - Statins
MTM program completion rate for CMR
Statin use in persons with diabetes - SUPD

Physicians that accept Humana Gold Choice H8145-021 (PFFS) for Kentucky

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Michael, Hess
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Jeffrey, Kriegel
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Ashima, Gupta
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Marcella, Perez
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Maggie, Tran
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Kevin, Buck
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Katrina, Diersing
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Ronachai, Banchongmanie
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Kelly, Sullivan
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Sushil, Kumar
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Michael, Barr
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John, Rice
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Michael, Mckibben
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Rishi, Kumar
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Mark, Brockman
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Michael Hess, M.D.
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  • Phone Number
    (502) 367-2288
  • Office Locations
    5334 S 3rd St
    Louisville, KY 40214
5334 S 3rd St Louisville KY, 40214
Humana Community (HMO)
COST:from $0CMS Rating:Not Rated
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Aetna Medicare Premier (HMO)
COST:from $0CMS Rating:Not Rated
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CareSource Advantage Zero Premium (HMO)
COST:from $0CMS Rating:Not Rated
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WellCare Premier (PPO)
COST:from $0CMS Rating:Not Rated
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Lasso Healthcare Growth (MSA)
COST:from $0CMS Rating:Not Rated
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Medicare Plans Found

 

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HealthPocket is a free information source designed to help consumers find medical coverage. Whether you are looking for Medicare, or an individual and family 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. HealthPocket, Inc. is part of the Benefytt Technologies, Inc. family of companies.