HMO Not Available SNP Includes Rx
Plan Details
Plan NameHumana Gold Plus H4007-012 (HMO)
OrganizationHumana
Legal EntityHUMANA HEALTH PLANS OF PUERTO RICO, INC.
Plan TypeHMO
Service AreaPuerto Rico Island Wide
Contract IDH4007
Plan ID012
In-Network MOOP$5,000
Prescription Drug CoverageYes (Part D Included)
About This Plan
Humana Gold Plus H4007-012 (HMO) is a HMO Medicare plan offered by Humana (HUMANA HEALTH PLANS OF PUERTO RICO, INC.). This plan is available to eligible Medicare beneficiaries in Puerto Rico Island Wide.
This is a Special Needs Plan (SNP) designed for Not Available beneficiaries. This plan includes Medicare Part D prescription drug coverage.
The in-network maximum out-of-pocket (MOOP) for this plan is $5,000, which is the most you would pay for covered services in a plan year. After reaching this amount, the plan pays 100% of covered services.
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