Humana Gold Choice H8145-126 Tyler County, TX Medicare Advantage Plan, w/o Part D

Quality Rating:Humana Gold Choice H8145-126 for  County, TX, a 2015 Medicare Advantage plan, gets 4.0 out of 5 stars from CMS.
Plan ID:H8145-126
Plan Year:2015
Prescriptions:Not Covered
Rx Deductible:N/A
Mail Order Rx:N/A
Donut Hole Coverage:N/A
Benefits PDF:Humana Gold Choice H8145-126 Medicare Plan Summary of Benefits PDF Download
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Humana Gold Choice H8145-126 Overview

Humana Gold Choice H8145-126 Medicare Advantage Plan for Tyler County, Texas seniors on Medicare.Humana Gold Choice H8145-126 for Tyler County, Texas, by Humana Insurance Company, is a Private Fee-for-Service (PFFS) Medicare Advantage plan for seniors on Medicare. With PFFS health insurance you can use any physician or specialist you like, so long as they agree to the plan's payment terms.

The insurance premium is $15.00 per month. It also has co-payments and or co-insurances that you must pay when you use various healthcare services. You can see a breakdown of these costs on the co-payments page.

Some PFFS plans bring together all of the benefits of traditional Medicare, prescription drug coverage and other extras into one plan that's typically a lot less expensive than adding a Medicare Supplement and a prescription drug plan to your basic benefits. If this is what you're looking for, make sure you read all of the details.

The Humana Gold Choice H8145-126 Private Fee-for-Service plan may sound like Medicare Supplement insurance, but it's not the same. The biggest difference is that your healthcare providers can continue to treat you so long as they accept the terms and conditions of payment. They can also choose not to treat you, unless it's an emergency, if they don't accept the payment terms. Check with your providers first before you enroll.

Humana Gold Choice H8145-126 Quality Rating

To help seniors compare Medicare Advantage plans, Medicare rates the relative quality of all plans. After a full year on the market, each plan receives a one to five-star over-all mark, with one star being the lowest quality and five stars the highest quality.

The CMS has awarded Humana Gold Choice H8145-126 4.0 out of 5 stars. That means Medicare deems this plan Above Average as compared to all others (as of 15 October, 2013).

Humana Gold Choice H8145-126 Out-of-Pocket Expenses

One of the benefits built in to all Medicare Advantage plans is an annual out-of-pocket limit. The maximum is $6,700, but plans are allowed to offer a voluntary limit as low as $3,400 per year.

The most you will pay out-of-pocket if you enroll in this plan is N/A. This amount is what you actually pay for your healthcare services. It does not include your monthly premium or your prescriptions. It's only the costs you pay out-of-pocket on co-payments and co-insurances.

It's important to do your homework and compare the co-payments and co-insurance with this plan to those of traditional Medicare. Also, be aware that Medicare Part A and Part B do not limit your out-of-pocket costs like Medicare Advantage. If you stay in traditional Medicare you must add supplemental Medicare insurance to cover the cost gaps.

Compare Medicare Health Insurance Plans

Make sure you get the best health insurance for your unique situation. Compare Humana Gold Choice H8145-126 with these Medicare Advantage plans:


Humana Gold Choice H8145-126 is available in the following Texas cities: Chester, Colmesneil, Doucette, Woodville, Fred, Hillister, Spurger, Warren, and all other areas of Tyler County.

CMS File Date: October 15, 2014.

This Medicare health insurance catalog is maintained by David Bynon and was last updated on 10/26/2014.