Humana Gold Plus H5619-021 (HMO)
H5619-021- Primary care
- $0
- Specialist
- $0
- Inpatient hospital
- $0 per admission
- Emergency care
- $150; waived if admitted within 24 hours
- Urgent care
- $65
2026 Medicare Advantage plan details
Review selected 2026 costs and benefits for Humana Gold Plus H5619-021. Verify your ZIP-code eligibility, care team, prescriptions, and pharmacy before enrolling.
This page is a selected summary, not a complete description of benefits. You must continue to pay your Medicare Part B premium. Review the carrier document and Evidence of Coverage for limitations, exclusions, and complete plan rules.
Plan snapshot
Gold Plus H5619-021 is an HMO for Los Angeles and Orange counties. Members select an in-network primary care provider who coordinates referrals. Confirm the exact doctor, medical group, specialists, hospitals, and prescriptions before enrolling.
| Compare | Humana Gold Plus H5619-021 (HMO) |
|---|---|
| Part D deductible | $0 |
| Selected Tier 1 / Tier 2 pricing | Tier 1 and Tier 2: $0 at in-network retail pharmacies |
| OTC allowance | $100 per quarter with rollover through year-end |
| Routine vision eyewear | $350 annual allowance; $450 at PLUS providers |
| Transportation | 24 one-way trips; 50-mile limit |
Prescription costs depend on the drug, tier, pharmacy, day supply, coverage phase, Extra Help status, and plan rules. “Not highlighted” does not necessarily mean a service is excluded; consult the full plan documents.
Network before extras
Do not rely on a hospital or medical-group name alone. Confirm the exact doctor, location, medical group assignment, and plan network for the 2026 plan before enrolling.
Original carrier material
These are unchanged consumer-facing 2026 carrier documents used to prepare the selected summary above. Broker FAQs and broker-only materials are not posted.
Benefits and costs shown are selected highlights from the linked 2026 carrier material and may be subject to eligibility, network, authorization, coverage, and other plan rules. Enrollment depends on the plan’s Medicare contract renewal.
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