Original Medicare provides the retired citizens of 65 years and older health care services. The medicare includes both the hospital insurance as well as medicare insurance. Medicare Advantage plans have a benefit over the Original Medicare plans because of the added advantages the plans provide. The medicare advantage plans are offered by private organisations, which are approved by Medicare. One such private organisation is Humana Medicare health insurance company, which is one of the biggest in the United States. Humana Medicare Advantage plans in the city of Fontana is discussed below.
Humana Gold Plus H5619-039
With an overall rating of 4, this plan is offered at a monthly premium of $0. The plan has no annual deductible and a maximum out of pocket expense of $1499. You have to pay a copay of $0, for visiting your primary care provider or your specialist. The plan also covers prescription drug services, with no deductible amount. For generic and brand name drugs you have to pay a coinsurance of 25%. Along with this it also provides vision services, dental services, over the counter benefits, fitness benefits, hearing services, as well as SilverSneakers program, also providing the skilled nursing facility at a $0 copay for the first twenty days. The plan also provides transportation services at a copay $0.
Humana Honor (PPO)
With an overall rating of 4, the Humana honor plan has a monthly premium of $0. It is a preferred provider organisation plan, which lets you choose a healthcare provider of your choice. In this plan, you don’t even have to get a referral to see any special doctor. The plan has no annual deductible, and an out of pocket maximum of $6700. Under this plan, you also have to pay a $20 copay for visiting your primary doctor, and a $50 copay for visiting any specialist. Humana Honor plan provides added services like dental coverage, oral exams, vision care, hearing services, and transportation services. You are also entitled to fitness, and over the counter benefits. However, the plan does not cover prescription drug services and you have to enrol in a Part D plan separately.
Humana Value Plus H5619-037 (HMO)
With an overall rating of 4.2, the plan is offered at a monthly premium of $16.80. The plan has a monthly deductible equal to the Part B deductible amount mentioned in medicare, and an out of pocket maximum of $6700 for in-network providers. You do not have to pay any copay while visiting your primary health care provider or any specialist. The plan covers prescription drug coverage with a deductible of $435. The deductible amount is applicable to generic, preferred brand, non preferred drug and specialty tier. For generic and brand name drugs you have to pay a 25% coinsurance. The plan also covers cardiac and pulmonary rehabilitation services, occupational therapy services, physical therapy services as well as speech therapy services at 20% coinsurance. Along with covering up to 40 meals over a span of 20 days, acupuncture services are also included in the plan, along with transportation services.