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 Santa Maria is discussed below.
- Humana Gold Plus H5619-119 (HMO)
With an overall rating of 4, the plan is offered by Humana at a monthly premium of $0. The plan does not have any annual deductible, and an out of pocket maximum of $3000. This health maintenance organisation plan helps you choose your primary care provider inside the network. This provider would have an overall picture of your health. In this plan, you do not have to pay any copay while visiting your primary care provider or any special care provider inside your network. The plan covers your prescription drug services as well, without any deductible, along with covering urgently needed services at a $0 copay. The plan also covers oral exams, prophylaxis, dental x-rays, non-routine services, restorative services, surgeries, eyewear, eyeglasses, contact lenses, glaucoma screening, hearing aids, hearing exams, over the counter benefits, fitness benefits, and transportation services as well. You get 24 trips a year to your local health providers.
- Humana Gold Plus SNP-DE H5619-038 (HMO D-SNP)
With an overall rating of 4.2 stars, this plan is offered at a monthly premium of $0. This gold plus plan is Special needs Plan which is specially added for people with particular chronic diseases. Not everybody is allowed to enrol in such plans. If you have a chronic disease like heart failure or end-stage renal disease, you can enrol in this plan. The special needs plan is specifically designed to cater to your needs depending on your particular situation. You have to pay a $0 copay while visiting your primary or specialty doctor. The plan also covers in-hospital stay and several chiropractic services as well. Along with covering the transportation costs, dental services, vision services, hearing services, over-the-counter benefits and fitness benefits are also covered in this plan. The plan also covers all of your prescription drug cost as well, provided you use the in-network pharmacies. The plan also provides preventive and home health care services at $0 copay.