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Health Benefits
Medicare-Eligible Retirees > Humana Gold Plus Plan



Humana Gold Plus Plan


To enroll in this plan you must obtain a special enrollment application directly from the health plan.

Humana Gold Plus plan offers all the benefits of Original Medicare plus extra services at no additional cost. If you are a retiree, eligible for Medicare, Humana has designed a health care plan especially for you in the following markets: In Florida: Daytona (Flagler, Volusia); Jacksonville (Baker, Duvall, Nassau); Tampa Bay (Hernando, Hillsborough, Pasco & Pinellas); and South Florida (Broward, Dade & Palm Beach).   As a Humana member, you select a primary care physician who coordinates all your health care needs. Your primary care physician arranges your laboratory tests, specialist visits, surgeries, X-rays, unlimited hospital stays and more.

Advantages of Humana Medicare+Choice plans
New Member Specialist Program - If a member has a special need, a New Member Specialist will facilitate those services and will be available to answer questions about benefits.
HumanaHealth Personal Nurses - For members who may have the need for ongoing support from a nurse, Humana has a Personal Nurse service. The Personal Nurse works one-on-one with members who are seriously ill (or may become seriously ill), building long-term relationships with them and making it easier for them to understand and use the health care system.
Disease Management Programs - If you have a chronic condition, we want to help you avoid complications and improve the quality of your life. We have specific programs for many different conditions and continue to add more all the time.
Humana Active Outlook®- Each issue of this newsletter contains information that promotes healthy and active lifestyles. Members get easy-to-understand information including nutrition and exercise tips, and answers to commonly asked questions.
Health information at your fingertips - www.humana-medicare.com offers members a personal home page, MyHumana, giving them quick access to important benefits information and health tools. You can look up prescription data, benefit information and claims history, physician and hospital locations and much more.  No claim forms or coordination of benefits.  Worldwide coverage for emergency and urgently needed care.

Companion HMO Plan - Humana also offers a commercial plan designed for non-Medicare eligible dependents. To receive additional information for your dependent, please call (800) 833-1289. 

Prescription Drug Coverage
Copay at Retail:
  $10 generic/$20 preferred/$40 non-preferred/25% for biologicals for 30-day supply
Mail:  $20 generic/$40 preferred/$80 non-preferred for 90-day supply.  25% for biologicals for 30-day supply only.   
Once member reaches true out-of-pocket costs of $3,850, the member pays the greater of $2.15 for generic/preferred drug that is a multiple source drug, and $5.35 for all other drugs, or 5% coinsurance.  Rx coverage is unlimited.  

Cost
See rate page for pension deductions.
Go to the rate page

For More Information
For more details or to request an enrollment kit, call (800) 833-1289, TDD (877) 833-4486 between 8:00 am - 8:00 pm EST, Monday through Friday.  A qualified representative will help you with your questions and arrange an appointment with a Humana Gold Plus representative to complete your enrollment application. Please identify yourself as a City of New York retiree.
Visit the Plan Web site (opens in new window)

Updated to reflect changes to Prescription Drug Benefit effective January 1, 2007. 

Spotlight

Employee Assistance Programs (EAPs)
EAPs are staffed by professional counselors who can help employees and their eligible dependents handle problems in areas such as stress, alcoholism, drug abuse, mental health, and family difficulties.

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