Humana Gold Plus H5619 Review: Pros and Cons, How to Enroll, Eligibility, and Coverage

It is no surprise, but it is also equally worth noting that Medicare Advantage plans are an increasingly popular option for individuals who are eligible for Medicare. The benefits and coverage it offers have provided for more sustainable health services.

As such, in this blog post, we’ll be providing some reviews about the Humana Gold Plus h5619, its benefits and some disadvantages inherent in the services, how to enroll in humana gold plus h5619, eligibility and a list of the medical services the humana gold plus h5619 covers.

All these are compiled following our research on several authorative sites, data and customer reviews.

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As we grow older, the need for a more comprehensive health coverage also grows due to its importance for health maintenance. For individuals or organizations, traditional Medicare only provides a default option for hospital insurance and medical insurance.

However, unlike the latter, Medicare Advantage plans, just like the h5619 provided by Humana can be a befitting alternative for those who want more comprehensive and less costly health coverage.

What is Humana Gold Plus H5619?

Humana Gold Plus H5619 is a coordinated care HMO with a Medicare contract and a contract with the Washington State Health Care Authority (Medicaid) program. It is basically one of the comprehensive health coverage provided by Humana Inc., and enrollment in this Humana plan depends practically on contract renewal.

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Meaning of H5619

H5619 is a code that refers to a specific type of the Humana insurance plan. It is a Medicare Advantage Prescription Drug (MAPD) plan offered by Humana. The services it covers will be further discussed in the following section.

What Is Humana Known For?

Humana Inc is an organization that works exclusively in the health insurance industry by offering several group insurance plans for employers and individual and supplemental insurance plans. They provide a variety of health maintenance organization services and plans for seniors with medical coverage. 

At certain level, Humana have quite a number of doctors, health care providers, and hospitals in their own network who have all agreed to accept payment for any services they provide for those who have enrolled in the services Humana offers. 

Is Humana HMO a Good Choice?

Of course, it is a good choice. Humana has served Medicare beneficiaries for nearly 40 years, with nearly 8.7 million Medicare members in all 50 states, Washington, D.C., and Puerto Rico, as of June 30, 2022. Nearly 5.1 million of those members are enrolled in a Medicare Advantage plan.

This is to enunciate on their credibility status. Also, in respect of customer satisfaction, it’s highly rated. It came second in the J.D. Power 2022 U.S. Medicare Advantage Study.

One of the key benefits of humana gold plus H5619 is that it provides both medical coverage and drugs prescription coverage in a single plan.

This automatically implies that individuals who are eligible to enroll in the humana gold plus h5619 can receive, among many others, medical coverage such as doctor visits, emergency care and ambulance, dental, surgery, hearing aid services, wellness programs etc. 

Humana Gold Plus H5619 HMO Insurance Services

Under Humana Gold Plus H5619, the following covered medical and hospital benefits are provided for:

Acute patients hospital care

Outpatient hospital coverage: This covers outpatient surgery at outpatient hospital and ambulatory surgical center

Doctor office visits:

Preventive care: This preventive care services consists of abdominal aortic aneurysm screening, alcohol misuse counseling, bone mass measurement, breast cancer screening (mammogram), cardiovascular disease (behavioral therapy), cardiovascular screenings, cervical and vaginal cancer screening, colorectal cancer screening (colonoscopy, fecal occult blood test, flexible sigmoidoscopy), depression screening, diabetes screening, and HIV screening.

Emergency care

Diagnostic tests, laboratory tests, and imaging servicesHearing, vision, and dental services.

Mental health services

Physical Therapy

Skilled nursing facility

Transportation

Medicare Part D drugs, which comprise chemotherapy drugs and other Part B drugs

Under Prescription, they offer the following benefits such mailing order, provision of generic drugs, retailing of drugs, and other Medicare Part D drugs.

Additional benefits under the h5169 plan are:

• Medicare-covered foot care (podiatry) 
• Medicare-covered chiropractic services 
• Durable medical equipment supplies (like wheelchairs or oxygen)
• Medical Supplies 
• Prosthetics (artificial limbs or braces)
• Diabetic monitoring supplies 
• Occupational and speech therapy 
• Cardiac rehabilitation 
• Pulmonary rehabilitation 
• TELEHEALTH SERVICES (in addition to Original Medicare) 
• Primary care provider (PCP) specialist
• Urgent care services
• Substance abuse or behavioral health services 

The Pros and Cons of Humana Gold Plus H5619

The Pros

1. Integration of Medical and Prescription Drug Coverage:

The fact that H5619 integrates medical and prescription drug coverage into one plan is one of its most important benefits. This basically implies that people who sign up for H5619 can equally get coverage for both their prescription medications and other medical requirements like doctor visits, hospital stays, and preventive care.

Hence, those who take a lot of prescriptions and want to streamline their healthcare coverage may find this to be extremely beneficial.

2. Low-cost and High-deductible Plan G: 

Humana Gold Plus h5619 offers the cheapest average premium for high deductible plan G Medicare supplement for Medicare providers.

This outrightly pushes it forward amongst HMOs that provides Medicare supplement.

3. Additional Benefits:

In addition to the medical and prescription services provided by Humana Gold Plus h5619, individuals can also benefit from services which covers hearing, vision and dental care which are not normally covered by Basic Medicare.

These advantages can be particularly crucial for elderly people, as maintaining general health and quality of life through routine dental and optical treatment can aid.

With these benefits, individuals/participants can have access to initiatives like nutrition guidance, health coaching, and fitness sessions.

4. Medicare Star Rating:

Worthy of note is the fact that Humana’s part D prescription drugs plans have the highest average Medicare star rating, at just under 4 stars, of all the major providers we reviewed that was reviewed by Investopedia while Medicare Advantage plans also average 4 stars.

5. Consumer Satisfaction Rating:

And finally, H5619 might be less expensive than Original Medicare. While Part A of Medicare is frequently free, Part B premiums and out-of-pocket expenses can soon mount.

People may be able to reduce their healthcare expenses using H5619, including premiums, deductibles, and copayments.

The Cons

1. Constrained Selection of Hospital and Health Care Providers

The fact that Medicare Advantage plans frequently have a constrained selection of hospitals and healthcare providers is one of the biggest disadvantages.

This is due to the fact that Medicare Advantage plans frequently collaborate with a network of healthcare providers, and those who sign up for the plan are frequently forced to use this network in order to be covered.

Those who have a favourite doctor or facility that is not included in the plan’s network may find this to be particularly difficult.

2. Health Care Preferences and Tastes

It’s vital to remember that the exact downsides of H5619 depend on the needs and tastes of the individual. Some people might be content with a constrained selection of providers in exchange for extra perks like dental and vision insurance.

Others might favor Original Medicare’s adaptability and be prepared to pay higher premiums and out-of-pocket expenses to keep it that way.

How To Enroll In Humana Gold Plus H5619

Conclusion

In addition to offering complete healthcare coverage, Humana Gold Plus H5619 and other Medicare Advantage plans also include extra benefits like dental and eye care, as well as the possibility of cost savings.

But, there are also disadvantages to take into account, such as a constrained selection of providers and variable out-of-pocket expenses based on the services and providers chosen.

Despite these disadvantages, Medicare Advantage plans like H5619 can be a good choice for people who want to streamline their healthcare coverage. Instead of having to maintain numerous plans or policies, people can frequently receive all of their healthcare services through one plan by enrolling in a Medicare Advantage plan.

Additionally, Medicare Advantage plans can offer people a wide range of advantages and services that Original Medicare might not be able to provide.

Hence, even though H5619 and other Medicare Advantage plans can offer a variety of benefits, it’s vital to carefully consider the drawbacks before enrolling.

People should carefully analyze the provider network, out-of-pocket costs, and covered treatments before deciding whether a plan is the best choice for their healthcare requirements.

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