Humana Gold Plus SNP-DE H2875-004 (HMO D-SNP)
Available to residents of Scott County, VA for 2026. Contract H2875, plan 004, segment 0.
Plan details
| Monthly drug premium | $0.00 |
|---|---|
| Drug deductible | $615.00Tier 1 and 2 exempt |
| Plan type | Dual-eligible SNP |
| Special needs plan | Dual-eligible SNP |
| Contract / plan | H2875-004-0 |
| Offered by | Humana |
| Parent organization | Humana Inc. |
| Formulary drugs | 3,359 |
CMS star ratings
- Overall
- —
- Health plan (Part C)
- —
- Drug plan (Part D)
- —
Published per contract — every plan under contract H2875 shares this rating.
Drug tiers — preferred pharmacy, initial coverage
| Tier | Cost-sharing |
|---|---|
| Tier 1 | $0.00 |
| Tier 2 | $0.00 |
| Tier 3 | 25% |
| Tier 4 | 25% |
| Tier 5 | 25% |
Also available in 12 other VA counties
Plan facts come from the CMS quarterly prescription drug plan public use files.