Humana Gold Plus H0028-014 (HMO) in Pike County, Missouri — 2026 plan details

Last updated Jul 18, 2026

Reviewed by Jason Burns, Editorial Steward

Published by Senior Direct Answers · Licensed under Citation License 1.0

Humana Gold Plus H0028-014 (HMO) (H0028-014) is a $0-premium Medicare Advantage HMO from Humana Inc. available in Pike County, Missouri in 2026, with a 3.5-star overall rating, a $2,700 in-network out-of-pocket maximum, and a $615 annual Part D drug deductible.

Plan facts (CMS CY2026 Landscape file)

OrganizationHumana Inc.
Plan nameHumana Gold Plus H0028-014 (HMO)
Contract IDH0028
Plan ID014
Segment ID0
Contract year2026
Contract categoryMA-PD
Plan typeHMO
SNPNo
Monthly consolidated premium$0.00
Part C premium$0.00
Part D basic premium$0.00
Part D total premium$0.00
Annual Part D deductible$615.00
Maximum out-of-pocket (in-network)$2700.00
Overall star rating3.5

How this plan is structured

  • $0 consolidated premium. A $0 or near-$0 consolidated premium does not remove the Part B premium — the standard 2026 Part B premium is $202.90 per month and still applies. See the 2026 Medicare Part B premium.
  • HMO plan type. In an HMO-style Medicare Advantage plan, in-network care and primary-care referral rules generally apply. See how Medicare Advantage HMO and PPO plans differ.
  • $2,700 in-network out-of-pocket maximum. The MOOP is the annual cap on what a member pays in-network for covered Part A and Part B services. See how the Medicare Advantage MOOP works.
  • Service area = Pike County. Medicare Advantage plans are sold by service area; moving out of the plan's service area triggers a Special Enrollment Period to switch plans. See how moving changes your Medicare options.

How it compares in Pike County

The CMS CY2026 Landscape file lists 42 Medicare Advantage plans in Pike County, Missouri, of which 0 carry a 5.0-star overall rating and 20 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $106.00 per month, and in-network out-of-pocket maximums range from $2700.00 to $9250.00.

For the full county plan directory, see all Medicare plans in Pike County, Missouri.

How to verify your doctors take this plan

Network participation changes throughout the year; we hold no provider-network data, so verify directly with these three sources before you decide:

  1. Open the plan's official Medicare.gov page and use its provider-directory link: Medicare.gov Plan Finder — H0028-014.
  2. Call the plan (Humana Inc.) using the member-services number listed on that plan page and ask whether each doctor, hospital, and pharmacy is in-network for 2026.
  3. Get free, unbiased help from your State Health Insurance Assistance Program (SHIP) — see free unbiased Medicare help from SHIP.

What H0028-014 means

CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H0028-014, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 0028 are the contract number issued to the organization, and the three-digit 014 is the plan benefit package under that contract. The segment ID 0 identifies the service-area segment within the plan (0 = the default single segment).

Frequently asked questions

Is Humana Gold Plus H0028-014 (HMO) an HMO or PPO?

Humana Gold Plus H0028-014 (HMO) is an HMO — a Health Maintenance Organization-style Medicare Advantage plan, meaning in-network care and referral rules generally apply.

Does Humana Gold Plus H0028-014 (HMO) include prescription drug coverage?

Yes — Humana Gold Plus H0028-014 (HMO) is a Medicare Advantage plan with prescription drug coverage (MA-PD) and a $615.00 annual Part D drug deductible for 2026.

What is the maximum out-of-pocket cost for Humana Gold Plus H0028-014 (HMO)?

The 2026 in-network maximum out-of-pocket limit for Humana Gold Plus H0028-014 (HMO) is $2700.00, per the CMS CY2026 Landscape file.

What counties offer Humana Gold Plus H0028-014 (HMO) (H0028-014)?

Humana Gold Plus H0028-014 (HMO) (H0028-014) is offered in 17 Missouri counties: Audrain County, Boone County, Callaway County, Crawford County, Franklin County, Iron County, Jefferson County, Lincoln County, Madison County, Perry County, Pike County, St. Charles County, St. Francois County, St. Louis County, St. Louis City County, Warren County, and Washington County.

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