Humana Gold Plus H4461-035 (HMO) in Monroe County, Tennessee — 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 H4461-035 (HMO) (H4461-035) is a $0-premium Medicare Advantage HMO from Humana Inc. available in Monroe County, Tennessee in 2026, with a 4.0-star overall rating, a $3,600 in-network out-of-pocket maximum, and a $590 annual Part D drug deductible.
Plan facts (CMS CY2026 Landscape file)
| Organization | Humana Inc. |
|---|---|
| Plan name | Humana Gold Plus H4461-035 (HMO) |
| Contract ID | H4461 |
| Plan ID | 035 |
| Segment ID | 0 |
| Contract year | 2026 |
| Contract category | MA-PD |
| Plan type | HMO |
| SNP | No |
| 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 | $590.00 |
| Maximum out-of-pocket (in-network) | $3600.00 |
| Overall star rating | 4.0 |
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.
- $3,600 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 = Monroe 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 Monroe County
The CMS CY2026 Landscape file lists 56 Medicare Advantage plans in Monroe County, Tennessee, of which 0 carry a 5.0-star overall rating and 26 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $147.00 per month, and in-network out-of-pocket maximums range from $1900.00 to $9250.00.
For the full county plan directory, see all Medicare plans in Monroe County, Tennessee.
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:
- Open the plan's official Medicare.gov page and use its provider-directory link: Medicare.gov Plan Finder — H4461-035.
- 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.
- Get free, unbiased help from your State Health Insurance Assistance Program (SHIP) — see free unbiased Medicare help from SHIP.
What H4461-035 means
CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H4461-035, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 4461 are the contract number issued to the organization, and the three-digit 035 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 H4461-035 (HMO) an HMO or PPO?
Humana Gold Plus H4461-035 (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 H4461-035 (HMO) include prescription drug coverage?
Yes — Humana Gold Plus H4461-035 (HMO) is a Medicare Advantage plan with prescription drug coverage (MA-PD) and a $590.00 annual Part D drug deductible for 2026.
What is the maximum out-of-pocket cost for Humana Gold Plus H4461-035 (HMO)?
The 2026 in-network maximum out-of-pocket limit for Humana Gold Plus H4461-035 (HMO) is $3600.00, per the CMS CY2026 Landscape file.
What counties offer Humana Gold Plus H4461-035 (HMO) (H4461-035)?
Humana Gold Plus H4461-035 (HMO) (H4461-035) is offered in 35 Tennessee counties: Anderson County, Blount County, Bradley County, Campbell County, Carter County, Claiborne County, Cocke County, Cumberland County, Franklin County, Grainger County, Greene County, Grundy County, Hamblen County, Hamilton County, Hancock County, Hawkins County, Jefferson County, Johnson County, Knox County, Loudon County, Marion County, McMinn County, Meigs County, Monroe County, Morgan County, Polk County, Putnam County, Rhea County, Roane County, Sequatchie County, Sevier County, Sullivan County, Unicoi County, Union County, and Washington County.
Sources
- CMS, Plan Year 2026 Medicare Advantage & Part D Landscape source file (March 2026) — retrieved 2026-07-18. Overall star rating year: 2026.
- Medicare.gov Plan Finder — compare plans and enroll.