Humana Gold Choice H8145-163 (PFFS) Medicare Advantage Plan H8145-163 • 2026 • Bucks County, PA

Humana Gold Choice H8145-163 Overview

Coverage Overview for Humana Gold Choice H8145-163

With a monthly premium of $0.00, this Private Fee-for-Service Medicare Advantage plan covers Medicare Part A and Part B services and allows access to Medicare-approved providers who agree to the plan’s terms. Referrals are not required, and provider participation is determined at the time services are received.

Primary care visits have a $0 copay | Out-of-network: $0 copay, specialist visits come with a $0 copay | Out-of-network: $0 copay, urgent care services carry a $0 copay, and ambulance transportation is $335 copay | Out-of-network: $335 copay. These costs apply toward the annual maximum out-of-pocket (MOOP) limit of $1500.00. After this limit is reached, covered services are fully paid.

This plan is listed by CMS under Plan ID H8145-163. A breakdown of cost sharing is provided below.

Cost-Sharing Overview

Humana Gold Choice H8145-163 includes cost-sharing, which refers to out-of-pocket expenses for covered healthcare services. The table below outlines the most common in-network out-of-pocket costs associated with plan H8145-163.

Certain preventive services are covered 100% by Humana Gold Choice H8145-163 as a Part B benefit.

Prescription Drug Coverage

This plan does not include a Medicare Part D plan for prescriptions.

CMS 5-Star Ratings

The Centers for Medicare & Medicaid Services (CMS) rates Medicare Advantage (Part C) and Part D prescription drug plans each year using a 5-star system. These ratings measure plan performance in areas such as preventive care, management of chronic conditions, and member experience.