Family at the dinner table

2025 plan year benefits

Information about the Medicare and Medicare coverage and benefits available to Humana Gold Plus® Integrated Medicare-Medicaid members is available in your Member Handbook, Summary of Benefits, and Annual Notice of Changes.

Access this key health plan information

Our members enrolled in Humana Gold Plus Integrated Medicare-Medicaid also get supplemental benefits. These supplemental benefits are on top of the Medicare and Medicaid coverage you get. The following benefits are available to our members in 2025.

Supplemental benefits

Benefit details

How do I access the benefit?

Dental services

Every 6 months:

  • 1 comprehensive oral evaluation
  •  1 dental cleaning

Call Customer Care at 800‑787‑3311 (TTY: 711), Monday – Friday, 8 a.m. – 8 p.m., Central time.

Acupuncture for chronic lower back pain

Up to 20 visits per year under the following circumstances:
For the purpose of this benefit, chronic low back pain is defined as:

  • Lasting 12 weeks or longer;
  • Nonspecific, in that it has no identifiable systemic cause (i.e. not associated with metastatic, inflammatory, infectious, etc. disease);
  • Not associated with surgery; and
  • Not associated with pregnancy

Your plan allows services to be received by a provider licensed to perform acupuncture or by providers meeting the Original Medicare provider requirements.

Call Customer Care at 800‑787‑3311 (TTY: 711), Monday – Friday, 8 a.m. – 8 p.m., Central time.

Over-the-counter (OTC) allowance

Up to $65 per quarter allowance enables members to purchase products that support common occurring conditions such as:

  • Pain relievers 
  • Cough and cold relief medicine
  • First aid equipment that do not require prescriptions.

Unused amounts do not roll over to the next quarter.

You can find a full list of the OTC health and wellness items that you can get in the mail in the OTC catalog below.

OTC Catalog and Order Form – English

OTC Catalog and Order Form – Spanish

If you have questions about this mail-order service, call CenterWell Pharmacy at 855-211-8370 (TTY: 711), Monday – Friday, 7 a.m. – 10 p.m., and Saturday, 7 a.m. – 5:30 p.m., Eastern time.

Podiatry services

Up to 6 annual podiatry visits for the following:

  • Members in need of medical or surgical treatment of injuries and diseases of the foot
  • Members with conditions affecting the legs, such as diabetes

Use our Find a Doctor service to locate podiatrists near you.

Call Customer Care at 800‑787‑3311 (TTY: 711), Monday – Friday, 8 a.m. – 8 p.m., Central time.

Post-discharge meals

14 refrigerated home-delivered meals following discharge from an inpatient or residential facility. Limited to 4 discharges per year.

Call Customer Care at 800‑787‑3311 (TTY: 711), Monday – Friday, 8 a.m. – 8 p.m., Central time.

Smartphone services

With a smartphone, you have easy access to health-related information and can stay connected to your care team and health plan. Any enrollee who qualifies for the Federal Lifeline program, will be eligible to receive a free cell phone with monthly talk minutes, text and data.

Call Customer Care at 800‑787‑3311 (TTY: 711), Monday – Friday, 8 a.m. – 8 p.m., Central time.

Smoking-cessation

28 additional face-to-face visits with PCP or specialist offered.

Refer to your Member Handbook for more information about your covered services. 

Call Customer Care at 800‑787‑3311 (TTY: 711), Monday – Friday, 8 a.m. – 8 p.m., Central time.

Transportation

This plan covers unlimited round trips per year to the pharmacy or medical supply providers right after doctor visits.

Call Customer Care at 800‑787‑3311 (TTY: 711), Monday – Friday, 8 a.m. – 8 p.m., Central time.

Waived Copays

Member has $0 copayment on all pharmacy services.

You will have a $0 copayment when accessing pharmacy services.
What happens if you’re charged for covered pharmacy services?

Members enrolled in Humana Gold Plus® Integrated Medicare-Medicaid can earn rewards after completing healthy actions and more. Learn more and enroll today.

Looking for help?

Contact us

If you have questions, find the number you need to get help and support.

Find a doctor

Use our Find a Doctor service to find a doctor, hospital, pharmacy, or other healthcare facility.

Find a dentist

Use this Find a Dental Provider service to find a dentist near you.